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To the Editor.—
I must agree with Dr. Reymann that the evaluation of the recurrence of basal cell carcinoma is complicated when x-ray therapy has been used, since it may be difficult to distinguish a recurrence of the original tumor from a fresh tumor induced by the treatment.The data presented in my letter may help solve this problem, since all of the patients in my series had been treated surgically, either by excision or by electrodesiccation and curettage. The asymptotic-type curve derived from their recurrences suggests that the high percentage of late "recurrences" in the articles cited by Dr. Reymann was related to the previous therapy, rather than to recurrences of the original tumors. This interpretation is consistent with the long latent period, which is characteristic of neoplasms induced by ionizing radiation.I know of no evidence to support the assertion that the scars produced by conventional dermatologic
Grover RW. Basal Cell Carcinoma-Reply to Dr. Reymann. Arch Dermatol. 1973;108(1):135. doi:10.1001/archderm.1973.01620220089032