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  • Title: Epiluminescence microscopy (dermoscopy) versus visual inspection during Mohs microscopic surgery of infiltrative basal cell carcinoma.
    Author: Gurgen J, Gatti M.
    Journal: Dermatol Surg; 2012 Jul; 38(7 Pt 1):1066-9. PubMed ID: 22676346.
    Abstract:
    BACKGROUND: The initial stage of Mohs micrographic surgery (MMS) is usually outlined using visual inspection. Newer noninvasive models are available to the Mohs surgeon to determine initial margins before MMS. OBJECTIVE: To compare the final number of MMS stages performed using dermoscopy and visual inspection of infiltrative basal cell carcinoma (BCC). METHODS: Forty patients were randomized to two groups (dermoscopy, visual inspection) before MMS for infiltrative BCC. The final number of stages performed was recorded for each group. RESULTS: There were no statistically significant differences in the final number of stages when using dermoscopy and visual inspection. LIMITATIONS: Small sample sizes, comparison of different regions on the head and neck, and a single Mohs surgeon were the limiting factors in this study. CONCLUSIONS: There was no difference in the final number of stages between dermoscopy and visual inspection to determine the margins of previously biopsied infiltrative BCC.
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