There is wide variation in cost associated with STR. Significant variance in OR time and supply cost between surgeons suggests these are potential areas for cost reduction. Although no increased 30-day complications were seen with faster and less costly surgeries, further research is needed to evaluate how time and cost relate to quality of care.

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Background: Lymphomatoid papulosis is a rare CD30 + lymphoproliferative T-cell disorder with limited effective treatments.Objective: We describe the case of a 50-year-old woman diagnosed with lymphomatoid papulosis who was unable to access phototherapy and who failed to clear while on systemic treatment with methotrexate. Methods:The patient was initiated on mycophenolate mofetil (MMF), a prodrug of mycophenolic acid, at a dose of 2 g divided twice daily.Results: MMF produced a rapid response with complete clearing within 8 weeks, and the patient has been successfully maintained for 2 years at the same dose with no noted side effects. Other patients in our clinic have had similar success.Conclusions: Mycophenolic acid is a safe and well-tolerated therapy for lymphomatoid papulosis.Contexte: La papulose lymphomatoïde est un trouble lymphoprolifé ratif à lymphocytes T CD30 + rare, difficile à traiter.Objectif: Il sera question, dans le pré sent article, du cas d'une femme de 50 ans, atteinte de papulose lymphomatoïde, qui ne pouvait avoir accè s à la photothé rapie et chez qui le traitement à action gé né rale par le mé thotrexate s'est ré vé lé inefficace.Mé thode: La patiente a reç u, au dé part, du mycophé nolate mofé til (MMF), un promé dicament de l'acide mycophé nolique, à raison d'une dose de 2 g, fractionné e deux fois par jour.Ré sultats: Le MMF a provoqué une ré action rapide et a permis la disparition complè te de l'affection au bout de 8 semaines; le traitement s'est montré efficace pendant 2 ans, toujours à la mê me posologie et sans effets indé sirables marqué s. Les mê mes ré sultats favorables ont é té observé s chez d'autres patients traité s à notre service.Conclusion: L'acide mycophé nolique est un traitement sû r et bien tolé ré de la papulose lymphomatoïde.