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    1 OF 71

    Diagnosis and Management of Dermatofibrosarcoma Protuberans in a 3-Year-Old Patient.
    J Hand Surg Am 2017 May 24. Epub 2017 May 24.
    Division of Plastic Surgery, Rhode Island Hospital, Warren Alpert Medical School of Brown University, Providence, RI. Electronic address:
    In this case report, we present a 3-year-old boy with a diagnosis of dermatofibrosarcoma protuberans (DFSP) on the dorsum of his right hand. Although rarely metastatic, DFSP is highly locally invasive and can cause considerable local morbidity. In the hand, DFSP is uncommon in the young pediatric patient. Read More

    Optical mapping of nonmelanoma skin Cancers-A pilot clinical study.
    Lasers Surg Med 2017 May 23. Epub 2017 May 23.
    Department of Dermatology, Massachusetts General Hospital, Boston, Massachusetts, 02114.
    Background And Objective: Nonmelanoma skin cancer (NMSC) is the most common human cancer. Because these tumors often affect the face, there is a strong need for both accurate removal of these neoplasms to prevent recurrence and maximal tissue preservation to prevent cosmetic or functional deformity. Polarization-enhanced reflectance and fluorescence imaging (PERFI) is a new bedside method that uses fluorescent chromophores to image NMSC. Read More

    Hidroacanthoma simplex: dermoscopy and cryosurgery treatment.
    An Bras Dermatol 2017 Mar-Apr;92(2):253-255
    Department of Dermatology. Hospital do Servidor Público Estadual de São Paulo - São Paulo (SP), Brazil.
    Hidroacanthoma simplex is a rare intraepidermal neoplasia that arises from the acrosyringial portion of the eccrine duct. Malignant transformation of hidroacanthoma simplex is reported in the literature and the treatment is performed with wide excision or Mohs micrographic surgery. We report the first case successfully treated with cryosurgery with a long-term follow up. Read More

    Neuropraxia of the Spinal Accessory Nerve After Mohs Micrographic Surgery.
    Dermatol Surg 2017 May 22. Epub 2017 May 22.
    Department of Dermatology, University of Colorado School of Medicine, Aurora, ColoradoDepartment of Otolaryngology, University of Colorado School of Medicine, Aurora, ColoradoDepartment of Dermatology, Baylor Scott and White Healthcare, Round Rock, TexasDepartment of Dermatology University of Colorado School of Medicine Aurora, Colorado.

    Association Between Surgeon-Specific Features and Number of Stages, Flaps, and Grafts in Mohs Micrographic Surgery: A Retrospective Observational Study of 59 Early-, Mid- and Advanced-Career Mohs Surgeons.
    Dermatol Surg 2017 May 22. Epub 2017 May 22.
    *All authors are affiliated with the Department of Dermatology, Icahn School of Medicine at Mount Sinai, New York, New York.
    Background: There is limited data available to correlate Mohs surgeons' behavior and years of experience. Moreover, the recent standardization of Mohs surgery training programs may allow for the prediction of future trends in Mohs micrographic surgery surgery based on the current behavior of recently trained Mohs surgeons.

    Objective: To better understand the relationship between surgeon-specific characteristics and the number of Mohs micrographic surgery total cases, stages per case, number of grafts, and number of flaps performed by each surgeon. Read More

    Unnecessary Cost of Post-Mohs Permanent Pathology.
    Dermatol Surg 2017 May 22. Epub 2017 May 22.
    *Department of Dermatology, Johns Hopkins University, Baltimore, Maryland;†Laser and Dermatologic Surgery Center, Chesterfield, Missouri.
    Background: By providing tumor-free margins, Mohs micrographic surgery (MMS) results in high cure rates in the treatment of nonmelanoma skin cancers (NMSCs). However, when closure of the post-MMS defect is coordinated with reconstructive surgery, redundant tissue is sometimes submitted for permanent section evaluation.

    Objective: The purpose of our study was to investigate the frequency and effect of this practice. Read More

    Anxiety levels of patients undergoing common dermatologic procedures versus those seeking general dermatologic care.
    Dermatol Online J 2017 May 15;23(5). Epub 2017 May 15.
    Department of Dermatology, University of California, Davis, California.
    Patients undergoing Mohs micrographic surgery frequently experience anxiety as a result of multiple potential factors. There is currently no data regarding how this anxiety compares to other common procedures performed in dermatology offices, such as shave biopsy and excision, relative to a general dermatology visit. Herein, we conducted a survey of 471 dermatology patients at an academic medical center, using a validated tool (Visual Analogue Scale from 1 "no anxiety at all" to 10 "extremely anxious"). Read More

    Combined closures in reconstructive surgery.
    Dermatol Online J 2017 May 15;23(5). Epub 2017 May 15.
    University of Missouri-Columbia, Department of Dermatology, Columbia, Missouri.
    It is common for dermatology surgery patients to present on the day of surgery with more than one skin cancer needing Mohs micrographic surgery. When these carcinomas are located near one another, it may be more practical to treat both at the same time as the reconstruction for one defect may involve or otherwise affect the treatment or reconstruction for the other carcinoma. Treating both cancers on the same day creates an opportunity for efficient repairs where a creative single reconstruction may minimize the amount of tissue wasted during reconstruction,and minimize morbidity for the patient. Read More

    Complications in facial Mohs defect reconstruction.
    Curr Opin Otolaryngol Head Neck Surg 2017 May 13. Epub 2017 May 13.
    aDepartment of Otolaryngology-Head and Neck Surgery, University of Washington bClinical Research Division, Fred Hutchinson Cancer Research Center cDepartment of Veterans Affairs Medical Center, Surgery Service dLarrabee Center for Facial Plastic Surgery, Seattle, Washington, USA.
    Purpose Of Review: To review the recent literature in regards to complications after reconstruction of Mohs defects, outline common pitfalls and to discuss the literature on avoiding complications as outlined per aesthetic subunit.

    Recent Findings: Complications in facial Mohs reconstruction commonly consist of infection, wound necrosis and dehiscence, hematoma and suboptimal scarring. However, site-specific complications such as hairline or eyebrow distortion, eyelid retraction or ectropion, nasal contour abnormality, alar retraction, nasal valve compromise, significant facial asymmetry or even oral incompetence must also be considered. Read More

    Ocular basal cell carcinoma: a brief literature review of clinical diagnosis and treatment.
    Onco Targets Ther 2017 8;10:2483-2489. Epub 2017 May 8.
    Department of Ophthalmology, Shanghai Ninth People's Hospital, Shanghai, People's Republic of China.
    Basal cell carcinoma (BCC) is a common malignant tumor throughout the world. One of the known risk factors of BCC is intense exposure to ultraviolet radiation. More than 50% of BCCs of the eyelid initially occur on the lower lid. Read More

    Sarcoidosis Discovered During Mohs Surgery for Basal Cell Carcinoma.
    Dermatol Surg 2017 May 10. Epub 2017 May 10.
    Division of Dermatology, Department of Medicine, University of Louisville, Louisville, Kentucky School of Medicine, University of Mississippi, Oxford, Mississippi Division of Dermatology, Department of Medicine, University of Louisville, Louisville, Kentucky Department of Pathology and Laboratory Medicine, University of Louisville, Louisville, Kentucky Micrographic Surgery and Dermatologic Oncology Fellowship, Division of Dermatology, Department of Medicine, University of Louisville, Louisville, Kentucky.

    Management of a cutaneous squamous cell carcinoma overlying an AV fistula.
    BMJ Case Rep 2017 May 6;2017. Epub 2017 May 6.
    Surgery, Advanced Oncologic and GI Surgery, Duke University Medical Center, Durham, North Carolina, USA.
    Cutaneous squamous cell carcinoma (cSCC) currently affects over 700 000 patients per year in the USA alone, and its incidence continues to rise in recent years. A known risk factor for cSCC is chronic inflammation; a cSCC that develops at a site of chronic inflammation is known as Marjolin's ulcer. We present the case of a 76-year-old man with end-stage renal disease requiring chronic haemodialysis who developed an invasive cSCC at the cannulation site of an underlying arteriovenous (AV) fistula. Read More

    Red Dot Basal Cell Carcinoma: Report of Cases and Review of This Unique Presentation of Basal Cell Carcinoma.
    Cureus 2017 Mar 22;9(3):e1110. Epub 2017 Mar 22.
    Department of Dermatology, University of California, San Diego.
    Red dot basal cell carcinoma is a unique variant of basal cell carcinoma. Including the three patients described in this report, red dot basal cell carcinoma has only been described in seven individuals. This paper describes the features of two males and one female with red dot basal cell carcinoma and reviews the characteristics of other patients with this clinical subtype of basal cell carcinoma. Read More

    Outlier Practice Patterns in Mohs Micrographic Surgery: Defining the Problem and a Proposed Solution.
    JAMA Dermatol 2017 Apr 28. Epub 2017 Apr 28.
    The Skin Surgery Center, Winston-Salem, North Carolina11Department of Plastic and Reconstructive Surgery, Wake Forest University School of Medicine, Winston-Salem, North Carolina.
    Importance: Outlier physician practices in health care can represent a significant burden to patients and the health system.

    Objective: To study outlier physician practices in Mohs micrographic surgery (MMS) and the associated factors.

    Design, Setting, And Participants: This retrospective analysis of publicly available Medicare Part B claims data from January 2012 to December 2014 includes all physicians who received Medicare payments for MMS from any practice performing MMS on the head and neck, genitalia, hands, and feet region of Medicare Part B patients. Read More

    Georgian Med News 2017 Feb(263):7-10
    Academic Teaching Hospital Dresden-Friedrichstadt, Department of Dermatology and Allergology; Institute of Pathology "Georg Schmorl"; Dresden, Germany; Medical Institute of Ministry of Interior (MVR), Department of Dermatology and Dermatologic Surgery, Sofia, Bulgaria.
    Non-melanoma skin cancer incidence is rising worldwide. The leading neoplasias are basal cell carcinoma and squamous cell carcinoma. We report on an 88-year-old female patient with a rapidly grown, symptomless, exophytic tumor of the supraclavicular area. Read More

    Adnexal Carcinomas Treated With Mohs Micrographic Surgery: A Comprehensive Review.
    Dermatol Surg 2017 Apr 28. Epub 2017 Apr 28.
    Surgical Dermatology Group, Birmingham, Alabama.
    Background: Adnexal carcinomas (ACs) are rare cutaneous malignancies of sweat gland or pilosebaceous origin. Optimal treatment and metastatic potential of AC are poorly defined. Mohs micrographic surgery (MMS) has been increasingly used to treat AC. Read More

    Mohs Micrographic Surgery for a Red Tattoo Reaction.
    Dermatol Surg 2017 Apr 24. Epub 2017 Apr 24.
    Dermatology Residency Program, Larkin Community Hospital/NSU-COM, South Miami, Florida Skin Institute of South Florida, Coral Springs, Florida, Hollywood Dermatology and Cosmetic Specialists, Hollywood, Florida Hollywood Dermatology and Cosmetic Specialists, Hollywood, Florida Skin Institute of South Florida, Coral Springs, Florida.

    Nonsurgical Therapies for Basal Cell Carcinoma: A Review.
    Actas Dermosifiliogr 2017 Apr 19. Epub 2017 Apr 19.
    Servicio de Dermatología, Hospital San José, Fundación Universitaria de Ciencias de la Salud, FUCS, Bogotá, Colombia.
    Basal cell carcinoma (BCC) is the most prevalent malignant tumor in humans and the local destruction of tissue that can result from excision has a significant impact on well-being. Treating BCC is costly for health care systems given the high incidence of this tumor, especially in older patients. Standard treatment involves either resection with histologic assessment of margins or Mohs micrographic surgery. Read More

    Subcutaneous dermatofibrosarcoma protuberans, a rare subtype with predilection for the head: A retrospective series of 18 cases.
    J Am Acad Dermatol 2017 Apr 15. Epub 2017 Apr 15.
    Dermatology Department, Instituto Valenciano de Oncologia, Valencia, Spain.
    Background: Dermatofibrosarcoma protuberans (DFSP) typically affects the dermis and subcutaneous tissue. The subcutaneous variant is rare.

    Objective: We sought to characterize the subcutaneous DFSP (SC-DFSP) variant and compare it with cutaneous DFSP (C-DFSP). Read More

    Infection control practices in Mohs micrographic surgery: a U.K. national survey.
    Br J Dermatol 2017 Apr 13. Epub 2017 Apr 13.
    Dermatological Surgery and Laser Unit, St John's Institute of Dermatology, Guy's and St Thomas' NHS Foundation Trust, London.
    Mohs micrographic surgery (MMS) is generally considered a safe and effective method of treating certain types of skin cancers, with low reported rates of surgical site infections.(1,2) Practices relating to infection control vary considerably amongst surgeons. Furthermore, emerging evidence suggests clean surgical techniques do not increase infection rates compared to sterile surgical techniques. Read More

    Multistep Approach for Improved Aesthetic and Functional Outcomes for Lower Extremity Wound Closure After Mohs Micrographic Surgery.
    Dermatol Surg 2017 May;43(5):704-707
    *Department of Plastic Surgery, Rhode Island Hospital and Warren Alpert Medical School, Brown University, Providence, Rhode Island; †Skinpros, LLC, Providence, Rhode Island; ‡Department of Dermatology, Warren Alpert Medical School, Brown University, Providence, Rhode Island.
    Background: Lower extremity wounds present a major clinical challenge.

    Objective: This paper introduces a new multistep approach for improved aesthetic and functional outcome for lower extremity wound closure after Mohs micrographic surgery.

    Patients And Methods: In this prospective case series, 12 consecutive patients undergoing Mohs micrographic surgery for cutaneous malignancies of the lower extremities underwent closure assisted by elastic bandages, proper positioning with 45° flexion of the knee, buried vertical mattress sutures, and careful eversion, using a premium angled stapler. Read More

    Association of Central Nervous System Depression With Topical Brimonidine When Used for Hemostasis: A Serious Adverse Event.
    JAMA Dermatol 2017 Apr 12. Epub 2017 Apr 12.
    Dermatology and Cutaneous Surgery, Florida International University, Miami7Mohs and Procedural Dermatology Fellowship, Skin Institute of South Florida, Coral Springs8Dermatology and Dermatological Surgery, Miller School of Medicine, University of Miami, Miami, Florida9Nova Southeastern University College of Osteopathic Medicine, Fort Lauderdale, Florida.
    Importance: Minor bleeding is the most common complication of dermatologic surgery. Topical brimonidine, 0.33%, gel has been reported for the use of hemostasis in dermatologic surgery. Read More

    [Mohs surgery for basal cell carcinoma].
    Ugeskr Laeger 2017 Feb;179(6)
    Micrographic surgery is currently the only technique which ensures complete removal of basal cell carcinomas. The major limitation is the high set-up cost, which is particularly connected with specialized training of surgeons, technicians and the set-up of a histology facility for frozen tissue sectioning and staining. In the long run, however, the cost of Mohs surgery per patient does not exceed that of conventional surgery. Read More

    Burden and treatment patterns of advanced basal cell carcinoma among commercially insured patients in a United States database from 2010 to 2014.
    J Am Acad Dermatol 2017 Apr 6. Epub 2017 Apr 6.
    Novartis Pharmaceuticals Corporation, East Hanover, New Jersey.
    Background: The burden of advanced basal cell carcinoma (aBCC) is not fully understood.

    Objective: To compare BCC disease burden and treatment patterns for aBCC with those for non-aBCC.

    Methods: A retrospective, insurance claims-based study design was used. Read More

    Malignant fibrous histiocytoma masquerading as pyogenic granuloma.
    Orbit 2017 Apr 28;36(2):122-123. Epub 2017 Feb 28.
    d Lions Eye Institute , Perth , Australia.
    A 68-year-old gentleman presented with a lesion that resembled a pyogenic granuloma in his inferior fornix. The lesion was excised and biopsy demonstrated a proliferation of malignant spindle cells. Three weeks following initial excision, the lesion recurred and was removed via wedge excision of the eyelid. Read More

    [Why is it important to differentiate trichoblastic carcinomas (CT) from basal cell carcinomas (CBC). About 21 cases].
    Ann Chir Plast Esthet 2017 Jun 3;62(3):212-218. Epub 2017 Apr 3.
    Service de chirurgie plastique, reconstructrice et esthétique, hôpitaux universitaire de Strasbourg, 67000 Strasbourg, France.
    Trichoblastic carcinoma is a rare epithelial malignant epithelial tumor, its diagnosis is difficult and the therapeutic management is non-consensual. This retrospective study, carried out between 2009 and 2015, covered 21 cases and analyzed the diagnostic and therapeutic characteristics of trichoblastic carcinomas. Sex ratio is 2. Read More

    Surgical Treatment of Subungual Squamous Cell Carcinoma by Wide Excision of the Nail Unit and Skin Graft Reconstruction: An Evaluation of Treatment Efficiency and Outcomes.
    JAMA Dermatol 2017 May;153(5):442-448
    Department of Dermatology, Centre Hospitalier Lyon Sud, Pierre-Bénite, France2Health Department, Université Claude Bernard Lyon 1, Lyon, France3Lyons Cancer Research Center, Lyon, France.
    Importance: The best surgical treatment modalities for subungual squamous cell carcinoma (SUSCC) without bone invasion need to be determined. The limited available data on Mohs micrographic surgery do not demonstrate its use as a standard procedure. A previous study in a limited series of patients has shown that wide surgical excision of the nail unit was associated with a low rate of recurrence. Read More

    Tumor recurrence of keratinocyte carcinomas judged appropriate for Mohs micrographic surgery using Appropriate Use Criteria.
    J Am Acad Dermatol 2017 Jun 29;76(6):1131-1138.e1. Epub 2017 Mar 29.
    Department of Dermatology (Program for Clinical Research), University of California, San Francisco, CA; San Francisco Veterans Affairs Medical Center, San Francisco, CA. Electronic address:
    Background: The use of Mohs micrographic surgery (MMS) has increased greatly to treat basal cell and cutaneous squamous cell carcinomas (keratinocyte carcinoma [KC]), and consensus-based Appropriate Use Criteria (AUC) were developed to identify tumors for which MMS is appropriate.

    Objective: We sought to compare recurrence rates after different treatments in tumors judged appropriate for MMS.

    Methods: We used data from an observational prospective cohort study and retrospectively categorized consecutive tumors as appropriate for MMS according to the AUC. Read More

    General Guidelines for Quality Assurance of Immunohistochemistry in a Mohs Lab.
    Dermatol Surg 2017 Apr;43(4):507-511
    *Department of Dermatology, Eastern Virginia Medical School, Norfolk, Virginia;†Department of Dermatology, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania.
    Background: The adoption of recently created protocols introduces Mohs laboratories to the principles of immunohistochemistry (IHC) performance validation and clinical laboratory regulations that are unique to these evolving technologies.

    Objective: To review Food and Drug Administration (FDA) IHC reagent classifications, IHC validation protocols, and quality assurance (QA) procedures and documentation needed in conjunction with IHC test guidelines.

    Methods: A focused review of IHC reagent classifications and guidelines in clinical testing laboratories was conducted using PubMed and FDA source documents. Read More

    Histological Mohs Maps Improve the Accuracy of Dermatology Residents' Interpretations of Mohs Slides: A Pilot Study.
    Dermatol Surg 2017 Mar 23. Epub 2017 Mar 23.
    *Department of Dermatology, Lahey Hospital & Medical Center, Burlington, Massachusetts; †Harvard Medical School, Boston, Massachusetts; ‡Brandeis University, Waltham, Massachusetts; §Department of Dermatology, Roger Williams Medical Center, Providence, Rhode Island.
    Background: Effective Mohs surgery depends on accurate histopathological identification and mapping of tumor burden to ensure complete removal of tumor.

    Objective: The purpose of this study is to evaluate whether using a photograph of the histopathological slide as the Mohs map improves mapping accuracy.

    Methods And Materials: Single-blinded pilot study. Read More

    [Malignant cutaneous adnexal neoplasms of the face and scalp: Diagnostic and therapeutic update].
    J Stomatol Oral Maxillofac Surg 2017 Apr 23;118(2):95-102. Epub 2017 Mar 23.
    Service de stomatologie, chirurgie maxillo-faciale et plastique, hôpital Nord, centre hospitalier des Bourrely, 13015 Marseille, France.
    Introduction: Malignant cutaneous adnexal neoplasms are rare and have been characterized only recently. They can occur at any age but preferentially in elderly. There are 3 of them: trichoblastic carcinoma, trichilemmal carcinoma and malignant pilomatricoma. Read More

    Comparative Study of Functional Nasal Reconstruction Using Structural Reinforcement.
    JAMA Facial Plast Surg 2017 Mar 23. Epub 2017 Mar 23.
    Division of Facial Plastic and Reconstructive Surgery, Boston Medical Center, and Department of Otolaryngology-Head and Neck Surgery, Boston University School of Medicine, Boston, Massachusetts.
    Importance: Nasal reconstruction after Mohs surgery is a unique challenge in that it must satisfy both functional and aesthetic goals. Despite some advocacy in the literature for using structural reinforcement to achieve both functional and aesthetic outcomes in soft-tissue reconstruction, no study has validated this claim by comparing reconstruction with and without structural support.

    Objective: To evaluate the effectiveness of and need for structural reinforcement when reconstructing the nasal alar and sidewall subunits. Read More

    Mohs micrographic surgery and secondary intention healing of a plantar melanoma in-situ.
    Dermatol Online J 2017 Feb 15;23(2). Epub 2017 Feb 15.
    University at Buffalo, Jacobs School of Medicine, Department of Dermatology, Buffalo, New York.
    This report details an acral melanoma in-situ on theright plantar foot that was successfully treated withMohs micrographic surgery and secondary intentionwound healing. Read More

    Cutaneous leishmaniasis mimicking squamous cell carcinoma.
    Dermatol Online J 2017 Jan 15;23(1). Epub 2017 Jan 15.
    Department of Dermatology, Baylor College of Medicine, Houston, Texas.
    A 41-year-old man from Cuero, Texas with a nonhealinglesion on his left cheek was referred to ourclinic for removal of a squamous cell carcinoma. Thepatient first noticed a "pimple" on his left cheek 3-4months prior to presentation. When the lesion beganto grow he presented to his primary care physician anda biopsy was taken, showing "atypical squamous cellproliferation. Read More

    Functionality of Patients 75 Years and Older Undergoing Mohs Micrographic Surgery: A Multicenter Study.
    Dermatol Surg 2017 Mar 21. Epub 2017 Mar 21.
    *Vujevich Dermatology Associates, Pittsburgh, Pennsylvania; †Department of Dermatology, Northwestern University, Chicago, Illinois; ‡Department of Dermatology, St. Louis University, St. Louis, Missouri; §The Dermatology Group, West Orange, New Jersey; ‖Laser and Skin Surgery Center of Indiana, Carmel, Indiana; ¶Surgical Dermatology Group, Birmingham, Alabama; #Dermatology and Skin Surgery Center of Princeton, Princeton, New Jersey; **Dermatologic Surgery Specialists, PC, Macon, Georgia; ††Mercer Medical School, Macon, Georgia; ‡‡Department of Dermatology, University of California, Los Angeles, Los Angeles, California; §§Division of Dermatology, Cooper University Hospital, Marlton, New Jersey.
    Background: Mohs surgery is indisputably a highly effective treatment for nonmelanoma skin cancers. In the current health care environment, physicians are challenged to provide high quality, efficacious care in a manner that is mindful of the patient's general health and well-being. We have used a functional assessment to evaluate older patients who present for Mohs surgery. Read More

    The role of imaging in the management of patients with nonmelanoma skin cancer: When is imaging necessary?
    J Am Acad Dermatol 2017 Apr;76(4):591-607
    Department of Dermatology, MD Anderson Cancer Center, Houston, Texas.
    When treating aggressive skin cancers, pre- and postoperative imaging provides important information for treatment planning and multidisciplinary cooperation of care. It is important for dermatologists to recognize the clinical scenarios where imaging is indicated in the management of skin cancer. We here address the most common indications for imaging in cutaneous oncology and how to best utilize the modalities available. Read More

    Herpes Zoster at the Site of Mohs Micrographic Surgery in an Immunocompromised Individual.
    Dermatol Surg 2017 Jun;43(6):872-874
    University of Central Florida College of Medicine, Orlando, Florida Department of Dermatology, Massachusetts General Hospital, Boston, Massachusetts Department of Dermatology, Massachusetts General Hospital, Boston, Massachusetts Harvard Medical School, Boston, Massachusetts.

    Clinical Features and Treatment of Dermatofibrosarcoma Protuberans Affecting the Vulva: A Literature Review.
    Dermatol Surg 2017 Jun;43(6):771-774
    *Department of Medicine, Division of Dermatology, Creighton University School of Medicine, Omaha, Nebraska; †Department of Biology, Loyola Marymount University, Los Angeles, California.
    Background: Dermatofibrosarcoma protuberans (DFSP) is a low-to-intermediate grade cutaneous neoplasm with a low propensity for metastasis and a high rate of local recurrence. It typically presents as a dermal plaque or nodule on the trunk, limbs, or head and neck region. Vulvar DFSP has also been described, although it is less common. Read More

    Online patient-reported reviews of Mohs micrographic surgery: qualitative analysis of positive and negative experiences.
    Cutis 2017 Feb;99(2):E25-E29
    Department of Dermatology, Feinberg School of Medicine, Northwestern University, and the Department of Dermatology, DuPage Medical Group, Naperville, Illinois, USA.
    Mohs micrographic surgery (MMS) is the gold standard for treating high-risk skin cancers and skin cancers in areas where skin sparing is essential. However, relatively little is known about patient-reported satisfaction with this procedure. In this study, we used qualitative research methods to determine themes of patient-reported satisfaction and dissatisfaction with MMS on one popular online resource (RealSelf). Read More

    Staged retroauricular flap for helical reconstruction after Mohs micrographic surgery.
    An Bras Dermatol 2016 Sep-Oct;91(5 suppl 1):144-147
    Hospital Santa Casa de Curitiba - Curitiba (PR), Brazil.
    Staged retroauricular flap is a great option for full-thickness defects along the helical rim and antihelix. Donor site consists of the posterior ear, postauricular sulcus and mastoid area. The advantages of this flap include hidden donor scar, donor tissue similarity and rich vascularity. Read More

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