January 1974

Management of Inadequately Excised Epidermoid Carcinoma

Author Affiliations

Columbia, Mo
From the Department of Surgery, Ellis Fischel State Cancer Hospital, Columbia, Mo. Dr. Glass is now in private practice in Sedalia, Mo.

Arch Surg. 1974;108(1):50-51. doi:10.1001/archsurg.1974.01350250042011

Fifteen squamous cell carcinomas of the skin, termed inadequately excised by the pathologist, were aggravated by lack of patient cooperation or availability. If there was no prophylactic treatment, a recurrence rate of about 50% and an ultimate patient mortality of about 25% from uncontrolled cancer was observed.

Prophylactic retreatment with reexcision or radiotherapy before the appearance of clinical recurrence in 24 patients significantly reduced these failures.