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Microcystic adnexal carcinoma: Treatment with Mohs micrographic surgery

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dc.contributor.authorLeibovitch, I.
dc.contributor.authorHuilgol, S.
dc.contributor.authorSelva-Nayagam, D.
dc.contributor.authorLun, K.
dc.contributor.authorRichards, S.
dc.contributor.authorPaver, R.
dc.date.issued2005
dc.description.abstract<h4>Background</h4>Microcystic adnexal carcinoma (MAC) is reported to have a high rate of recurrence with standard wide local excision.<h4>Objective</h4>To report a large series of patients with MAC treated with Mohs micrographic surgery (MMS).<h4>Methods</h4>This prospective, multi-center case series included all patients in Australia treated with MMS for MAC, who were monitored by the Skin and Cancer Foundation between 1993 and 2002.<h4>Results</h4>There were 44 cases; most of them (90.9%) were located in the head and neck area. In 31.8% of cases it was a recurrent tumor. In 32.5% of cases the tumor was initially misdiagnosed as basal cell carcinoma or squamous cell carcinoma. Perineural invasion was recorded in 17.5% of cases; most of them (85.7%) were previously recurrent tumors. There was only one case of recurrence (5%) out of 20 patients who completed a 5 year follow-up period after MMS.<h4>Conclusion</h4>The low 5-year recurrence rate of MAC with MMS emphasizes the importance of margin-controlled excision.
dc.identifier.citationJournal of American Academy of Dermatology, 2005; 52(2):295-300
dc.identifier.doi10.1016/j.jaad.2004.10.868
dc.identifier.issn0190-9622
dc.identifier.issn1097-6787
dc.identifier.orcidHuilgol, S. [0000-0001-6668-1230]
dc.identifier.orcidSelva-Nayagam, D. [0000-0002-2169-5417]
dc.identifier.urihttp://hdl.handle.net/2440/16673
dc.language.isoen
dc.publisherMosby Inc
dc.source.urihttps://doi.org/10.1016/j.jaad.2004.10.868
dc.subjectHumans
dc.subjectCarcinoma, Skin Appendage
dc.subjectCarcinoma, Basal Cell
dc.subjectCarcinoma, Squamous Cell
dc.subjectHead and Neck Neoplasms
dc.subjectSkin Neoplasms
dc.subjectNeoplasm Invasiveness
dc.subjectNeoplasm Recurrence, Local
dc.subjectDiagnostic Errors
dc.subjectTreatment Outcome
dc.subjectMohs Surgery
dc.subjectRetrospective Studies
dc.subjectFollow-Up Studies
dc.subjectProspective Studies
dc.subjectDatabases, Factual
dc.subjectAdolescent
dc.subjectAdult
dc.subjectAged
dc.subjectAged, 80 and over
dc.subjectMiddle Aged
dc.subjectChild
dc.subjectAustralia
dc.subjectFemale
dc.subjectMale
dc.titleMicrocystic adnexal carcinoma: Treatment with Mohs micrographic surgery
dc.typeJournal article
pubs.publication-statusPublished

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