Predicting the Presence of Nonmelanoma Skin Cancers After Biopsy
Author(s) -
Sarah E. Sasor,
Naveed Nosrati,
Terrence M. Katona,
William A. Wooden,
Adam C. Cohen,
Imtiaz A. Munshi,
Sunil S. Tholpady
Publication year - 2015
Publication title -
jama surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.757
H-Index - 176
eISSN - 2168-6262
pISSN - 2168-6254
DOI - 10.1001/jamasurg.2015.3243
Subject(s) - medicine , skin cancer , dermatology , biopsy , skin biopsy , punch biopsy , pathology , cancer
ASSOCIATION OF VA SURGEONS Predicting the Presence of Nonmelanoma Skin Cancers After Biopsy: A Method to Reduce Unnecessary Surgical Procedures Nonmelanoma skin cancer (NMSC) is the most common type of skin cancer in the United States.1 The incidence of NMSC has nearly doubled in the past 20 years, creating a significant financial burden on health care systems.1 The current recommended surgical treatment of NMSC is complete reexcision of the biopsy scar with a several-millimeter margin. Studies2-4 have shown spontaneous clearance rates of 24% to 72% after biopsy and have tried to identify associated characteristics. Previous data from our institution suggest that the clinical appearance of a scar was associated with no cancer after surgical excision.5 The purpose of this study was to determine whether clearance of NMSC in excisional specimens can be predicted based on the appearance of a lesion after biopsy and on the demographic characteristics of the patient.
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