๐ ็ธฝ็ฎ้ ๏ฝ ๐ ่ฑๆๅๆ๏ผๆฌ็ฏ๏ผ ๏ฝ ๐ ๅฎๆด็ฟป่ญฏ ๏ฝ โญ ็ฒพ่ฏ็ญ่จ
Patient characteristics
Patient characteristics
Certain patients are at a greater risk for aggressive and recurrent tumors. Tumors in immunocompromised patients (HIV, organ transplantation, hematologic malignancy, or pharmacologic immunosuppression) have double the risk of metastatic disease compared with immunocompetent patients (13% vs. 5%).7 Patients with chronic lymphocytic leukemia also have higher rates of recurrence when compared with immunocompetent controls,8 and patients with genetic syndromes that make them more susceptible to skin cancers, such as xeroderma pigmentosum, basal cell nevus syndrome, and Lynch syndrome, are more likely to have aggressive tumors. These patients are all appropriate candidates for Mohs surgery even when tumor characteristics demonstrate lower-risk lesions.