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March 1973

Recurrent Skin Cancer

Author Affiliations


From the Department of Dermatology, Baylor College of Medicine (Dr. Duncan), and Dermatology Services of Ben Taub Hospital and Veterans Administration Hospital, Houston. Dr. Freeman is now with the University of Texas Southwestern Medical School at Dallas.

Arch Dermatol. 1973;107(3):395-399. doi:10.1001/archderm.1973.01620180049015

Fifty-three recurrences among 2,288 basal cell epitheliomas and squamous cell carcinomas in 49 patients treated by surgery, radiation, or curettage and electrodesiccation were evaluated clinically and pathologically. Clinical factors in recurrences include errors in diagnosis, improper technique, and inexperience. Pathologically aggressive behavior often was manifest as poor differentiation, invasiveness and large size, and, in basal cell epitheliomas, by a sclerosing tendency. Such factors could account for two thirds of the recurrences studied.