I was interested to read Dr Chappler's letter, in which he states he has curetted basal cell epitheliomas (BCEs) and has then excised the site and found residual tumor cells. He does not state in what percentage of what number of total lesions this occurred, nor the size and clinical characteristics of the lesions. I get the impression he does not intend to cure the lesion with his curettage, and thus always follows with excision of the site, which probably means less selectivity of his lesions and less thorough curettage.Of all the lesions I have treated, there are but six recurrences in the total, and 121 lesion sites have been observed from at least five to 13 years (three for 19 years); one has to be encouraged with the treatment.Recurrences such as he mentions have not been encountered in this select group. Reymann1 believes, from
McDaniel WE. Treatment of Basal Cell Carcinomas-Reply. Arch Dermatol. 1979;115(5):638. doi:10.1001/archderm.1979.04010050061032
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