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Mohs micrographic surgery of rare cutaneous tumours
Ist Teil von
Journal of the European Academy of Dermatology and Venereology, 2017-08, Vol.31 (8), p.1285-1288
Ort / Verlag
England
Erscheinungsjahr
2017
Quelle
Wiley Online Library Journals Frontfile Complete
Beschreibungen/Notizen
Background
Recurrence rates after Mohs micrographic surgery (MMS) for rare cutaneous tumours are poorly defined.
Objective
To investigate the recurrence rate after MMS for rare cutaneous tumours at a university centre.
Methods & Materials
Retrospective review of all rare cutaneous tumours treated with MMS at a large university centre between January 2008 and December 2012. To detect all recurrences, patients were linked to The Nationwide Network and registry of histo‐ and cytopathology (PALGA).
Results
In total, 80 patients with 80 tumours were included. Tumour types included dermatofibrosarcoma protuberans (27), atypical fibroxanthoma (22), Merkel cell carcinoma (8), microcystic adnexal carcinoma (9), sebaceous carcinoma (6), extramammary Paget's disease (2) and other (6). Mean follow‐up time was 3.7 years (standard deviation 1.4) during which two atypical fibroxanthomas recurred (2.5%).
Conclusion
This large case series shows that MMS is an appropriate treatment for rare cutaneous tumours with a recurrence rate less than 3%. Preferably, MMS for rare cutaneous tumours is performed in experienced multidisciplinary centres to further improve the quality of treatment.