Surgical treatment and reconstruction strategies were noted. Pathologic data included lesion size, depth, histologic type, differentiation, surgical margin status, cervical node invasion, and evidence of perineural disease. Three patients had lip lesions and one patient had posterior skin disease. Twenty-five of the 54 patients presented with recurrent disease and all of these patients had Mohs' micrographic surgery as part of their prior treatment. Additionally, six patients had previously received radiation therapy.
Recurrent tumors are difficult to treat and are more likely to recur.
Recurrence rates remain relatively high and mortality rates are much higher than for typical non-melanoma skin cancer. Patients may benefit from surgical treatment and radiation therapy as the initial treatment modalities.