Defining recurrence of nonmelanoma skin cancer after Mohs micrographic surgery: Report of the American College of Mohs Surgery Registry and Outcomes Committee
| Autor: | Peter B. Odland, Oliver J. Wisco, Ashley Wysong, Justin J. Leitenberger, Howard W. Rogers, Christopher B. Harmon, Matthew C. Fox, Ian A. Maher, Evans C. Bailey, Timothy D. Johnson, John C. Chapman |
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| Rok vydání: | 2016 |
| Předmět: |
Male
medicine.medical_specialty Consensus Skin Neoplasms Delphi Technique medicine.medical_treatment Surveillance Methods Dermatology Micrographic surgery Diagnosis Differential Cicatrix 030207 dermatology & venereal diseases 03 medical and health sciences 0302 clinical medicine Software Design medicine Mohs surgery Humans Basal cell carcinoma Neoplasm Metastasis integumentary system business.industry Margins of Excision Neoplasms Second Primary Models Theoretical Mohs Surgery medicine.disease Curettage Treatment Outcome Carcinoma Basal Cell Carcinoma Squamous Cell 030221 ophthalmology & optometry Female Neoplasm Recurrence Local Skin cancer business Previously treated Algorithms After treatment |
| Zdroj: | Journal of the American Academy of Dermatology. 75:1022-1031 |
| ISSN: | 0190-9622 |
| DOI: | 10.1016/j.jaad.2016.06.047 |
| Popis: | Background Standardized definitions and methods of surveillance for local recurrence of nonmelanoma skin cancer are critical in determining cure rates attributed to treatment modalities. Objective We sought to offer a standard definition of local recurrence after surgical treatment of nonmelanoma skin cancer and to propose an acceptable surveillance period and tracking methods. Methods A literature search was performed for background definitions of local recurrence and tracking methods. The American College of Mohs Surgery (ACMS) Registry and Outcomes Committee then conducted a modified Delphi process to arrive at consensus definitions. Results We define local recurrence as a tumor with comparable histology, with contiguity to the surgical scar after treatment, and that arises within the area of the previously treated tumor. Limitations This project reports the results of a modified Delphi method process involving members of the ACMS. The model described may not be useful for nonexcision type treatments such as topical chemotherapy, electrodessication and curettage, or radiation treatment. Conclusions Previous definitions of recurrence and surveillance methods after surgical treatment of nonmelanoma skin cancer are variable and nonstandard. We describe consensus standards for defining and tracking recurrence that should allow for consistent scientific evaluation and development of performance data in skin cancer outcomes registries. |
| Databáze: | OpenAIRE |
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