5,015 results match your criteria Mohs Micrographic Surgery


Tissue Expansion Before Mohs Micrographic Surgery for a Large Scalp Tumor.

Dermatol Surg 2021 Jul;47(7):997-998

Department of Dermatology, University of Colorado School of Medicine, Aurora, Colorado.

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Systematic Review of the Role of Mohs Micrographic Surgery in the Management of Early-Stage Melanoma of the Head and Neck.

Dermatol Surg 2021 Jun 17. Epub 2021 Jun 17.

Department of Dermatology, Medical Spectrum Twente, Enschede, the Netherlands; Department of Dermatology, Northwestern University, Chicago, Illinois; Department of Dermatology, Brigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts.

Background: The role of Mohs micrographic surgery (MMS) in the management of melanoma of the head and neck (HNM) has been controversial. The authors systematically reviewed the local recurrence rate of melanoma in situ (MIS) and T1a melanomas using MMS compared with conventional wide local excision (WLE) and staged excision (SE).

Objective: To systematically review the local recurrence rate of early-stage melanomas of the HNM treated with MMS versus WLE or SE. Read More

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Patient Outcomes and Satisfaction After Mohs Micrographic Surgery in Patients With Nonmelanoma Skin Cancer.

Dermatol Surg 2021 Jun 14. Epub 2021 Jun 14.

Department of Dermatology, University of Nebraska Medical Center, Omaha, Nebraska; College of Medicine, University of Nebraska Medical Center, Omaha, Nebraska.

Background: Quality in medicine is increasingly being measured through patient-reported outcome measures. Given the rising incidence and costs for nonmelanoma skin cancer (NMSC) treatment, it is imperative to define quality measures specific to dermatologic surgery.

Objective: This study aims to evaluate patient-reported outcomes and satisfaction with Mohs micrographic surgery (MMS) together with patient and tumor factors to better define their use in developing treatment strategies and quality measures. Read More

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Response to: Intraoral Basal Cell Carcinoma Discovered During Mohs Micrographic Surgery.

Dermatol Surg 2021 Jun 14. Epub 2021 Jun 14.

Nottingham University Hospitals NHS Trust Sheffield Teaching Hospitals NHS Foundation Trust.

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Ultrasound-guided foam sclerotherapy is safe and effective in the management of superficial venous insufficiency of the lower extremity.

J Vasc Surg Venous Lymphat Disord 2021 Jul;9(4):1031-1040

Division of Mohs Surgery, Dermatology & Vascular Surgery, Scripps Clinic, San Diego, Calif.

Background: Superficial venous disease of the lower extremity has a significant impact on quality of life. Both truncal and tributary vein reflux contribute to this disease process. Endovenous foam sclerotherapy is a widely used technique throughout the world for the management of superficial venous reflux and ultrasound guidance improves its safety and efficacy. Read More

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Serial Excision for Treatment of Non-melanoma Skin Cancer.

Plast Reconstr Surg Glob Open 2021 Jun 10;9(6):e3607. Epub 2021 Jun 10.

Department of Plastic and Reconstructive Surgery, MedStar Georgetown University Hospital, Washington, D.C.

Mohs micrographic surgery (MMS) has become the predominant modality of excision for non-melanoma skin cancers (NMSC). Patients are referred for MMS under the assumption that it is the most effective procedure for definitive removal of the cancer while also allowing for maximal tissue preservation to achieve optimal cosmesis. The objective of this study was to investigate outcomes of serial excision (SE) as an alternative excision modality for NMSC. Read More

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Squamoid Eccrine Ductal Carcinoma: The Scripps Experience.

Dermatol Surg 2021 Jun 2. Epub 2021 Jun 2.

Department of Internal Medicine, Scripps Mercy Hospital, San Diego, California Bighorn Mohs Surgery and Dermatology, Scripps Clinic, La Jolla, California.

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How We Do It: Cartilage Releasing Incisions for Mohs Micrographic Surgery on Difficult-to-Access Tumors of the External Ear.

Dermatol Surg 2021 Jun 7. Epub 2021 Jun 7.

Division of Dermatology, Department of Internal Medicine, The Ohio State University Wexner Medical Center, Columbus, Ohio The Ohio State University Medical School, Columbus, Ohio.

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Extraocular Sebaceous Carcinoma Treated With Mohs Micrographic Surgery-A 24-Year Retrospective Review of Tumor Characteristics and Treatment Outcomes.

Dermatol Surg 2021 Jun 7. Epub 2021 Jun 7.

Division of Dermatology and Mohs Surgery, Scripps Clinic, La Jolla, California; Department of Dermatology, Naval Medical Center San Diego, San Diego, California; Department of Medicine, Scripps Mercy Hospital, San Diego, California.

Background: Extraocular sebaceous carcinoma (SC) is rare, with distinct features from its ocular counterpart. These neoplasms have been associated with Muir-Torre syndrome (MTS). Associated internal malignancies include gastrointestinal and genitourinary. Read More

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5-Aminolevulinic acid induced photodynamic therapy (ALA-PDT) for erosive adenomatosis of the nipple: a case report.

Photodiagnosis Photodyn Ther 2021 Jun 6:102387. Epub 2021 Jun 6.

Department of Dermatology, Southwest Hospital, Army Medical University (Third Military Medical University), Chongqing 400038, China.

Erosive adenomatosis of the nipple (EAN) is a very uncommon, benign neoplasm that involves the nipple. Generally, complete surgical excision is the main treatment, and we can take alternative therapeutic methods such as Mohs micrographic surgery and cryotherapy into consideration. Here, we report a case of a 40-year-old woman with a 2-year history of asymptomatic erosion, papillomatous hyperplasia and intermittent serosanguineous discharge from right nipple. Read More

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High-Potency Topical Steroid Treatment of Multiple Keratoacanthomas Associated With Prurigo Nodularis.

Cutis 2021 Apr;107(4):221-222

Department of Dermatology, University of Kansas Medical Center, Kansas City.

Patients who present with multiple keratoacanthomas (KAs) associated with prurigo nodularis often pose a treatment challenge. These lesions often require aggressive treatment, such as Mohs micrographic surgery, surgical excision, electrodesiccation and curettage, intralesional steroid injection, and long-term acitretin. 5-Fluorouracil (5-FU) cream 5% has been shown to be effective; however, topical options are limited when 5-FU fails. Read More

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Auricular reconstruction after Mohs micrographic surgery: analysis of 101 cases.

An Bras Dermatol 2021 Jun 2. Epub 2021 Jun 2.

Dermatology Service, Hospital de Clínicas, Universidade Federal do Paraná, Curitiba, PR, Brazil; Postgraduate Program in Internal Medicine and Health Sciences, Universidade Federal do Paraná, Curitiba, PR, Brazil; Private Practice, Curitiba, PR, Brazil.

Background: The ear is a region that has a high prevalence of cutaneous carcinomas and several guidelines indicate Mohs micrographic surgery as the first-choice treatment in such cases. Although the technique allows maximum preservation of healthy tissue, many auricular surgical wounds constitute a challenge due to the peculiar local anatomy, with evident curves and reliefs. Auricular reconstruction should prioritize function before aesthetics, but without leaving the latter aside, since postoperative distortions can have a significant psychological impact. Read More

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Skeletal muscle regeneration in post-myofascial flap reconstruction specimens mimicking sarcoma: A potential diagnostic pitfall.

J Cutan Pathol 2021 Jun 4. Epub 2021 Jun 4.

Department of Dermatology, University of Iowa Hospitals and Clinics, Iowa City, Iowa, USA.

Skeletal muscle regeneration (SMR) encompasses a sequence of events that unfolds after injury to muscle fibers. Nearby satellite cells become activated and function as precursor muscle cells by proliferating and differentiating into myoblasts, which eventually fuse to form myotubes and ultimately mature muscle fibers. Compared to other forms of mesenchymal repair, SMR has higher morphologic heterogeneity with the potential to show histopathologic similarities to sarcomas and other malignancies. Read More

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Clinico-epidemiological characteristics of squamous cell carcinoma operated with Mohs micrographic surgery in Uruguay.

Actas Dermosifiliogr 2021 May 18. Epub 2021 May 18.

Unidad de Cirugía Dermatológica, Hospital Dr. Manuel Quintela, Universidad de la República, Montevideo, Uruguay.

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Predictors of surgical treatment burden, outcomes and overall survival in older adults with basal cell carcinoma: results from the prospective, multicenter BATOA cohort.

J Am Acad Dermatol 2021 May 31. Epub 2021 May 31.

Radboud University Medical Center, Radboud Institute for Health Sciences, Department of Dermatology, Nijmegen, The Netherlands.

Background: Incorporating patient-related factors associated with treatment outcomes could improve personalized care in older basal cell carcinoma (BCC) patients.

Objective: To evaluate and identify predictors for treatment burden, treatment outcomes and overall survival in patients ≥70 years, surgically treated for BCC in the head-and-neck area.

Methods: Data from the prospective multicenter BATOA ("BAsal cell carcinoma Treatment in Older Adults") cohort study was extracted to evaluate experienced treatment burden (visual analog scale 0-10cm; lower scores indicating higher treatment burden), treatment outcomes and mortality. Read More

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Hair Repigmentation After Mohs Micrographic Surgery and Secondary Intention Wound Healing on the Scalp of an 84-Year-Old Woman.

Dermatol Surg 2021 Jun 1. Epub 2021 Jun 1.

Department of Dermatology, Lahey Hospital & Medical Center, Peabody, MA Harvard Medical School, Boston, MA Department of Dermatology, Beth Israel Deaconess Medical Center, Needham, MA.

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Recognition, Staging, and Management of Melanoma.

Med Clin North Am 2021 Jul;105(4):643-661

Department of Dermatology, Wellman Center for Photomedicine, Massachusetts General Hospital, Boston, MA 02466, USA. Electronic address:

Melanoma accounts for approximately 1% of all skin cancers but contributes to almost all skin cancer deaths. The developing picture suggests that melanoma phenotypes are driven by epigenetic mechanisms that reflect a complex interplay between genotype and environment. Furthermore, the growing consensus is that current classification standards, notwithstanding pertinent clinical history and appropriate biopsy, fall short of capturing the vast complexity of the disease. Read More

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Novel noncontact bolster technique for graft preservation.

J Am Acad Dermatol 2021 May 28. Epub 2021 May 28.

Mount Sinai Medical Center, Greater Miami Skin and Laser Center, Miami, Florida.

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Endocrine Mucin-Producing Sweat Gland Carcinoma: A Systematic Review and Meta-Analysis.

J Dermatolog Treat 2021 May 31:1-28. Epub 2021 May 31.

Department of Otolaryngology - Head and Neck Surgery, Medical University of South Carolina, Charleston, South Carolina, USA.

Background: Endocrine Mucin-Producing Sweat Gland Carcinoma is a rare, under-reported cutaneous adnexal tumor that is often misdiagnosed and has an unknown incidence of metastasis.

Objective: To determine the incidence of metastasis and tumor recurrence, as well as diagnostic accuracy and current trends in treatment modality.

Methods: A search was performed following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Read More

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A Rare Case of Cutaneous Mucoepidermoid Carcinoma of the Eyelid: A Case Report and Literature Review.

Case Rep Ophthalmol 2021 May-Aug;12(2):380-385. Epub 2021 May 10.

Department of Oculoplastic and Reconstructive Surgery, Toledo Clinic, Toledo, Ohio, USA.

Mucoepidermoid carcinoma (MEC) is most commonly found to affect the salivary glands and rarely affects other organ systems. In this report, we present an especially rare case of cutaneous MEC affecting the eyelid. A 72-years-old female patient presented with a painless, cyst-like, progressively enlarging lesion of the left upper eyelid. Read More

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British Association of Dermatologists guidelines for the management of adults with basal cell carcinoma 2021.

Br J Dermatol 2021 May 29. Epub 2021 May 29.

British Association of Dermatologists, Willan House, 4 Fitzroy Square, London, W1T 5HQ, U.K.

The overall objective of the guideline is to provide up-to-date, evidence-based recommendations for the management of basal cell carcinoma (BCC). The document aims to: offer an appraisal of all relevant literature up to 24 January 2020 focusing on any key developments address important, practical clinical questions relating to the primary guideline objective provide guideline recommendations and if appropriate research recommendations. Read More

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Melanoma In Situ: A Critical Review and Re-Evaluation of Current Excision Margin Recommendations.

Adv Ther 2021 May 28. Epub 2021 May 28.

Melanoma Institute Australia, The University of Sydney, 40 Rocklands Road, North Sydney, NSW, 2060, Australia.

Most international clinical guidelines recommend 5-10 mm clinical margins for excision of melanoma in situ (MIS). While the evidence supporting this is weak, these guidelines are generally consistent. However, as a result of the high incidence of subclinical extension of MIS, especially of the lentigo maligna (LM) subtype, wider margins will often be needed to achieve complete histologic clearance. Read More

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Line-field optical coherence tomography: In vivo diagnosis of basal cell carcinoma subtypes compared to histopathology.

Clin Exp Dermatol 2021 May 28. Epub 2021 May 28.

Department of Dermatology and Allergy, University Hospital, LMU Munich, Germany.

Background: Basal cell carcinoma (BCC) is the most common skin cancer in the general population. Treatments vary from Mohs surgery to topical therapy, depending on the subtype. Dermoscopy, reflectance confocal microscopy (RCM) and optical coherence tomography (OCT) have gained a foothold in daily clinical practice to optimize diagnosis and subtype-oriented treatment. Read More

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Oculocardiac Reflex in the Setting of Mohs Surgery: Eye Cannot Take the Pressure!

Dermatol Surg 2021 Jun;47(6):826-827

Department of Facial Plastic and Microvascular Surgery of the Head and Neck Institute, Staff Physician Cleveland Clinic Foundation, Cleveland, Ohio.

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Dermoscopy accuracy for lateral margin assessment of distinct basal cell carcinoma subtypes treated by Mohs micrographic surgery in 368 cases.

Int J Dermatol 2021 May 20. Epub 2021 May 20.

Epiphany Dermatology - Dermatology and Mohs Micrographic & Reconstructive Surgery, Dallas, TX, USA.

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Cutaneous squamous cell carcinoma of head and neck region: A single center analysis of 1296 tumors with clinical characteristics, comorbidities, treatment, and sun-protection behavior.

Dermatol Ther 2021 May 19:e14992. Epub 2021 May 19.

Department of Dermatology and Allergology, Städtisches Klinikum Dresden, Academic Teaching Hospital, Dresden, Germany.

Cutaneous squamous cell carcinoma (SCC) is the second most common non-melanoma skin cancer among Caucasians. We analyzed our data on tumors been treated between 2006 and 2016 at the Skin Cancer Center of an academic teaching hospital. Thousand hundred and ninety-four patients with 1296 SCC have been identified including 804 males (67. Read More

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Use of 3-dimensional 360-degree virtual reality video in dermatologic and reconstructive surgery and Mohs micrographic surgery.

Authors:
Jonathan Kantor

J Am Acad Dermatol 2021 May 15. Epub 2021 May 15.

Department of Dermatology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania; Florida Center for Dermatology, PA, Saint Augustine, Florida. Electronic address:

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Delayed Facial Nerve Palsy After Mohs Surgery.

Dermatol Surg 2021 May 13. Epub 2021 May 13.

Dermatology Professionals, Inc., East Greenwich, Rhode Island Department of Dermatology, University of Massachusetts Medical School, Worcester, Massachusetts Department of Dermatology, the Warren Alpert Medical School at Brown University, Providence, Rhode Island.

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