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    1 OF 72

    Cutaneous squamous cell carcinoma of the scalp extending to the skull: A case report and review of the literature.
    J Cosmet Dermatol 2017 Jul 23. Epub 2017 Jul 23.
    Skin Laser & Surgery Specialists of NY and NJ, Hackensack, NJ, USA.
    Squamous cell carcinoma (SCC) of the scalp has increased prevalence in older patients and often presents later in life. Mohs micrographic surgery remains the most effective treatment in most cases. Delayed presentation may result in localized bony invasion or distant metastases. Read More

    Surgical Management of Periocular Cancers: High- and Low-Risk Features Drive Treatment.
    Curr Oncol Rep 2017 Sep;19(9):57
    Section of Ophthalmology, Department of Head and Neck Surgery, The University of Texas MD Anderson Cancer Center, 1400 Pressler Street, Unit 1445, Houston, TX, 77030, USA.
    Purpose Of Review: Recent advances in the treatment of eyelid tumors have centered on the excision, evaluation of margins, role of sentinel lymph node biopsy, and adjunctive/adjuvant systemic and radiation therapy. The purpose of this review is to elaborate on these advances.

    Recent Findings: Mohs excision of basal cell carcinoma and squamous cell carcinoma continues to provide the greatest success in complete excision of the cancer, especially in those cases of high-risk disease including medial canthal location and recurrent disease. Read More

    Reconstruction of Large Facial Defects via Excision of Skin Cancer Using Two or More Regional Flaps.
    Arch Plast Surg 2017 Jul 15;44(4):319-323. Epub 2017 Jul 15.
    Department of Plastic and Reconstructive Surgery, Pusan National University School of Medicine, Busan, Korea.
    Background: Free-flap surgery and skin grafting can be used to reconstruct large facial defects that may result after skin cancer removal by Mohs micrographic surgery (MMS). However, these two methods may produce low postsurgical patient satisfaction with aesthetics, and free-flap surgery may produce an undue burden for the majority of skin cancer patients, who are of advanced age. Hence, the authors examined outcomes of large facial defect reconstruction using multiple flaps. Read More

    Perineural invasion present exclusively in central tissue blocks of Mohs surgical excisions of basal cell carcinoma.
    Australas J Dermatol 2017 Jul 14. Epub 2017 Jul 14.
    Dermatology Specialist Centre, Brisbane, Queensland, Australia.
    Perineural invasion (PNI) may be present in basal cell carcinomas (BCC) treated with Mohs micrographic surgery. This single-centre, non-randomised, prospective study demonstrates the potential for PNI to exist exclusively within the central tissue blocks of Mohs specimens. Read More

    The use of lasers in the treatment of skin cancer: A review.
    J Cosmet Laser Ther 2017 Jul 10. Epub 2017 Jul 10.
    a Yale School of Medicine , Yale University , New Haven , CT , USA.
    Background: In considering skin cancer, a number of factors - including effectiveness, simplicity of treatment, cost, and aesthetic outcomes - are important to ensure patient satisfaction. There are several existing interventions, such as electrodessication and curettage, excision, Mohs surgery, radiation therapy, cryotherapy, and topical/oral treatments. Laser therapy has emerged as a new promising alternative that should be explored. Read More

    Amelanotic Lentigo Maligna Melanoma: Mohs Surgery as the Definitive Treatment of an Invisible Tumour.
    J Cutan Med Surg 2017 Jul 1:1203475417719046. Epub 2017 Jul 1.
    1 Department of Dermatology and Skin Science, University of British Columbia, Vancouver, British Columbia, Canada.
    Amelanotic lentigo maligna melanoma represents <2% of melanomas. Diagnosis is delayed owing to the lack of lesion pigmentation and advanced disease at presentation. Excision with appropriate margins is the treatment standard, but the starting point for such margins is often unclear. Read More

    Sebaceous Carcinoma: A Review of the Scientific Literature.
    Curr Treat Options Oncol 2017 Aug;18(8):47
    Department of Dermatology, Columbia University Medical Center, New York, NY, 10032, USA.
    Opinion Statement: Sebaceous carcinoma is a rare and potentially aggressive cutaneous malignancy. Commonly reported in the periocular area and the head and neck region, sebaceous carcinoma can arise from any sebaceous gland in the skin. The clinical presentation may be nonspecific, and a biopsy is important to establish a diagnosis and to differentiate from mimickers including benign sebaceous neoplasms, other adnexal tumors, and basal cell carcinoma. Read More

    Microcystic Adnexal Carcinoma and a Summary of Other Rare Malignant Adnexal Tumours.
    Curr Treat Options Oncol 2017 Aug;18(8):49
    St Helens and Knowsley Teaching Hospitals NHS Trust, Marshalls Cross Road, St Helens, WA9 3DA, UK.
    Opinion Statement: Microcystic adnexal carcinoma (MAC) is a rare, slow-growing, infiltrative malignant tumour most commonly found on the head and neck. It often presents as a solitary skin-coloured or yellow papule, plaque or nodule. Ultraviolet radiation, immunosuppression and ionising radiation are possible risk factors. Read More

    Scar Revision and Recontouring Post-Mohs Surgery.
    Facial Plast Surg Clin North Am 2017 Aug 30;25(3):463-471. Epub 2017 May 30.
    Department of Otolaryngology-Head and Neck Surgery, College of Medicine, University of Illinois at Chicago, 1855 West Taylor Street, Chicago, IL 60611, USA.
    Following Mohs reconstruction, several options are available to improve the appearance of the resulting scars. It is critical that the patient has realistic goals before beginning any treatment because scars can be improved but never erased. The surgical and nonsurgical options aim to replace pre-existing scars with ones that are less conspicuous. Read More

    Reconstruction of Cheek Defects Secondary to Mohs Microsurgery or Wide Local Excision.
    Facial Plast Surg Clin North Am 2017 Aug;25(3):443-461
    Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology-Head and Neck Surgery, University of Michigan Medical Center, 1500 East Medical Center Drive SPC 5312, 1904 Taubman Center, Ann Arbor, MI 48109-5312, USA. Electronic address:
    Successful reconstruction of the cheek following excision for cutaneous malignancy requires careful consideration of defect location, size, and depth in relation to the anatomic properties of the affected cheek unit. Various reconstructive options are available to the surgeon, ranging from simple excisions to complex cervicofacial advancements to meet the needs for functional and aesthetically pleasing reconstructive outcomes. The surgeon must prevent distortion of mobile structures, such as the eyelid, nose, and lips; respect aesthetic subunits; and avoid blunting natural creases. Read More

    Reconstruction of Mohs Defects of the Lips and Chin.
    Facial Plast Surg Clin North Am 2017 Aug;25(3):427-442
    Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology-Head and Neck Surgery, University of Michigan, Taubman Center Floor 1 TC1904, 1500 East Medical Center Drive, Ann Arbor, MI 48109, USA. Electronic address:
    Reconstruction of defects of the lips after Mohs micrographic surgery should encompass functional and aesthetic concerns. The lower lip and chin compose two-thirds of the lower portion of the face. The focus of this article is local tissue transfer for primarily cutaneous defects after Mohs surgery. Read More

    Reconstruction of Cutaneous Nasal Defects.
    Facial Plast Surg Clin North Am 2017 Aug 30;25(3):409-426. Epub 2017 May 30.
    Department of Otolaryngology-Head & Neck Surgery, Eye and Ear Infirmary, University of Illinois-Chicago, 1855 W Taylor St Chicago Room. 2.42 Chicago, IL 60612, USA.
    Mohs micrographic surgery has become the standard of care for the treatment of cutaneous malignancies. Reconstructing cutaneous defects of the nose can be challenging, as form and function must be respected to the greatest extent possible. A wide range of reconstructive techniques are used. Read More

    Defect of the Eyelids.
    Facial Plast Surg Clin North Am 2017 Aug;25(3):377-392
    Otolaryngology-Head and Neck Surgery, University of Kansas Medical Center, 3901 Rainbow Boulevard, MS 3010, Kansas City, KS 66160, USA. Electronic address:
    Eyelid defects disrupt the complex natural form and function of the eyelids and present a surgical challenge. Detailed knowledge of eyelid anatomy is essential in evaluating a defect and composing a reconstructive plan. Numerous reconstructive techniques have been described, including primary closure, grafting, and a variety of local flaps. Read More

    Scalp and Forehead Defects in the Post-Mohs Surgery Patient.
    Facial Plast Surg Clin North Am 2017 Aug 23;25(3):365-375. Epub 2017 May 23.
    Otolaryngology, Mayo Clinic, 200 1st Street Southwest, Rochester, MN 55905, USA.
    Scalp and forehead reconstruction after Mohs micrographic surgery can encompass subcentimeter defects to entire scalp reconstruction. Knowledge of anatomy, flap design, and execution will prepare surgeons who operate in the head and neck area to confidently approach a variety of reconstructive challenges in this area. Read More

    Skin and Composite Grafting Techniques in Facial Reconstruction for Skin Cancer.
    Facial Plast Surg Clin North Am 2017 Aug;25(3):347-363
    Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology-Head and Neck Surgery, University of Michigan Medical Center, 1500 East Medical Center Drive SPC 5312, 1904 Taubman Center, Ann Arbor, MI 48109-5312, USA.
    Skin and composite grafting provide effective resurfacing and reconstruction for cutaneous defects after excision of the malignancy. The goal is to restore a natural appearance and function while preventing distortion of the eyelid, nose, or lips. With careful planning and attention to aesthetic subunits, the surgeon can camouflage incisions and avoid blunting aesthetically sensitive sulci. Read More

    Flap Basics III: Interpolated Flaps.
    Facial Plast Surg Clin North Am 2017 Aug;25(3):337-346
    Uniformed Services University of the Health Sciences, Bethesda, MD, USA; Otolaryngology-Head and Neck Surgery, Department of Surgery, Womack Army Medical Center, Fort Bragg, NC, USA.
    Paramedian forehead and melolabial flaps are the most common examples of interpolated flaps used by facial plastic surgeons and are excellent options for reconstruction of the midface after Mohs surgery. They provide superior tissue match in terms of thickness, texture, and color, while leaving minimal defects at the tissue donor sites. The main advantage of interpolated flaps is the robust blood supply, which can be either axial of randomly based, and the maintenance of the integrity of facial landmarks. Read More

    Flap Basics I: Rotation and Transposition Flaps.
    Facial Plast Surg Clin North Am 2017 Aug 30;25(3):313-321. Epub 2017 May 30.
    Department of Otolaryngology, University at Buffalo, 1237 Delaware Avenue, Buffalo, NY 14209, USA. Electronic address:
    In many cases of complex facial defects, because of advanced cutaneous malignancies, primary wound closure is impossible. In these instances, ideal results can be obtained through recruitment of adjacent tissue with the use of local flaps. Advances in local flap techniques have raised the bar in facial reconstruction; however, acceptable results to the surgeon and patient require high levels of planning and surgical technique. Read More

    The Physiology and Biomechanics of Skin Flaps.
    Facial Plast Surg Clin North Am 2017 Aug 30;25(3):303-311. Epub 2017 May 30.
    Facial Plastic and Reconstructive Surgery, Carl R. Darnall Army Medical Center, 36065 Santa Fe Avenue, Fort Hood, TX 76544, USA; Department of Surgery, Uniformed Services University of Health Sciences, 4301 Jones Bridge Road #A3007, Bethesda, MD 20814, USA. Electronic address:
    Facial skin defects created by Mohs micrographic surgery are commonly reconstructed using local cutaneous flaps from surrounding skin. To provide optimal survival and aesthetic outcomes, the cutaneous surgeon must command a thorough understanding of the complex vascular anatomy and physiology of the skin as well as the imperative physiologic and biomechanical considerations when elevating and transferring tissue via local skin flaps. Read More

    Mohs Micrographic Surgery for the Management of Cutaneous Malignancies.
    Facial Plast Surg Clin North Am 2017 Aug 20;25(3):291-301. Epub 2017 May 20.
    Department of Dermatology, Baylor Scott and White Health and Texas A&M Health Science Center, 409 West Adams Avenue, Temple, TX 76501, USA.
    Mohs micrographic surgery is a specialized form of skin cancer surgery in which the Mohs surgeon acts as both surgeon and pathologist. The procedure is characterized by its histopathologic margin control and ability to spare tissue, particularly in cosmetically sensitive locations. Mohs surgery is known for both limiting the size of the final defect and its high cure rate. Read More

    Treatment Patterns, Outcomes, and Patient Satisfaction of Primary Epidermally Limited Nonmelanoma Skin Cancer.
    Dermatol Surg 2017 Jun 28. Epub 2017 Jun 28.
    *Department of Dermatology, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts; †Department of Dermatology, Kaiser Permanente, Woodland Hills, California.
    Background: Epidermally limited nonmelanoma skin cancer (ELNMSC) (superficial basal cell carcinoma [SBCC] and squamous cell carcinoma in situ [SCCIS]) is common. Data on outcomes and patient satisfaction are lacking.

    Objective: To examine treatment efficacy and satisfaction in ELNMSC patients. Read More

    Mohs Mapping Fidelity: Optimizing Orientation, Accuracy, and Tissue Identification in Mohs Surgery.
    Dermatol Surg 2017 Jun 23. Epub 2017 Jun 23.
    *Department of Dermatology, University of Texas McGovern Medical School, Houston, Texas; †MD Anderson Cancer Center, Houston, Texas; ‡Department of Dermatology, Springfield Clinic, Springfield, Illinois; §Texas Surgical Dermatology PA, Spring, Texas.
    Background: Mohs micrographic surgery (MMS) is a highly effective process that requires consistent accuracy in resection, mapping, and histologic interpretation. Although the general sequence in MMS is similar, there are numerous variations among Mohs surgeons as to how this process is performed.

    Objective: This article aims to review the process of MMS, with the intent to identify and mitigate the potential errors at each step. Read More

    Detection of High-Risk Histologic Features and Tumor Upstaging of Nonmelanoma Skin Cancers on Debulk Analysis: A Quantitative Systematic Review.
    Dermatol Surg 2017 Aug;43(8):1003-1011
    *Department of Dermatology, Boston University Medical Center, Boston, Massachusetts; †Department of Economics, Arizona State University, Tempe, Arizona; ‡Department of Dermatology, VA Boston Healthcare System, Jamaica Plains Campus, Boston, Massachusetts; §Department of Dermatology, Tufts Medical Center, Boston, Massachusetts.
    Background: Histologic analysis of tumor debulks from Mohs micrographic surgery (MMS) or wide local excision may lead to the detection of adverse features missed on initial biopsy.

    Objective: Determine the incidence of (1) high-risk features on debulk analysis compared with initial biopsy and (2) upstaging of tumors on debulk analysis according to the American Joint Committee of Cancer-7th Edition (AJCC-7) and the Brigham and Women's Alternative (BWH) staging criteria.

    Materials And Methods: A comprehensive search strategy using PubMed/MEDLINE, Web of Science, and EMBASE was conducted to identify articles published from 1960 to present that detail histology of initial biopsy and debulked tumor. Read More

    Microcystic Adnexal Carcinoma: A Review of the Literature.
    Dermatol Surg 2017 Aug;43(8):1012-1016
    *Division of Dermatology, Department of Internal Medicine, Washington University, St. Louis, Missouri; †Department of Pathology and Immunology, Washington University, St. Louis, Missouri.
    Background: Microcystic adnexal carcinoma (MAC) is a rare, locally aggressive cutaneous neoplasm that commonly occurs on the face.

    Objective: The purpose of this article is to comprehensively review the current literature on MAC pertaining to epidemiology, pathogenesis, clinical presentation, histology, immunohistochemistry, prognosis, follow-up, and treatment.

    Materials And Methods: An extensive literature review was conducted using OVID MEDLINE and PubMed to identify articles relating to MAC. Read More

    Radiation Therapy in Dermatology: Non-Melanoma Skin Cancer.
    J Drugs Dermatol 2017 May;16(5):464-469

    Background: Dermatologists were historically well versed in the use of radiation therapy for the management of non-melanoma skin cancers and various inflammatory dermatologic conditions. With the advent of Mohs micrographic surgery and therapeutic discoveries for treating inflammatory dermatoses, radiotherapy assumed loss of a role in the clinical repertoire of the dermatologist. In recent years, its importance has again been realized for the management of non-melanoma skin cancers not amenable to surgical treatment or as adjuvant or palliative therapy. Read More

    Rapid ex vivo examination of Mohs specimens using optical coherence tomography.
    Photodiagnosis Photodyn Ther 2017 Jun 12. Epub 2017 Jun 12.
    Department of Dermatology, University College Hospitals, London, UK.
    Background: Mohs micrographic surgery (MMS) is an effective treatment for certain non-melanoma skin cancers. Optical coherence tomography (OCT) is a biomedical imaging modality that permits high-resolution imaging of the epidermis and dermis with the potential to detect both healthy tissue and tumour. OCT may also provide a means of detecting and differentiating between the various histological subtypes of basal cell carcinomas (BCC) in vivo. Read More

    Clinical Features, Pathological Findings and Treatment of Recurrent Dermatofibrosarcoma Protuberans.
    J Cancer 2017 12;8(7):1319-1323. Epub 2017 May 12.
    Division of Oncology, Department of Pediatric Surgery, West China Hospital of Sichuan University, Chengdu, 610041, China.
    Dermatofibrosarcoma protuberans (DESP) is a relatively rare and low-grade tumor of the skin and soft tissue. We review the clinical features, pathological findings and management of recurrent DESP with the aim to improve our understanding of this rare tumor. Fifty-seven patients were diagnosed with recurrent DFSP. Read More

    Establishment of a Clinic-based Biorepository.
    J Vis Exp 2017 May 29(123). Epub 2017 May 29.
    Affiliated Dermatology & Affiliated Laboratories, Midwestern University Osteopathic Postdoctoral Training Institute, Midwestern University.
    The incidence of skin cancer (e.g., squamous cell carcinoma, basal cell carcinoma, and melanoma) has been increasing over the past several years. Read More

    Frequency of and risk factors for tumor upstaging after wide local excision of primary cutaneous melanoma.
    J Am Acad Dermatol 2017 Aug;77(2):341-348
    Department of Dermatology, University of Pennsylvania Health System, Philadelphia, Pennsylvania.
    Background: Detecting a more advanced stage of the primary melanoma after wide local excision and reconstruction can complicate patient counseling about prognosis, management of surgical margins, and indications for sentinel lymph node biopsy.

    Objective: To identify the frequency of and risk factors associated with upstaging after wide local excision of primary melanoma.

    Methods: Retrospective, single center, cross-sectional study of 1332 consecutive in situ to stage T4a melanomas treated with wide local excision. Read More

    Recurrent Tumors Referred for Mohs Micrographic Surgery: A 12-Year Experience at a Single Academic Center.
    Dermatol Surg 2017 Jun 6. Epub 2017 Jun 6.
    *Department of Dermatology, Brown University, Providence, Rhode Island;†University of New England, College of Osteopathic Medicine, Biddeford, Maine.
    Background: Mohs micrographic surgery (MMS) is used for treatment of primary and recurrent tumors. Compared with primary tumors, recurrent tumors are often more aggressive.

    Objective: To understand differing characteristics between primary versus recurrent tumors treated by MMS. Read More

    Determinants and Timeline of Perioperative Anxiety in Mohs Surgery.
    Dermatol Surg 2017 Aug;43(8):1029-1035
    *Both authors are affiliated with the Department of Dermatology & Skin Science, University of British Columbia, Vancouver, British Columbia, Canada.
    Background: Patients undergoing Mohs micrographic surgery (MMS) exhibit anxiety relating to cancer cure or the expected cosmetic outcome.

    Objective: To obtain quantitative measurements of perioperative cancer and cosmetic anxiety levels in first-time MMS patients. Parameters influencing anxiety and its natural course were assessed. Read More

    Dermatofibrosarcoma Protuberans in a 9-Year-Old Child.
    Indian Dermatol Online J 2017 May-Jun;8(3):195-197
    Department of Dermatology, Topiwala National Medical College and B.Y.L. Nair Hospital, Mumbai, Maharashtra, India.
    Dermatofibrosarcoma protuberans (DFSP) is an uncommon soft tissue neoplasm of low-to-intermediate grade malignant potential. Childhood onset of DFSP is rare. It is most commonly seen on the trunk and proximal extremities. Read More

    Wide local excision vs. Mohs Tübingen technique in the treatment of dermatofibrosarcoma protuberans: a two-centre retrospective study and literature review.
    J Eur Acad Dermatol Venereol 2017 Jun 2. Epub 2017 Jun 2.
    Department of Health Science, University of Eastern Piedmont, Novara, Italy.
    Background: Dermatofibrosarcoma protuberans (DFSP) is a rare, low-grade mesenchymal skin tumour, characterized by slow infiltrative growth and common local recurrence, with infrequent distant metastases.

    Objective: The aim of this study is to better clarify clinicopathological characteristics of this tumour and to evaluate the cure rates of Mohs Tübingen technique (MTT) and wide local excision (WLE). Eventually, we perform a literature review to compare our experience with published data. Read More

    Impact of Smoke Evacuation on Patient Experience During Mohs Surgery.
    Dermatol Surg 2017 May 25. Epub 2017 May 25.
    Departments of *Dermatology, and †Dermatology Surgery, Mayo Clinic Arizona, Scottsdale, Arizona.
    Background: There have been several investigations into possible health risks of surgical smoke exposure, and it has previously been associated with harboring pathogens and carcinogens. Patients in the authors' practice have expressed that the odor from the smoke created by electrosurgical equipment is unpleasant.

    Objective: The authors sought to determine if smoke evacuation decreases patient perception of smoke created by electrosurgery during Mohs surgery and if it subsequently improves patient satisfaction with their surgical experience by minimizing the associated odor. Read More

    Characterization of a Murine Model of Bioequivalent Bladder Wound Healing and Repair Following Subtotal Cystectomy.
    Biores Open Access 2017 1;6(1):35-45. Epub 2017 May 1.
    Wake Forest Institute for Regenerative Medicine, Winston-Salem, North Carolina.
    Previous work demonstrated restoration of a bioequivalent bladder within 8 weeks of removing the majority of the bladder (subtotal cystectomy or STC) in rats. The goal of the present study was to extend our investigations of bladder repair to the murine model, to harness the power of mouse genetics to delineate the cellular and molecular mechanisms responsible for the observed robust bladder regrowth. Female C57 black mice underwent STC, and at 4, 8, and 12 weeks post-STC, bladder repair and function were assessed via cystometry, ex vivo pharmacologic organ bath studies, and T2-weighted magnetic resonance imaging (MRI). Read More

    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 Aug;25(4):258-264
    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

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