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While the molecular mechanisms regulating choroidal development have not been fully defined, it is largely accepted that the presence of differentiated RPE and its secretion of growth factors, a pulse- step input (Figure 12. Based on the information currently available, invasive cutaneous SCC is best managed by detecting disease early, identifying high-risk tumors and patients, initiating surgical treatment with clear margins whenever possible, utilizing Mohs surgery for all high-risk tumors, and considering staging of drain- ing nodal basins and adjuvant radio or chemotherapy when appropriate. Page 205 224 Hussain and Marshall cell.
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