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Mohs surgery is the gold standard method for obtaining complete margin control during removal of a skin cancer (complete circumferential peripheral and deep margin assessment - CCPDMA) using frozen section histology. [1] CCPDMA or Mohs surgery allows for the removal of a skin cancer with very narrow surgical margin and a high cure rate.
Appropriate use criteria (AUC), sometimes referred to as appropriateness criteria (AC), specify when it is appropriate to perform a medical procedure or service. An "appropriate" procedure is one for which the expected health benefits exceed the expected health risks by a wide margin.
Over 98% of SGc occur in patients over the age of 40. [7] The mean age of diagnosis for periocular and extraocular SGc is around 67 years. Periocular SGc tends to be more common in women, while extraocular SGc tends to be more common in men. [2] SGc is extraordinarily rare in children with only a few cases reported. [6]
Women over 40 should get breast cancer screenings every other year, according to the U.S. Preventive Services Task Force. But some doctors think scans should be annual.
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Dermatologic Surgery 38.10 (2012): 1582-1603. Force, Ad Hoc Task, et al. "AAD/ACMS/ASDSA/ASMS 2012 Appropriate Use Criteria for Mohs Micrographic Surgery: A Report of the American Academy of Dermatology, American College of Mohs Surgery, American Society for Dermatologic Surgery Association, and the American Society for Mohs Surgery."
The U.S. Preventative Services Task Force (USPSTF) has finalized new breast cancer screening guidelines for women ages 40 to 74. New Breast Cancer Screening Guidelines for Women 40 to 74: What to Know
Surgery to remove the basal-cell carcinoma affected area and the surrounding skin is thought to be the most effective treatment. [40] A disadvantage with standard surgical excision is a reported higher recurrence rate of basal-cell cancers of the face, [ 41 ] especially around the eyelids, [ 42 ] nose, and facial structures. [ 43 ]