The Webb and Rivera (WAR) score can be used to evaluate a patient prior to Mohs surgery. The authors are from Northeast Regional Medical Center (Kirksville, Missouri) and Tennessee River Dermatology (Florence, Alabama).
Parameters:
(1) greatest diameter of skin lesion in cm
(2) primary vs recurrent tumor
(3) anatomic location
(4) aggressiveness of tumor type
Parameter
Finding
Points
greatest dimension
< 1 cm
0
1.0 to 1.9 cm
1
2.0 to 2.9 cm
2
>= 3.0 cm
3
type of tumor
primary
0
recurrent
1
location
nose, eyelid, ear or lip
1
other site
0
aggressiveness
not aggressive
0
aggressive
1
total score =
= SUM(points for all 4 parameters)
Interpretation:
• minimum score: 0
• maximum score: 6
• The higher the score the greater the length of surgery and the number of stages.
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