Atypical Fibroxanthoma Treatment & Management
- Author: Forrest C Brown, MD; Chief Editor: William D James, MD more...
In the past, many lesions were diagnosed clinically as pyogenic granuloma and removed by shave and curettage, without recurrence, which has prompted physicians to treat atypical fibroxanthoma (AFX) conservatively. Local recurrence and spread to lymph nodes may occur.[16, 17] This suggests that complete tumor removal is required. Simple excision with a margin of normal skin or Mohs micrographic surgery may be appropriate.
Evidence is accumulating rapidly that demonstrates that Mohs micrographic surgery, with its high reliability of complete tumor removal and tissue-conserving property, may be the treatment of choice for AFX on the head and neck.[18, 19, 20]
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