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In response to the letter from Dr. Kavka regarding our paper "Basal Cell Adenoma," I would hasten to make it clear that the histopathologic description given in case 3 is based on a previously done excisional biopsy at the patient's local hospital and that the microscopic examination of tissue removed at the second operation at the University of Michigan hospital was without evidence of tumor. I would also like to point out that a radical neck dissection was not done but rather lymph nodes encountered in the region of the cervical portion of the parotidectomy incision were removed. These nodes showed no tumor either. Because no tumor was found at the second operation both clinically and microscopically, and the fact that the biologic course of so rare a tumor (hybrid basal cell adenoma) is not known, it was the surgeon's opinion that the second operation performed was adequate. This
WORK WP, JOHNS ME. Basal Cell Adenomas-Reply. Arch Otolaryngol. 1974;100(3):247. doi:10.1001/archotol.1974.00780040255027
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