Table 5.
Tumor Recurrence Rates in Patients and Tumors With Potential Risk Factors for Recurrencea
| Recurrence Rate, % (No. of Recurrent Tumors/ No. of Tumors) |
||
|---|---|---|
| Characteristicb | Characteristic Not Present |
Characteristic Present |
| Tumors Treated With ED&C (n=127) | ||
| Patient immunocompromisedc | 1.6 (2/124) | 0 (0/3) |
| Squamous cell carcinoma | 1.8 (2/110) | 0 (0/17) |
| Tumor diameter > 10 mmd | 2.2 (1/46) | 0 (0/21) |
| Tumor location in H-zone of the faced,e | 1.9 (2/103) | 0 (0/22) |
| Histologic risk factor for recurrencef | 1.6 (2/125) | 0 (0/2) |
| Tumors Treated With Excision (n=309) | ||
| Patient immunocompromisedc | 4.0 (12/300) | 11.1 (1/9) |
| Squamous cell carcinoma | 4.4 (9/204) | 3.8 (4/105) |
| Tumor diameter > 10 mmd | 4.8 (7/145) | 4.0 (5/126) |
| Tumor location in H-zone of the faced,e | 3.1 (6/197) | 6.4 (7/110) |
| Histologic risk factor for recurrencef | 4.5 (11/245) | 3.1 (2/64) |
| Tumors Treated With Mohs Surgery (n=172) | ||
| Patient immunocompromisedc | 3.1 (5/163) | 11.1 (1/9) |
| Squamous cell carcinoma | 3.1 (4/129) | 4.7 (2/43) |
| Tumor diameter > 10 mmd | 3.2 (4/127) | 2.4 (1/41) |
| Tumor location in H-zone of the faced,e | 0 (0/36) | 4.4 (6/136) |
| Histologic risk factor for recurrencef | 4.3 (6/141) | 0 (0/31) |
Abbreviation: ED&C, electrodessication and curettage.
Adapted from National Comprehensive Cancer Network guidelines.9
For each characteristic, P > .20.
Described in the medical record as “immunocompromised” or as having received an organ transplant or as having human immunodeficiency virus infection/AIDS.
Numbers of patients and/or tumors for which data on the following characteristics were missing, 103, diameter; 4, H-zone.
Facial areas regarded to be at higher risk for tumor recurrence.8
For basal cell carcinomas, histopathologic reading described perineural involvement or morpheaform, sclerosing, mixed infiltrative, or micronodular features. For squamous cell carcinomas, histopathologic reading described perineural involvement, poor differentiation, Clark level IV or V, or adenoid, adenosquamous, or desmoplastic features.