{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T14:43:25Z","timestamp":1782485005455,"version":"3.54.5"},"reference-count":29,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,11,22]],"date-time":"2025-11-22T00:00:00Z","timestamp":1763769600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,11,22]],"date-time":"2025-11-22T00:00:00Z","timestamp":1763769600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Aust J Dermatology"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>There is a paucity of data on scalp keratinocyte carcinomas (KCs) referred for Mohs micrographic surgery (MMS). This study aimed to perform a descriptive analysis of scalp KCs\u2014specifically basal cell carcinomas (BCCs) and squamous cell carcinomas (SCCs)\u2014treated with MMS at The Skin Hospital in Sydney, Australia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We performed a retrospective analysis of all scalp KCs treated with MMS from October 2012 to September 2022 from an electronic database. Extracted data included age, sex, tumour histology and aggressiveness, anatomical location, preoperative tumour size, final defect size, number of MMS stages and sections, extensive subclinical spread and repair method.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      We identified 1177 scalp KCs treated with MMS in 889 patients, consisting of 948 BCCs (80.5%) and 229 SCCs (19.5%). The median age of patients with BCCs was significantly younger (60\u2009years) than that of SCCs (73\u2009years) (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). SCCs were more commonly found in males (182\/229, 79%) (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). The majority of KCs were located on the frontal scalp (948\/1177, 55%). BCCs were more likely to be of an aggressive subtype (58%, 512\/876) than SCCs (21%, 44\/212) (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). The median largest tumour and defect diameter was larger for SCCs than for BCCs (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). There was no significant difference in the median number of MMS stages for tumour type (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.121). Extensive subclinical spread was more common for aggressive SCCs (13\/44, 29.5%) than for BCCs (84\/511, 16.4%) (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.028). Primary closure repair was most common (55%, 644\/1177).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The observed differences in patient, tumour and treatment characteristics may help inform clinical practice and inspire further research.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ajd.70000","type":"journal-article","created":{"date-parts":[[2025,11,22]],"date-time":"2025-11-22T08:26:58Z","timestamp":1763800018000},"page":"18-23","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Ten Years of Scalp Keratinocyte Carcinomas (Basal Cell Carcinomas and Squamous Cell Carcinomas) Treated by Mohs Micrographic Surgery at a Large Australian Centre, a Descriptive Study"],"prefix":"10.1111","volume":"67","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-9810-8958","authenticated-orcid":false,"given":"Raaisa","family":"Islam","sequence":"first","affiliation":[{"name":"The Skin Hospital  Darlinghurst New South Wales Australia"},{"name":"Faculty of Medicine and Health The University of Sydney  Camperdown New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chelsea","family":"Jones","sequence":"additional","affiliation":[{"name":"The Skin Hospital  Darlinghurst New South Wales Australia"},{"name":"Department of Dermatology Royal Prince Alfred Hospital  Camperdown New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7407-2857","authenticated-orcid":false,"given":"Thomas","family":"Stewart","sequence":"additional","affiliation":[{"name":"Department of Dermatology Addenbrookes Hospital  Cambridge UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cindy","family":"Kok","sequence":"additional","affiliation":[{"name":"The Skin Hospital  Darlinghurst New South Wales Australia"},{"name":"Faculty of Medicine and Health The University of Sydney  Camperdown New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John","family":"Frew","sequence":"additional","affiliation":[{"name":"The Skin Hospital  Darlinghurst New South Wales Australia"},{"name":"Department of Dermatology Liverpool Hospital  Liverpool New South Wales Australia"},{"name":"Ingham Institute for Applied Medical Research  Liverpool New South Wales Australia"},{"name":"Faculty of Medicine and Health University of New South Wales  Kensington New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James","family":"Elhindi","sequence":"additional","affiliation":[{"name":"Research and Education Network, Western Sydney Local Health District  Westmead New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simon","family":"Lee","sequence":"additional","affiliation":[{"name":"The Skin Hospital  Darlinghurst New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4227-8169","authenticated-orcid":false,"given":"Gilberto Moreno","family":"Bonilla","sequence":"additional","affiliation":[{"name":"The Skin Hospital  Darlinghurst New South Wales Australia"},{"name":"Central Clinical School, Faculty of Medicine and Health The University of Sydney  Camperdown New South Wales Australia"},{"name":"Department of Dermatology Royal North Shore Hospital  St Leonards New South Wales 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