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October 1987

Mohs Micrographic Surgery as Only Means of Optimal Patient Outcome?-Reply

Author Affiliations

Departments of Dermatology and Surgery Northwestern University Medical School Chicago, IL 60611

Arch Dermatol. 1987;123(10):1269-1270. doi:10.1001/archderm.1987.01660340029009

In Reply.—  The title of the editorial was a question: "What Are Adequate Treatment and Follow-up Care for Nonmelanoma Cutaneous Cancer?"1 Rather than seeking to provide definitive answers, it sought primarily to stimulate study and discussion that would lead to establishment of better guidelines for the management of smaller and earlier basal cell carcinoma and squamous cell carcinoma. It urged all physicians to use the data now emerging from well-designed studies and documented case reports to reexamine traditional clinical judgments. To the extent that such reexamination suggests changes in existing practice, it is both proper and inevitable that those suggestions will be controversial.The recommendations challenged by Drs Sherwin and Goldschmidt were part of a commentary that examined the clinical implications of the data reported in three original articles appearing in that issue of the Archives.2-4 Two of these addressed surgical margins and surgical technique and pointed out the risk