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March 1986

Adequate Follow-up for Treated Basal Cell Carcinoma

Author Affiliations

342 Waller Ave Suite 5 Lexington, KY 40504

Arch Dermatol. 1986;122(3):243. doi:10.1001/archderm.1986.01660150019002

To the Editor.—  In reference to the article by Drs Suhge d'Aubermont and Bennett in the November 1984 issue of the Archives,1 they state that "the slow growth rate of basal cell carcinoma... may make five-year cure rates inadequate." They base this assessment on microscopic evidence of tumor in the margin and/or base of 33% of 45 lesions located on the head and 8.3% of 24 lesions located on the trunk and extremities after removal of the lesions by curettage and electrodesiccation. This assessment coincides with the statistics Pascal et al2 noted after excision, but not with their clinical results. Thus the contention by Suhge d'Aubermont and Bennett that a longer follow-up period is needed for treated basal cell carcinoma, and they suggest ten years.In my previously reported updated group of 746 lesions treated by curettage alone3,4 there were 46 recurrences. Five occurred more than five

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