Department of Dermatology, Oregon Health and Science University, Portland, Oregon.
Advanced Dermatology, Norwich, Connecticut.
J Am Acad Dermatol. 2016 Nov;75(5):1022-1031. doi: 10.1016/j.jaad.2016.06.047. Epub 2016 Aug 18.
Standardized definitions and methods of surveillance for local recurrence of nonmelanoma skin cancer are critical in determining cure rates attributed to treatment modalities.
We sought to offer a standard definition of local recurrence after surgical treatment of nonmelanoma skin cancer and to propose an acceptable surveillance period and tracking methods.
A literature search was performed for background definitions of local recurrence and tracking methods. The American College of Mohs Surgery (ACMS) Registry and Outcomes Committee then conducted a modified Delphi process to arrive at consensus definitions.
We define local recurrence as a tumor with comparable histology, with contiguity to the surgical scar after treatment, and that arises within the area of the previously treated tumor.
This project reports the results of a modified Delphi method process involving members of the ACMS. The model described may not be useful for nonexcision type treatments such as topical chemotherapy, electrodessication and curettage, or radiation treatment.
Previous definitions of recurrence and surveillance methods after surgical treatment of nonmelanoma skin cancer are variable and nonstandard. We describe consensus standards for defining and tracking recurrence that should allow for consistent scientific evaluation and development of performance data in skin cancer outcomes registries.
在确定归因于治疗方式的治愈率时，对非黑素瘤皮肤癌的局部复发进行标准化定义和监测方法至关重要。
我们旨在为非黑素瘤皮肤癌手术后局部复发提供一个标准的定义，并提出一个可接受的监测期和跟踪方法。
对局部复发和跟踪方法的背景定义进行了文献检索。然后，美国莫氏外科学会（ACMS）注册和结果委员会进行了改良 Delphi 流程，以达成共识定义。
我们将局部复发定义为具有可比组织学特征的肿瘤，在治疗后与手术瘢痕相邻，并且在先前治疗的肿瘤区域内出现。
本项目报告了涉及 ACMS 成员的改良 Delphi 方法过程的结果。所描述的模型可能不适用于非切除术治疗方法，如局部化疗、电干燥和刮除术或放射治疗。
非黑素瘤皮肤癌手术后局部复发和监测方法的先前定义是可变的且不标准。我们描述了定义和跟踪复发的共识标准，这应该允许对皮肤癌结果登记处的科学评估和性能数据的一致发展。
