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Surgical

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Shave Removal                                                                                                                                                                                              ​

  • For clinically well-defined SCCs without adjacent actinic keratoses, most of which were 4.4-11.2mm in diameter, shave biopsy with excisional intent with a 1-2mm margin may be effective.  43% of tumors had negative margins when processed with vertical sections with additional tip processing when treated this way. 5% recurred, 6.4% if you excluded those with <2 yrs follow up.  Recurrence was not predicted by extent of invasion (in situ, superficially invasive, invasive), size, age, or immunosuppression.  Location may predict recurrence, with 87% of recurrence at locations H and M.  36941916​

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