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- Title
Periocular Microcystic Adnexal Carcinoma: Management and Outcome with Mohs’ Micrographic Surgery.
- Authors
Igal Leibovitch; Shyamala C. Huilgol; Shawn Richards; Robert Paver; Dinesh Selva
- Abstract
AbstractPurpose: To report a series of patients with periocular microcystic adnexal carcinoma (MAC) treated with Mohs’ micrographic surgery (MMS). Design: Prospective, interventional case series. Methods: This series included all patients treated with MMS for periocular MAC, who were monitored by the Skin and Cancer Foundation Australia between 1993 and 2002. Results: There were 5 patients (4 males, 1 female) with a mean age of 52 ± 12 years. Four tumors were located in the medial canthus and one in the lower lid.The tumor was initially misdiagnosed as basal cell carcinoma in 3 patients and squamous cell carcinoma in 1 patient. The average number of excision levels required for complete removal of the tumor during MMS was 2.2 (range 1–6). Perineural invasion was recorded in one patient.Five-year follow-up data was available for 3 patients, and there was no tumor recurrence in any of these cases. Conclusion: The low 5-year recurrence rate of periocular MAC with MMS emphasizes the importance of margin-controlled excision of this tumor.Copyright © 2006 S. Karger AG, Basel
- Publication
Ophthalmologica, 2006, Vol 220, Issue 2, p109
- ISSN
0030-3755
- Publication type
Article
- DOI
10.1159/000090575