LAUSR

There are several flaws that do not allow for the conclusions drawn to be made. The primary flaw is a short follow-upduration. Smeets and colleagueshavepublished 10-year follow-up data, which demonstrate that 56% of recurrences occurred after more than 5-year follow-up. Presenting 3-year follow-up data to justify standard excision for incompletely excised NMSC is therefore meaningless. The same article also demonstrates 10-year recurrence rates of 12.2% for patients randomized to standard excision compared with 4.4% forMohs micrographic surgery (MMS) (note the study is unfairly biased in favor of standard excision (24 of 301 patients randomized to surgical excision were treated withMMS).