This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Citing articles on Web of Science (27)  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

Delmar R. Aitken, MD; Arthur G. James, MD; Larry C. Carey, MD

Arch Surg. 1984;119(6):643-646.

Abstract
• We examined the risk factors for the development of local recurrence in patients treated with a conservative wide local excision, which was defined as being less than the historical 5-cm margin. There were 118 patients with clinical stage I disease followed up for a minimum of 60 months or until death. The extent of wide local excision varied from 0.6 to 8.5 cm. The majority (76.3%) had a resection margin of 30 mm or less. Four patients (3.4%) had local recurrence within 5 cm of the primary closure scar or skin graft edge. The primary lesion in the patients with local recurrence had deeper invasion and larger diameters than the lesion in patients who did not have local recurrence. Other recognized risk factors, such as ulceration, satellitosis, and unrecognized subclinical stage II disease, at the time of initial diagnosis were noted in the patients eventually displaying local recurrence. Tumor aggressiveness was recognized. The patients who had local recurrence had excisions with wider margins (mean, 4.75 cm; range, 2.5 to 8.5 cm) than the patients without local recurrence (mean, 2.87 cm; range, 0.6 to 6.0 cm). A tumor-field effect did not contribute to local recurrence.

(Arch Surg 1984;119:643-646)

Author Affiliations
From the Division of Surgical Oncology, Department of Surgery, Ohio State University, Columbus. Dr Aitken is now with the Loma Linda (Calif) University Medical Center.

Footnotes
Accepted for publication Jan 30, 1984.

Read before the 91st annual meeting of the Western Surgical Association, Monterey, Calif, Nov 14, 1983.

Reprint requests to Department of Surgery, Loma Linda University Medical Center, Loma Linda, CA 92354 (Dr Aitken).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

A Factual, Not Arbitrary, Basis for Choice of Resection Margins in Melanoma
Piepkorn and Barnhill
Arch Dermatol 1996;132:811-814.
ABSTRACT  

Narrow Excision (1-cm Margin) A Safe Procedure for Thin Cutaneous Melanoma
Veronesi and Cascinelli
Arch Surg 1991;126:438-441.
ABSTRACT  

Fixed-Tissue Micrographic Surgery for Melanoma of the Ear
Mohs and BAILEY
Arch Otolaryngol Head Neck Surg 1988;114:625-631.
ABSTRACT