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    3763 results match your criteria Mohs Micrographic Surgery

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    Mohs Micrographic Surgery Volume and Payment Patterns Among Dermatologists in the Medicare Population, 2013.
    Am J Clin Oncol 2018 Apr 18. Epub 2018 Apr 18.
    Leonard Davis Institute of Health Economics.
    Objectives: Mohs micrographic surgery (MMS) has expanded markedly in recent years but there is limited information on volume, practice patterns or reimbursement. This study characterizes MMS utilization in the Medicare population.

    Materials And Methods: We analyzed the Medicare Provider Utilization and Payment Data: Physician and Other Supplier Public Use File Calendar Year 2013 data set for provider service volume and reimbursement for dermatologists who did and did not perform MMS procedures. Read More

    FACE-Q Skin Cancer Module for Measuring Patient-Reported Outcomes Following Facial Skin Cancer Surgery.
    Br J Dermatol 2018 Apr 14. Epub 2018 Apr 14.
    Plastic and Reconstructive Surgery Division, Brigham and Women's Hospital, Boston, MA, USA.
    Background: The patient's perspective of their facial scar after skin cancer surgery influences perception of care and quality of life. Appearance satisfaction after surgery is also an important but often overlooked treatment outcome.

    Objectives: To report the psychometric validation of the FACE-Q Skin Cancer Module consisting of 5 scales measuring appearance satisfaction (Satisfaction with Facial Appearance, Appraisal of Scars), quality of life (Cancer Worry, Appearance-related Psychosocial Distress) and the patient experience (Satisfaction with Information: Appearance). Read More

    [A Successful Treatment of Locally Advanced Breast Cancer with Using Mohs' Paste and Chemotherapy - A Case Report].
    Gan To Kagaku Ryoho 2018 Apr;45(4):725-727
    Dept. of Surgery, Kansai Medical University.
    Foul smell and large amounts ofexudate, bleeding are the most common and serious symptoms with locally advanced breast cancer(LABC). Mohs' paste is made ofa mixture ofzinc chloride and used for treatment ofmalignant skin tumors. Recently some reports show that Mohs' paste is useful for treatment of malignant tumor including unresectable breast cancer and skin metastasis ofcancer. Read More

    Modernizing the Mohs Surgery Consultation: Instituting a Video Module for Improved Patient Education and Satisfaction.
    Dermatol Surg 2018 Apr 10. Epub 2018 Apr 10.
    Dermatology Service, Memorial Sloan Kettering Cancer Center, New York, New York.
    Background: Studies show that patients recall less than half of the information given by their physicians. Use of video in medicine increases patient comprehension and satisfaction and decreases anxiety. However, studies have not elaborated on video content. Read More

    Basal cell carcinoma: the utility of in vivo and ex vivo confocal microscopy.
    J Eur Acad Dermatol Venereol 2018 Apr 6. Epub 2018 Apr 6.
    Dermatology Unit, University of Modena and Reggio Emilia, Modena, Italy.
    The use of confocal microscopy is possible by using two different modalities: first, at patient's bedside for a rapid in vivo diagnosis of basal cell carcinoma and second, in the operating room directly on freshly excised specimen for a fast ex vivo margin controlled surgery. In the current review we report the main application of confocal microscopy for basal cell carcinoma diagnosis and management in both modalities. This article is protected by copyright. Read More

    Primary basosquamous carcinoma of the lower eyelid with ocular invasion A case report.
    Ann Ital Chir 2018 Mar 26;7. Epub 2018 Mar 26.
    Introduction: Ocular invasion is extremely rare for a primary eyelid Basosquamous Carcinoma (BSC). It can however occur in neglected cases if the clinical signs are overseen and the BSC is misdiagnosed for a less aggressive skin carcinoma.

    Materials And Methods: A 58-year-old man suffering from an inferior eyelid BSC that had been neglected for 7 years was referred to our clinic. Read More

    Sarcomatoid Pilomatrix Carcinoma.
    J Cutan Pathol 2018 Apr 6. Epub 2018 Apr 6.
    Los Angeles Medical Center (LAMC), Southern California Kaiser Permanente, Department of Dermatology, Los Angeles, California, USA.
    Pilomatrical (pilomatrix) carcinoma is a rare cutaneous adnexal tumor with matrical differentiation and recurrent and metastatic potential. Sarcomatoid pilomatrix carcinoma is a rare variant which shows a sarcomatoid component intermingling with the epithelial one. There are only four cases previously published. Read More

    Comparison of Ipsilateral and Contralateral Paramedian Forehead Flaps to Reconstruct Lateral Nasal Subunits.
    Dermatol Surg 2018 Apr 3. Epub 2018 Apr 3.
    Department of Dermatology, University of Minnesota Medical School, Minneapolis, Minnesota St. Louis University School of Medicine, St. Louis, Missouri Center for Health Outcomes Research, St. Louis University, St. Louis, Missouri Department of Dermatology, Mohs Surgery and Cutaneous Oncology St. Louis University School of Medicine, St. Louis, Missouri.

    Recurrent Dermatofibrosarcoma Protuberans of Scalp in a Distant Location 10 Years after Primary Excision.
    Ann Dermatol 2018 Apr 21;30(2):226-228. Epub 2018 Feb 21.
    Department of Dermatology, Korea University Ansan Hospital, Ansan, Korea.
    Dermatofibrosarcoma protuberans (DFSP) is a slow growing low-grade cutaneous sarcoma. Local recurrence after excision is common due to the poorly defined periphery that renders histological control of surgical margin difficult, Mohs micrographic surgery is the optimal method for treatment. A 41 years old male patient, who had a previous history of DFSP, came to our dermatology clinic for evaluation of an asymptomatic firm flesh-colored nodule on the forehead. Read More

    The diagnosis and management of extramammary Paget's disease.
    Expert Rev Anticancer Ther 2018 Mar 27:1-11. Epub 2018 Mar 27.
    a Department of Dermatology, Graduate School of Medical Sciences , Kyushu University , Fukuoka , Japan.
    Introduction: Extramammary Paget's disease (EMPD) is a rare neoplastic condition that commonly affects the anogenital area in the elderly. Owing to its low incidence, limited data regarding EMPD's diagnosis and treatment have been available. This review article aims to explore the current knowledge of EMPD to improve the management of this disease. Read More

    Mohs micrographic surgery for cutaneous malignancies: A focus review of its indications in pediatric age groups.
    Pediatr Dermatol 2018 Mar 25. Epub 2018 Mar 25.
    State University of New York Downstate and Veterans Affairs Medical Center, Brooklyn, NY, USA.
    Mohs micrographic surgery (MMS) is a highly specialized technique that has been successful in the treatment of a variety of skin tumors. The technique can be performed as an outpatient procedure and encompasses surgical excision and intraoperative assessment of tumor margins in one setting by the same physician. The process ensures precise margin control with maximal preservation of healthy tissues. Read More

    Melanoma of the Face and Mohs Micrographic Surgery: Nationwide Mortality Data Analysis.
    Dermatol Surg 2018 Apr;44(4):481-492
    Department of Dermatology, College of Medicine-Phoenix, University of Arizona, Phoenix, Arizona.
    Background: Although Mohs micrographic surgery (MMS), narrow margin excision (NME), and wide margin excision (WME) are commonly used to treat melanoma of the face, there is a paucity of data comparing mortality outcomes for each method.

    Objective: To determine the association between surgical method used to treat cutaneous melanoma of the face and patient survival.

    Materials And Methods: A retrospective review of Surveillance, Epidemiology, and End Results registries for patients diagnosed with melanoma of the face between 2003 and 2012 was conducted. Read More

    Recommendations for improving the patient experience in specialty encounters.
    J Am Acad Dermatol 2018 Apr;78(4):653-659
    Department of Dermatology, University of Missouri School of Medicine, Columbia, Missouri.
    The relationship between patient experience and health care quality has generated significant interest in the patient experience measure. However, it is challenging to find information on how to improve one's patient experience score because scientific data on this topic are weak or lacking, and suggestions provided by scoring vendors are often overgeneralized and not specialty-specific. This review will focus on the current state of evidence supporting factors influencing patient experience (both positive and negative) in outpatient specialist encounters that are applicable to general and surgical dermatology. Read More

    Rapid histopathological imaging of skin and breast cancer surgical specimens using immersion microscopy with ultraviolet surface excitation.
    Sci Rep 2018 Mar 14;8(1):4476. Epub 2018 Mar 14.
    Massachusetts Institute of Technology, Department of Electrical Engineering and Computer Science and Research Laboratory of Electronics, 32 Vassar Street, Cambridge, MA, 02139, USA.
    Rapid histopathological evaluation of fresh, unfixed human tissue using optical sectioning microscopy would have applications to intraoperative surgical margin assessment. Microscopy with ultraviolet surface excitation (MUSE) is a low-cost optical sectioning technique using ultraviolet illumination which limits fluorescence excitation to the specimen surface. In this paper, we characterize MUSE using high incident angle, water immersion illumination to improve sectioning. Read More

    Patient quality of life fluctuates before and after Mohs micrographic surgery: A longitudinal assessment of the patient experience.
    J Am Acad Dermatol 2018 Mar 5. Epub 2018 Mar 5.
    Division of Dermatologic Surgery, Department of Dermatology, University of Pennsylvania, Philadelphia, PA. Electronic address:
    Background: Changes in patient perceptions of quality of life (QOL) after Mohs micrographic surgery (MMS) may benefit from different counseling or treatment.

    Objective: To measure QOL before and after MMS and to identify risk factors associated with impaired QOL.

    Methods: Prospective observational study of 727 skin cancer patients who self-reported QOL via the Skin Cancer Index immediately before and at 1-2 weeks and 3 months after MMS. Read More

    Intraoperative Immunostaining for Cytokeratin-7 During Mohs Micrographic Surgery Demonstrates Low Local Recurrence Rates in Extramammary Paget's Disease.
    Dermatol Surg 2018 Mar;44(3):354-364
    Ali Hendi MD PC, Chevy Chase, Maryland.
    Background: Extramammary Paget's disease (EMPD) is a rare intraepithelial malignancy with high recurrence rates following standard surgical treatments, ranging from 22% to 60% in large retrospective reviews.

    Objective: To evaluate the local recurrence rate of Mohs micrographic surgery (MMS) supplemented with intraoperative immunohistochemistry for cytokeratin-7 (MMS + CK-7) for primary and recurrent EMPD.

    Materials And Methods: Retrospective, multi-center, cross-sectional study of patients treated using MMS + CK-7. Read More

    "Dermohscopy" mapping: Correlating dermoscopic findings with histology in Mohs micrographic surgery.
    J Eur Acad Dermatol Venereol 2018 Mar 6. Epub 2018 Mar 6.
    Department of Dermatology, Hospital de Clínicas da Universidade Federal do Paraná, Curitiba, Brazil.
    Mohs micrographic surgery (MMS) is the treatment of choice for high-risk basal cell carcinoma. The technique combines tissue conservation with complete microscopic margin control, leading to superior cure rates while minimizing deformity. MMS involves several steps that should be meticulously followed to achieve this high cure rate. Read More

    Patients prioritize local recurrence risk over other attributes for surgical treatment of facial melanomas-Results of a stated preference survey and choice-based conjoint analysis.
    J Am Acad Dermatol 2018 Mar 2. Epub 2018 Mar 2.
    Department of Dermatology, University of Pennsylvania, Philadelphia, Pennsylvania.
    Background: Surgical treatment options for facial melanomas include conventional excision with postoperative margin assessment, Mohs micrographic surgery (MMS) with immunostains (MMS-I), and slow MMS. Patient preferences for these surgical options have not been studied.

    Objectives: To evaluate patient preferences for surgical treatment of facial melanoma and to determine how patients value the relative importance of different surgical attributes. Read More

    Once in a Blue Moon … Rare Adnexal Tumor: From the Clinical and Videodermoscopical Aspects to the Mohs Surgery and the Histological Diagnosis.
    Open Access Maced J Med Sci 2018 Jan 21;6(1):146-148. Epub 2018 Jan 21.
    University G. Marconi of Rome, Dermatology and Venereology, Rome, Italy.
    The adnexal tumours are a very heterogeneous group of lesions, more and more studied in the literature. The squamoid eccrine ductal carcinoma (SEDC) is a rare malignant variant that combines ductal structures with squamous differentiation. We report a case of dermoscopic and histological diagnosis of SEDC, treated with Mohs Surgery and with no recurrence of a tumour after 12 months of follow up. Read More

    Peri - and Intraocular Mutilating Advanced Squamous Cell Carcinoma: "Monsters Inside Your Body"?
    Open Access Maced J Med Sci 2018 Jan 13;6(1):132-133. Epub 2018 Jan 13.
    Städtisches Klinikum Dresden - Department of Dermatology and Allergology, Dresden, Sachsen, Germany.
    Periocular malignancies represent between 5% and 10% of all types of skin cancers. The incidence of eyelid (but also the periocular located) malignancies seems to differ in distribution across the continents. The incidence of eyelid tumours (but also the periocular located tumours) in a predominantly white population determined that BCC is the most common malignant periocular eyelid tumour in whites. Read More

    Lip Repair after Mohs Surgery for Squamous Cell Carcinoma by Bilateral Tissue Expanding Vermillion Myocutaneous Flap (Goldstein Technique Modified by Sawada).
    Open Access Maced J Med Sci 2018 Jan 10;6(1):93-95. Epub 2018 Jan 10.
    Department of Dermatology, Venereology and Dermatologic Surgery, Medical Institute of Ministry of Interior, Sofia, Bulgaria.
    Squamous cell carcinoma is the most common malignancy of the lower lip. Environmental factors such as ultraviolet light exposure, arsenic and smoking are contributing factors to the increasing incidence. Mohs surgery is the treatment of choice ensuring the lowest recurrence rates. Read More

    [A Case of the Locally Advanced Breast Cancer with Serious Comorbidities Obtained a Good Local Control].
    Gan To Kagaku Ryoho 2018 Feb;45(2):365-367
    Dept. of Breast and Endocrine Surgery, Japanease Red Cross Okayama Hospital.
    A 66-years-old woman was referred to our hospital with the chief complaint of a huge exposed left breast mass, associated massive exudates, bleedingand foul-smelling discharge. Invasive ductal carcinoma was diagnosed by core needle biopsy. The computed tomography showed left axillary lymph node metastases and no distant metastasis. Read More

    The V-to-Y Advancement Flap for Distal Nasal Reconstruction: Our Experience With 39 Patients.
    J Cutan Med Surg 2018 Feb 1:1203475418761043. Epub 2018 Feb 1.
    2 Department of Dermatology, University of Texas Southwestern Medical Center, Dallas, TX, USA.
    Background And Objective: The V-to-Y advancement flap, also known as the island pedicle flap, is a single-stage repair option that can be used for defects on the distal nose. We report our experience using this flap for nasal defects following Mohs micrographic surgery, as well as describe optimal patient selection and flap design.

    Materials And Methods: A retrospective review was conducted of all patient charts and operative photographs of nasal V-to-Y advancement flaps performed over 6 years at the Universtiy of Texas Southwestern Medical Center. Read More

    A patient case highlighting the myriad of cutaneous adverse effects of prolonged use of hydroxyurea.
    Dermatol Online J 2017 Nov 15;23(11). Epub 2017 Nov 15.
    Division of Dermatology, University of Kansas Medical Center, Kansas City, Kansas.
    Background: Hydroxyurea is an antimetabolite primarily used to treat myeloproliferative disorders, and chronic treatment is associated with many cutaneous adverse effects ranging in severity from ichthyosis to aggressive nonmelanoma skin cancer.

    Case Presentation: We report a 67-year-oldman with a history of polycythemia vera who was referred for management of progressively worsening dorsal hand lesions. The patient presented withhyperpigmentation, ichthyosis, plantar keratoderma, dermatomyositis-like eruptions, two squamous cell carcinomas, and actinic keratoses. Read More

    An expanded study of long-pulsed 1064 nm Nd:YAG laser treatment of basal cell carcinoma.
    Lasers Surg Med 2018 Feb 13. Epub 2018 Feb 13.
    Dermatology Cosmetic and Laser Center, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, 02114.
    Background And Objective: Basal cell carcinoma (BCC) is an indolent form of skin cancer that is rarely life threatening, but can cause significant cosmetic and functional morbidity. Surgical treatments often result in disfiguring scars, while topical therapies frequently result in recurrence. The need for a more effective nonsurgical alternative has led to the investigation of laser treatment of BCC. Read More

    Basal Cell Adenoma of the Upper Lip Treated With Mohs Micrographic Surgery.
    Dermatol Surg 2018 Feb 6. Epub 2018 Feb 6.
    Division of Dermatology, University of Washington, Seattle, Washington Department of Otolaryngology-Head and Neck Surgery, Washington University School of Medicine, St. Louis, Missouri Division of Dermatology, Department of Internal Medicine, Washington University School of Medicine, St. Louis, Missouri.

    Penile-sparing modalities in the management of low-stage penile cancer.
    Urol Ann 2018 Jan-Mar;10(1):1-6
    Department of Urology, Glickman Urologic and Kidney Institute, Cleveland Clinic Foundation, Cleveland, Ohio, USA.
    Penile-sparing modalities are gaining widespread adoption for the management of low-stage penile cancer due to an increasing demonstration of sound oncologic, cosmetic, sexual, psychosocial, and quality of life outcomes. This review aims to provide a comprehensive overview of the respective treatment options in the armamentarium of the practicing urologist in dealing with this rare but problematic condition. Read More

    Demographics and Outcomes of Stage I-II Merkel Cell Carcinoma Treated with Mohs Micrographic Surgery Compared with Wide Local Excision in the National Cancer Data Base.
    J Am Acad Dermatol 2018 Feb 3. Epub 2018 Feb 3.
    Department of Dermatology, Boston University Medical Center, Boston, Massachusetts. Electronic address:
    Background: The optimal surgical approach (wide local excision (WLE) vs. Mohs micrographic surgery (MOHS)) for treating Merkel cell carcinoma (MCC) is yet to be determined.

    Objective: To compare survival outcomes in patients with early stage MCC treated with MOHS versus WLE. Read More

    Emerging trends in the treatment of advanced basal cell carcinoma.
    Cancer Treat Rev 2018 Mar 14;64:1-10. Epub 2017 Dec 14.
    Manchester Academic Health Science Centre, University of Manchester, Manchester, UK.
    Basal cell carcinoma (BCC) is the most commonly diagnosed skin cancer worldwide. In most patients, BCC can be effectively treated with standard surgical excision, Mohs micrographic surgery, curettage and electrodessication, radiotherapy, and/or superficial field therapies (including 5-fluorouracil, imiquimod, and photodynamic therapy); however, a minority of patients develop advanced BCC, for which treatment can be challenging and outcomes are poorer. Advanced BCC encompasses a heterogeneous assortment of cases, including metastatic BCC as well as locally advanced BCC (for which no formal definition exists but which generally includes large, deep, aggressive, or recurrent tumors). Read More

    Web App- and Text Message-Based Patient Education in Mohs Micrographic Surgery-A Randomized Controlled Trial.
    Dermatol Surg 2018 Feb 5. Epub 2018 Feb 5.
    Department of Dermatology, Wake Forest School of Medicine, Winston-Salem, North Carolina.
    Background: Consent and wound care (WC) videos are used for education in Mohs micrographic surgery (MMS). Postoperative text messaging is poorly studied.

    Objective: Develop and evaluate perioperative resources for MMS patients-video modules (DermPatientEd. Read More

    Laser Corrective Surgery with Fractional Carbon Dioxide Laser Following Full-thickness Skin Grafts.
    J Cutan Aesthet Surg 2017 Jul-Sep;10(3):157-159
    Dermatological Surgery & Laser Unit, St John's Institute of Dermatology, Guy's Hospital Cancer Centre, Guy's & St Thomas' NHS Foundation Trust, London, UK.
    Full-thickness skin grafts (FTSGs) are frequently used to treat patients with burn injuries and to repair defects rendered by excisional (including Mohs) surgery. The evidence for corrective laser surgery after scar formation is well established. With regard to laser treatment of FTSG, the evidence is sparse. Read More

    Use of a novel 1-hour protocol for rapid frozen section immunocytochemistry, in a case of squamous cell carcinoma treated with Mohs micrographic surgery.
    Clin Exp Dermatol 2018 Feb 3. Epub 2018 Feb 3.
    Dermatology Surgery and Laser Unit, St John's Institute, Guys and St Thomas' NHS Trust, London, UK.
    For squamous cell carcinoma (SCC) treated using Mohs micrographic surgery (MMS), interpretation of haematoxylin and eosin-stained frozen sections can be challenging. In these situations, ancillary use of immunostaining is a useful tool for the Mohs surgeon. However, use of immunostaining in MMS laboratories is limited, mainly because current manual immunostaining platforms are subject to operator error, and automated immunostaining, albeit accurate, is too slow for inclusion in MMS. Read More

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