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March 1991

Cryosurgical Treatment for Skin Cancer

Author Affiliations

Springfield, Mass

Arch Dermatol. 1991;127(3):433. doi:10.1001/archderm.1991.01680030159032

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Cryosurgical Treatment for Skin Cancer by Kuflik and Gage, two accomplished and experienced cryosurgeons, is well written. It is concise yet adequately covers subject matters of importance such as cryogenics, cryonecrosis, technical application of instrumentation, and monitoring the required subzero temperatures to eradicate malignant tumors of the skin. Their indications and contraindications of treatment of head and neck tumors and other anatomic sites is well covered, but, from my own experience, I would be wary of freezing neoplasms of the lower extremities, for I have found that healing time sometimes exceeds 2 or more months with undue scarring and, occasionally, secondary infection. The authors have rightly outlined the immediate, delayed, and permanent complications from cryosurgery.

The authors in their chapters on cryosurgery of carcinomas in critical sites, such as the ala nasi, nasolabial fold, eyelid, medial canthus, postauricular area, conchi, and scalp, cover the material well and provide a tabulation

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