A Comparison of Mohs Micrographic Surgery and Wide Excision for the Treatment of Atypical Fibroxanthoma

Abstract

Microscopic control of the surgical margins with MMS in the treatment of AFX results in a lower recurrence rate than that with WE and conserves normal tissue.

Atypical Fibroxanthoma: A case series and review of literature

“…Given the lack of certainty in diagnosis and the potential for recurrence or metastases, it has been suggested that MMS should be the preferred modality of treatment [7]. MMS offers the advantage of microscopic control of surgical margins, a lower recurrence rate than that with WLE and conserves normal tissue [21]. There is no general consensus on the duration of follow-up, however due to the possibility of recurrence, metastases and development of other skin malignancies, one review has suggested that patients diagnosed with AFX should undergo 6-monthly review [7].…”

Atypical fibroxanthoma of the scalp

“…6 The mainstay of treatment of the condition is local surgical excision, and the need for complete excision in the management has been emphasized. 8 Indeed, the importance of complete excision to help prevent recurrence has led some to the use of Moh's micrographic surgery, 9 and although some consider it the treatment of choice, 10 difficulties in establishing an accurate preoperative diagnosis are likely to limit such treatment. In our series, there has been no recurrence to date after this local excision.…”

Sarcomas cutâneos primários

“…A 1cm margin, including subcutaneous tissue up to muscle fascia, should be used if histological control of margins is not possible during surgery. 49 …”