Abstract
The use of preoperative tumor curettage in Mohs micrographic surgery has never been prospectively systematically assessed. To assess the utility of preoperative tumor curettage in Mohs micrographic surgery for primary or recurrent, well-defined basal cell carcinoma less than 2 cm in diameter located on the head or neck. Patients were randomized to either preoperative tumor curettage or control group and were compared in terms of percent surface area increase from tumor surface area to wound surface area, absolute surface area increase, number of tissue layers removed, types of repairs performed, and postoperative complications. Multivariate analysis was performed to see if tumor location, appearance (exophytic or flat), or histology affected any of the above. The preoperative tumor curettage group had a 399% (95% confidence interval [CI] 346-452) mean surface area increase from tumor to wound surface area versus 263% (95% CI 216-311) for control group (P=.0002). The preoperative tumor curettage group had a mean absolute surface area increase of 1.78 cm2 (95% CI 1.57-1.99) versus 1.40 cm2 (95% CI 1.15-1.65) for control group (P=.02). The preoperative tumor curettage group had fewer tissue layers removed (P=.3). Preoperative tumo...Continue Reading
Citations
Aug 19, 2007·Der Hautarzt; Zeitschrift für Dermatologie, Venerologie, und verwandte Gebiete·W Weyers
Jul 16, 2008·Current Opinion in Otolaryngology & Head and Neck Surgery·Timothy J Minton
Jul 30, 2010·Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [et Al.]·Robert A Guardiano, Donald J Grande
Nov 3, 2010·Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [et Al.]·Murad AlamSimon S Yoo
Sep 11, 2012·Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [et Al.]·UNKNOWN American Academy of DermatologyOliver J Wisco
Sep 17, 2005·Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [et Al.]·Michael S Lehrer, Anthony V Benedetto
Aug 1, 2006·Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [et Al.]·David A Lee, Désirée Ratner
Oct 23, 2012·Facial Plastic Surgery Clinics of North America·Timur M AkcamHalis Unlu
Sep 11, 2012·Journal of the American Academy of Dermatology·UNKNOWN Ad Hoc Task ForceOliver J Wisco
Mar 23, 2011·Dermatologic Clinics·Navid Bouzari, Suzanne Olbricht
Aug 25, 2009·Facial Plastic Surgery Clinics of North America·Lara CumberlandNanette Liegeois
May 26, 2017·Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [et Al.]·Marwan AlhaddadHooman Khorasani
Sep 1, 2017·Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [et Al.]·Emi DikaAnnalisa Patrizi
Jun 7, 2019·The Australasian Journal of Dermatology·Simon C Tucker, Carl Vinciullo
Nov 26, 2019·Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [et Al.]·Arif Aslam, Sumaira Z Aasi
Aug 20, 2019·Journal of Cutaneous Medicine and Surgery·Matthew J LinDavid A Kriegel
Nov 18, 2020·The Cochrane Database of Systematic Reviews·Jason ThomsonFiona J Bath-Hextall