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Tiefenbrunn - American Society for Mohs Surgery

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St I<br />

St II<br />

1. Positive stage I<br />

2. Clear Stage II<br />

3. Stage II adequate<br />

to encompass<br />

tumor on stage I<br />

allowing <strong>for</strong> the<br />

inherent<br />

inaccuracy of<br />

<strong>Mohs</strong> surgery.<br />

This is a good case to send <strong>for</strong> peer review.<br />

4. Can be reviewed<br />

by looking a two<br />

selected sections.<br />

5. No controversial<br />

histology.<br />

6. No complicated<br />

maps to follow.<br />

Keep<br />

It<br />

Simple<br />

Stupid<br />

<br />

<br />

<br />

<br />

<br />

Atypical Fibroxanthoma Stage I,<br />

Inflammation stage II--? Residual<br />

tumor<br />

<br />

<br />

<br />

<br />

<br />

<br />

This was the tumor<br />

on stage I, called a<br />

microcystic adnexal<br />

carcinoma.<br />

The eStructure<br />

<br />

<br />

<br />

<br />

<br />

<br />

These structures remained on<br />

stage III that was called clear.<br />

Six dermatopathologists could<br />

not agree if they were <strong>for</strong>eign<br />

body giant cells, sweat duct<br />

tumors or regenerating sweat<br />

ducts in scar tissue.<br />

We felt these were<br />

fibrofollicuomas and<br />

there<strong>for</strong>e the case<br />

did meet the criteria<br />

<strong>for</strong> peer review.<br />

Similar structure

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