Tiefenbrunn - American Society for Mohs Surgery
Tiefenbrunn - American Society for Mohs Surgery
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