Abstract
To the Editor: Variable recurrence and metastasis rates are noted following standard surgical excision (SSE) with postoperative margin assessment for cutaneous squamous cell carcinoma (cSCC).1-4 The National Comprehensive Cancer Network (NCCN) cSCC guidelines postulate that this variability could be due to differences in margin sizes and whether clear histologic margins are achieved. The NCCN recommends 4-6-mm surgical margins for low-risk cSCC.3 This study aims first to determine whether NCCN guideline–compliant surgical margin (GCM) selection and margin documentation are associated with improved tumor clearance and second to examine the factors associated with GCM.
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