The standardized patient: 50 yr. old asymptomatic male, status post Mohs surgical resection with negative margins of a 1.0 cm well differentiated CSSC of the medial cheek that is confined to the dermis. You receive the following additional informationa: | % ROs recommending PORT | 95% CI |
1. Pathology: Tumor is 1.0 cm with mPNI. | 43 | 0.37 - 0.48 |
2. As in #1, but patient had a renal transplant and is on immunosuppressive medications. | 61 | 0.56 - 0.67 |
3. sPNI: As in #1, but extends deep along a non-named subcutaneous nerve and required a third Mohs stage for clearance. Post-op MRI: clear. | 74 | 0.69 - 0.79 |
4. cPNI: As in #1, but pre-op exam revealed numbness along V2 distribution. Post-op MRI: clear. | 87 | 0.82 - 0.90 |
5. nPNI: Tumor is 1.0 cm with PNI involving the infraorbital nerve. Required excision through infraorbital foramen. Patient is asymptomatic. Post-op MRI: clear. | 96 | 0.93 - 0.98 |
6. cPNI: As in #5, AND Pre-op exam showed numbness along V2. Post-op MRI: clear. | 98 | 0.95 - 0.99 |
7. cPNI: As in #6, AND Post-op MRI shows thickening/enhancement of infraorbital nerve (V2) up to the foramen rotundum. | 99 | 0.97 - 0.99 |