Table 6. Total Costs per Stage In-situ [TIS]

 

Item

Cost

1.     Primary lesion Tx (biopsy, WLE, pathology, dermatology and surgery visits)

(90% primary closure, 10% flaps)

$2,310.20

+ $124.68

2.     Initial systemic workup

0

3.     Workup and Tx for SLN

LN recurrence (systemic recurrence included in rate of distant metastases)
RT adjunctive chemotherapy to SLN

0

0

0

4.     Workup and Tx for palpable LN
LN recurrence (systemic included in rate of distant metastases)
RT adjunctive chemotherapy to TLND

0

5.     Workup and Tx for local recurrence (LR) 6.8%

(like Tx for primary lesion; no other visits): 6.8% x [$2,685.20 + $3,521.80]

$422.07

6.     Workup and Tx for in-transit metastases

(like treatment for primary lesion; no other visits)
+ 2 medium excisions
+ 2 surgical visits
+ (SLN) or TLND

0

7.     Workup and Tx for metastatic disease

0

8.     Surveillance (5 y)

$1,240.00

9.     Patient time costs 34.5hr x 16.00$/hr

$551.34

10.   Terminal care costs

0

Total

$4,648.48