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    A Retrospective Assessment of Postoperative Bleeding Complications in Anticoagulated Patients Following Mohs Micrographic Surgery.
    Dermatol Surg 2017 Nov 14. Epub 2017 Nov 14.
    *All authors are affiliated with the San Diego Medical Center, University of California, San Diego, California.
    Background: A significant number of patients undergoing Mohs micrographic surgery (MMS) for skin cancer are treated with oral anticoagulants. The incidence of postoperative complications associated with new classes of oral anticoagulants remains largely unknown.

    Objective: To determine the incidence of postoperative complications in patients undergoing MMS on both traditional oral anticoagulants and new novel oral anticoagulants. Read More

    Bupivacaine as an Adjunct to Lidocaine in Mohs Micrographic Surgery: A Prospective Randomized Controlled Trial.
    Dermatol Surg 2017 Nov 14. Epub 2017 Nov 14.
    *Oxford Dermatology, Mt Hawthorn, Western Australia, Australia; †Royal Perth Hospital, Perth, Western Australia, Australia; ‡University of Western Australia, Crawley, Western Australia, Australia.
    Background: In Mohs micrographic surgery (MMS), the standard local anesthetic agent used is lignocaine with adrenaline. However, MMS can be prolonged; thus reinjections of local anesthetics are often required.

    Objective: Is 0. Read More

    Practice Patterns and Job Satisfaction of Mohs Surgeons.
    Dermatol Surg 2017 Nov 14. Epub 2017 Nov 14.
    Department of Dermatology, University of Missouri, Columbia, Missouri.
    Background: There is a paucity of data on Mohs surgery workforce patterns.

    Objective: To identify if gender differences exist in practice patterns of Mohs surgeons, factors that influence these differences, and factors influencing job satisfaction among Mohs surgeons.

    Materials And Methods: An electronic survey was distributed to dermatology organizations targeting members of the American College of Mohs Surgery (ACMS), from October 2015 to April 2016. Read More

    Imaging in cutaneous surgery.
    Future Oncol 2017 Nov 10;13(26):2329-2340. Epub 2017 Nov 10.
    Department of Dermatology, Mount Sinai Medical Center, New York, NY, 10029, USA.
    Skin cancer is the most commonly diagnosed cancer in the USA. Mohs micrographic surgery is a microscopically controlled surgical technique that excises lateral and deep surgical margins while also sparing function and achieving a good cosmetic outcome. Given the increasing incidence in skin cancer worldwide and its associated treatment costs, techniques are being developed to improve the time and cost efficacy of this procedure. Read More

    Multimodal Imaging Nanoparticles Derived from Hyaluronic Acid for Integrated Preoperative and Intraoperative Cancer Imaging.
    Contrast Media Mol Imaging 2017 11;2017:9616791. Epub 2017 Sep 11.
    Department of Pharmaceutical Sciences, University of Nebraska Medical Center, Omaha, NE, USA.
    Surgical resection remains the most promising treatment strategy for many types of cancer. Residual malignant tissue after surgery, a consequence in part due to positive margins, contributes to high mortality and disease recurrence. In this study, multimodal contrast agents for integrated preoperative magnetic resonance imaging (MRI) and intraoperative fluorescence image-guided surgery (FIGS) are developed. Read More

    Successful Treatment of a Scleroderma-Associated Leg Ulcer With Endovenous Laser Ablation.
    Dermatol Surg 2017 Oct 26. Epub 2017 Oct 26.
    Division of Dermatology and Mohs Surgery, Scripps Clinic, La Jolla, California Vein Clinic, Scripps Clinic, San Diego, California Division of Dermatology and Mohs Surgery, Scripps Clinic, La Jolla, California Vein Clinic, Scripps Clinic, San Diego, California.

    Effective excision of cutaneous squamous cell carcinoma of the face using analysis of intra-operative frozen sections from the whole specimen.
    J Surg Oncol 2017 Oct 26. Epub 2017 Oct 26.
    Department of Plastic Surgery, Medisch Centrum Leeuwarden, Leeuwarden, The Netherlands.
    Background And Objectives: We excised cutaneous squamous cell carcinoma (cSCC) of the face while using intra-operative frozen section analysis of the margins in an optimized bread-loafing fashion (WIFSA).

    Methods: Medical records were reviewed of 160 cSCCs of the face that were treated by surgical excision with WIFSA between April 2007 and January 2013. The accuracy of WIFSA was verified by comparing results with postoperative formalin-fixed paraffin-embedded (FFPE) sections. Read More

    [Clinical Evaluation of Indoleamine 2, 3-Dioxygenase in the Serum of Patients with Locally Advanced Breast Cancer during Mohs Paste Treatment].
    Gan To Kagaku Ryoho 2017 Oct;44(10):915-917
    Division of Breast and Endocrine Surgery, Dept. of Surgery, Nihon University School of Medicine.
    Locally advanced breast cancer lesions often compromise patients' quality of life(QOL). Mohs paste is a histopathological fixative with zinc chloride as the main ingredient. It is applied when performing chemosurgery for skin tumors. Read More

    Correlation Between Incisional Biopsy Histological Subtype and a Mohs Surgery Specimen for Nonmelanoma Skin Cancer.
    Actas Dermosifiliogr 2017 Oct 21. Epub 2017 Oct 21.
    Dermatology Department, Hospital Universitario Dr. José E. González, Monterrey, Nuevo León, Mexico.
    Background: Histological diagnosis of a clinically suspected nonmelanoma skin cancer (NMSC) is recommended before treatment. For NMSC, concordance between the histological subtype of the preoperative biopsy and the excision specimen of basal cell carcinoma (BCC) has been reported to range from 10% to 81%. No large study on the concordance between NMSC histology seen in a preoperative biopsy with the following tumour specimen from Mohs micrographic surgery (MMS) has been performed in a Latin American population. Read More

    High-risk squamous cell carcinoma masquerading as dense inflammation on Mohs frozen sections.
    Australas J Dermatol 2017 Oct 24. Epub 2017 Oct 24.
    Aesthetic Dermatology, Sydney, New South Wales, Australia.
    High-risk squamous cell carcinoma (SCC) can present a unique challenge in Mohs surgery. This case report describes how high-risk SCC may masquerade as only a dense inflammation on frozen sections. This feature should raise the index of suspicion for hidden SCC and be a routine indication for further processing by paraffin sections and immunohistochemistry. Read More

    Optical coherence tomography for margin definition of basal cell carcinoma before micrographic surgery-recommendations regarding the marking and scanning technique.
    Skin Res Technol 2017 Oct 23. Epub 2017 Oct 23.
    Department of Dermatology, General Hospital Augsburg, Augsburg, Germany.
    Background/purpose: Mohs Micrographic Surgery (MMS) is the preferred therapeutic treatment for high-risk basal cell carcinoma (BCC). Optical Coherence Tomography (OCT) is a non-invasive imaging technique that enables the diagnosis of BCC. We thought to determine the margins of BCCs with OCT, prior to MMS, to reduce the number of surgical steps. Read More

    The superiorly based bilobed flap for nasal reconstruction.
    J Am Acad Dermatol 2017 Oct 19. Epub 2017 Oct 19.
    Department of Dermatology and Dermatologic Surgery, Medical University of South Carolina, Charleston, South Carolina.
    Background: The laterally based bilobed flap is commonly used for the reconstruction of small- to medium-sized defects of the distal portion of the nose; However, when this flap is used to repair defects that are larger, more cephalic, or more lateral on the nose, there is a risk for lower nasal distortion. Reorienting the base superiorly preserves the advantages of the traditional design while minimizing this risk.

    Objective: To demonstrate the design, execution, and efficacy of the superiorly based bilobed flap. Read More

    Management of Incompletely Excised Skin Tumors: Our Experience.
    Dermatol Surg 2017 Oct 19. Epub 2017 Oct 19.
    *Canniesburn Plastic Surgery Unit, Glasgow Royal Infirmary, Glasgow, Scotland; †Plastic Surgery Department, James Cook University, Middlesbrough, United Kingdom.
    Background: Current British Association of Dermatologists guidelines recommend that Mohs micrographic surgery should be considered for incompletely excised basal cell carcinomas and squamous cell carcinomas. Units that perform Mohs surgery are limited. In Teesside, the skin cancer multidisciplinary team discusses all incompletely excised skin tumors, considers all treatment options, provides recommendations, and initiates the agreed management plan. Read More

    Histologic Status of Squamous Cell Carcinoma In Situ After Diagnostic Biopsy in Immunocompetent and Immunosuppressed Patients.
    Dermatol Surg 2017 Oct 19. Epub 2017 Oct 19.
    *Department of Dermatology, University of Pennsylvania, Philadelphia, Pennsylvania; †Section of Dermatology, University of Chicago, Chicago, Illinois.
    Background: The histologic status of squamous cell carcinoma in situ (SCC-IS) after diagnostic biopsy has not been well described or compared between immunocompetent and immunosuppressed patients. Expression of immunohistochemical (IHC) markers of aggressive SCC has not been compared between SCC-IS that clears or becomes invasive after biopsy.

    Objective: To determine the histologic status of SCC-IS after diagnostic biopsy in these populations. Read More

    5-aminolevulinic acid (5-ALA) fluorescence-guided Mohs surgery resection of penile-scrotal extramammary Paget's disease.
    Biosci Trends 2017 Nov 16;11(5):595-599. Epub 2017 Oct 16.
    Department of Urology Research Institute, Huashan Hospital Affiliated to Fudan University.
    This report aims to evaluate the usefulness of 5-aminolevulinic acid (5-ALA) fluorescence-guided Mohs surgery resection of penile-scrotal extramammary Paget's disease for achieving maximum tumor resection. Between January 2014 and December 2015, 5 patients underwent surgical resection of a penile-scrotal extramammary Paget's disease in department of urology, Huashan hospital, Fudan University. All patients were coated with 5-ALA (concentration of 20%) throughout the scrotum and the visible range of the lesion plus a 2cm margin 3 hours before the induction of anesthesia. Read More

    Randomized controlled pilot study of the preoperative use of brimonidine 0.33% topical gel for hemostasis in Mohs micrographic surgery.
    J Am Acad Dermatol 2017 Dec 12;77(6):1114-1118. Epub 2017 Oct 12.
    Department of Dermatology, University of Alabama at Birmingham, Birmingham, Alabama. Electronic address:
    Background: Brimonidine topical gel may be useful in cutaneous surgical procedures because of its vasoconstricting properties.

    Objective: Assess the hemostatic effect of topically applied brimonidine in patients being treated with anticoagulants and undergoing Mohs micrographic surgery (MMS).

    Methods: Subjects undergoing MMS were randomly assigned to the control (n = 10) or study arm (n = 14). Read More

    Mohs Micrographic Surgery: Key Pharmacologic Considerations.
    Consult Pharm 2017 Aug;32(8):450-457
    Intermountain Healthcare, Taylorsville, Utah, USA.
    Objective: To describe Mohs micrographic surgery and evaluate whether direct oral anticoagulants should be withheld in patients with atrial fibrillation (Afib) prior to the procedure and to consider what type of antibiotic prophylaxis should be used.

    Setting: A community setting in which an elderly patient is living independently at home.

    Practice Description: Academic-affiliated internal medicine clinic that cares for adult patients of all ages, including elderly patients living independently in their own home. Read More

    Histologic Accuracy of Mohs Micrographic Surgery.
    Dermatol Surg 2017 Oct 6. Epub 2017 Oct 6.
    *Department of Dermatology (111H), James A. Haley Veterans' Administration Hospital, Tampa, Florida; †Callahan Eye Hospital, University of Alabama at Birmingham, Birmingham, Alabama; ‡Total Skin and Beauty Dermatology Center, Birmingham, Alabama; §Dermatology Surgery Institute, Lutz, Florida; ‖Extremity Trauma & Amputation Center of Excellence (EACE), U.S. Department of Veterans Affairs, Washington, District of Columbia; ¶Morsani College of Medicine, University of South Florida, Tampa, Florida; #319th Minimal Care Detachment, U.S. Army Reserves, Pinellas Park, Florida.
    Background: Mohs micrographic surgery enables the surgeon to maximize tumor removal while minimizing the amount of tissue being removed using advanced mapping techniques combined with microscopy. Interpretation of frozen section slides is vital to the success of Mohs micrographic surgery.

    Objective: Evaluate and confirm the congruence of frozen section slide interpretation between fellowship-trained Mohs surgeons and dermatopathologists. Read More

    Macrophage subtypes in recurrent nodular basal cell carcinoma after Mohs micrographic surgery.
    Int J Dermatol 2017 Dec 9;56(12):1366-1372. Epub 2017 Oct 9.
    Departments of Pathology and Dermatology, University of São Paulo Medical School, São Paulo, Brazil.
    Background: The macrophages associated with solid tumors are related to the progression or regression of tumors, depending on the differentiation in M1 or M2. M2 subtype promotes angiogenesis, remodeling, and tissue repair (tumor proliferation). In contrast, M1 produces toxic mediators and presents antigens, destroying microorganisms and tumor cells. Read More

    Treatment of Malignant Cutaneous Adnexal Neoplasms.
    Actas Dermosifiliogr 2017 Oct 5. Epub 2017 Oct 5.
    Servicio de Dermatología, Fundación Jiménez Díaz, Universidad Autónoma, Madrid, España.
    Malignant cutaneous adnexal neoplasms form a group of rare, typically low-grade-malignancy carcinomas with follicular, sebaceous, apocrine, or eccrine differentiation or a combination of the first 3 subtypes. Their clinical presentation is usually unremarkable, and biopsy is required to establish the differentiation subtype and the definitive diagnosis. Due to their rarity, no clear consensus has been reached on which treatment is most effective. Read More

    MOHS micrographic surgery for treating erosive adenoma of the nipple: a case report and review of the literature.
    Int J Dermatol 2017 Dec 27;56(12):1451-1454. Epub 2017 Sep 27.
    Breast Unit, Department of Gynecology, University Hospital of Mútua Terrassa, University of Barcelona, Terrassa, Spain.
    Background: Erosive adenoma of the nipple (EAN) is a benign condition that involves major ducts of the nipple. Its clinical presentation may resemble other disorders. Complete removal of the nipple is often suggested because of frequent relapse. Read More

    Complex Subunit Repair of a Cheek, Nose, and Medial Canthal Defect: A Stepwise Approach.
    J Craniofac Surg 2017 Nov;28(8):e765-e766
    *Division of Dermatology, Albert Einstein College of Medicine †Division of Dermatology, Montefiore Medical Center ‡Division of Plastic Surgery, Albert Einstein College of Medicine, Bronx, NY.
    A recent national survey suggests that up to one-third of facial reconstructive and plastic surgeons do not adhere to the classical principle of subunit reconstruction. While single-stage flaps and grafts may be easier and less time consuming, they can also lead to a poor cosmetic outcome. Here, the authors describe how the authors repaired a complex post-Mohs surgery facial defect involving multiple cosmetic subunits and how adherence to the subunit principle was essential to obtaining the most optimal functional and esthetic outcome. Read More

    Comparison of electronic brachytherapy and Mohs micrographic surgery for the treatment of early-stage non-melanoma skin cancer: a matched pair cohort study.
    J Contemp Brachytherapy 2017 Aug 23;9(4):338-344. Epub 2017 Jun 23.
    San Diego Dermatology and Laser Center, San Diego, CA, USA.
    Purpose: High-dose-rate electronic brachytherapy (EBT) provides a non-surgical treatment option for non-melanoma skin cancer (NMSC). This matched-pair cohort study compared the outcomes of treatment with EBT to those of Mohs micrographic surgery (MMS) in patients with NMSC.

    Material And Methods: At four treatment centers, patients treated with EBT were case matched to patients treated with MMS based on retrospectively-collected patient age, lesion size, location and type, and year of treatment. Read More

    An ecological study of skin biopsies and skin cancer treatment procedures in the United States Medicare population, 2000 to 2015.
    J Am Acad Dermatol 2017 Sep 22. Epub 2017 Sep 22.
    Department of Dermatology, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts. Electronic address:
    Background: Analyses of skin cancer procedures adjusted for population changes are needed.

    Objective: To describe trends in skin cancer-related biopsies and procedures in Medicare beneficiaries.

    Methods: An ecological study of Medicare claims for skin biopsies and skin cancer procedures in 2000 to 2015. Read More

    Risk of developing pyoderma gangrenosum after procedures in patients with a known history of pyoderma gangrenosum-a retrospective analysis.
    J Am Acad Dermatol 2017 Sep 22. Epub 2017 Sep 22.
    Department of Dermatology, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts. Electronic address:
    Background: The risk of postoperative pyoderma gangrenosum (PG) in patients with a known history of PG is unknown.

    Objective: To quantify risk and identify patient- and/or procedure-related risk factors for postsurgical recurrence or exacerbation of PG in patients with a known history of PG.

    Methods: We retrospectively evaluated the likelihood of postsurgical recurrence or exacerbation of PG for all patients with a confirmed diagnosis of PG at Brigham and Women's Hospital and Massachusetts General Hospital from 2000 to 2015. Read More

    Mohs Micrographic Surgery for Management of Nail Unit Squamous Cell Carcinomas.
    Dermatol Surg 2017 10;43(10):1302-1303
    Mohs Micrographic Surgery and Dermatologic Oncology, Skin Institute of South Florida, Coral Springs, Florida Cosmetic Dermatologic Surgery, Hollywood Dermatology and Cosmetic Surgery Specialists, Hollywood, Florida Cosmetic Fellowship at Hollywood Dermatology and Cosmetic Surgery Specialists, Hollywood, Florida Mohs and Procedural Dermatology Fellowship, Skin Institute of South Florida, Coral Springs, Florida Department of Dermatology and Cutaneous Surgery, Florida International University, Miami, Florida Department of Dermatology and Dermatological Surgery Miller School of Medicine, University of Miami, Miami, Florida.

    The folded postauricular flap: A novel approach to reconstruction of large full thickness defects of the conchal bowl.
    Am J Otolaryngol 2017 Nov - Dec;38(6):706-709. Epub 2017 Sep 19.
    Department of Otolaryngology - Head and Neck Surgery, Mount Sinai Beth Israel, New York, NY, United States; Thyroid, Head and Neck Cancer (THANC) Foundation, New York, NY, United States.
    Extensive subtotal full-thickness auriculectomy defects pose a challenge for the reconstructive surgeon. The posterior island flap (PIF), based on the posterior auricular artery, has been described as a reconstructive option for auricular defects, with reports describing a "pull-through" or "revolving door" technique to reconstruct subtotal partial thickness and full thickness auricular defects. These techniques may result in posterior "pinning" of the auricle. Read More

    Recurrence Rate of Melanoma in Situ when Treated with Serial Disk Staged Excision: A Case Series.
    J Clin Investig Dermatol 2017 Feb 27;5(1). Epub 2017 Feb 27.
    Department of Dermatology, Dermatologic and Mohs Micrographic Surgery Center, San Diego School of Medicine, University of California.
    Background: Cutaneous melanoma is one of the fastest rising cancer diagnoses in recent years. Melanoma in situ (MIS) constitutes a large proportion of all diagnosed melanomas. While surgical excision is considered the standard of therapy, the literature is not clear on which surgical technique minimizes local recurrence. Read More

    Clinical Characteristics of Non-Melanoma Skin Cancers Recurring within 5 years after Mohs Micrographic Surgery: Single Institution Retrospective Chart Review.
    J Clin Investig Dermatol 2017 Jan 10;5(1). Epub 2017 Jan 10.
    Department of Dermatology, Dermatologic and Mohs Micrographic Surgery Center, School of Medicine, University of California San Diego, CA, USA.
    Background: Mohs micrographic surgery (MMS) is used to treat certain high-risk non-melanoma skin cancers (NMSC) due to its high cure rate. However, clinical recurrences do occur in a small number of cases.

    Objective: We examined specific clinical characteristics associated with NMSC recurrences following MMS. Read More

    A matter of margins: Surgical and pathologic risk factors for recurrence in extramammary Paget's disease.
    Gynecol Oncol 2017 Nov 19;147(2):358-363. Epub 2017 Sep 19.
    Mayo Clinic, Division of Gynecologic Oncology, United States.
    Objectives: To determine surgical and pathologic variables associated with recurrence in extramammary Paget's disease (EMPD).

    Methods: Medical records of patients seeking care for EMPD from 1/1992-9/2015 were reviewed. Follow-up was restricted to 5years following primary surgery. Read More

    Sentinel lymph node biopsy in periocular merkel cell carcinoma: a case report.
    BMC Res Notes 2017 Sep 20;10(1):490. Epub 2017 Sep 20.
    University of Arizona COM Phoenix, University of Arizona Cancer Center at Dignity Health, 625 N 6th Street, Phoenix, AZ, 85004, USA.
    Background: The National Comprehensive Cancer Network guidelines for Merkel cell carcinoma recommend performance of the sentinel lymph node biopsy in all patients with clinically negative nodal disease for staging and treatment. Nevertheless, sentinel lymph node biopsy in the periocular region is debated as tumors are typically smaller and lymphatic variability can make performance procedurally problematic.

    Case Presentation: We present a case of a Caucasian patient in their seventies who presented with a 1. Read More

    Polydactylous Bowen's Disease in an Immunocompromised Patient: Resolution of All Lesions After Mohs Surgery on a Single Lesion.
    Dermatol Surg 2017 Sep 19. Epub 2017 Sep 19.
    Brody School of Medicine, East Carolina University, Greenville, North Carolina Department of Dermatology, University of North Carolina, School of Medicine, Chapel Hill, North Carolina Coastal Carolina Pathology, Wilmington, North Carolina Department of Dermatology, University of North Carolina School of Medicine, Chapel Hill, North Carolina.

    Observation of Dog-Ear Regression by Anatomical Location.
    Dermatol Surg 2017 Nov;43(11):1367-1370
    *Department of Dermatology, University of Alabama Medical Center, Birmingham, Alabama; †Department of Dermatology, University of Arkansas for Medical Sciences, Little Rock, Arkansas; ‡Department of Dermatology, University of North Carolina School of Medicine, Chapel Hill, North Carolina.
    Background: When an excision is performed by a method other than elliptical excision, direct primary wound closure can result in standing cones or "dog-ears." In 2008, Lee and colleagues noted that dog-ears of <8 mm in height have a statistically greater tendency to resolve without further surgical correction than larger dog-ears.

    Objective: To stratify dog-ears by anatomic location and inform on the need for correction at the time of surgery. Read More

    Use of Google Trends to Examine Interest in Mohs Micrographic Surgery: 2004 to 2016.
    Dermatol Surg 2017 Sep 19. Epub 2017 Sep 19.
    Department of Dermatology, Boston Medical Center, Boston, Massachusetts.
    Background: Mohs micrographic surgery (MMS) is the gold standard for treatment of high-risk skin cancers. There has been an upward trend in the use of this procedure as demonstrated by data from Medicare and the National Ambulatory Medical Care Survey.

    Objective: To assess interest in MMS among members of the general public as measured by number of online searches, and how that interest has changed over time. Read More

    Mohs micrographic surgery in the elderly: comparison of tumours, surgery and first-year follow-up in patients younger and older than 80 years old in REGESMOHS.
    J Eur Acad Dermatol Venereol 2017 Sep 12. Epub 2017 Sep 12.
    Unidad de investigación, Fundación Piel Sana Academia Española de Dermatología, Madrid, Spain.
    Background: The elderly population is increasing and more patients in this group undergo Mohs micrographic surgery (MMS). The few publications investigating MMS in elderly people conclude that it is a safe procedure; however, these are single-centre studies without a comparison group.

    Objective: To compare the characteristics of patients, tumours, MMS and 1-year follow-up in patients younger than 80 years, with patients older than 80 years at the time of surgery. Read More

    Association of Mohs Reconstructive Surgery Timing With Postoperative Complications.
    JAMA Facial Plast Surg 2017 Sep 7. Epub 2017 Sep 7.
    University of Virginia School of Medicine, Charlottesville.
    Importance: Same-day Mohs reconstructive surgery is not always possible; moreover, a delay can offer benefits such as improved surgical planning and increased blood supply to the cauterized wound bed. However, recent work found that delaying reconstruction by more than 2 days increases the postoperative complication rate.

    Objective: To review the outcomes of Mohs micrographic surgery (MMS) reconstruction with respect to patient- and surgery-specific variables, especially timing of repair. Read More

    A Novel, Disease-Specific Self-Report Instrument to Measure Body Image Concerns in Patients With Head and Neck Skin Cancer.
    Dermatol Surg 2017 Sep 1. Epub 2017 Sep 1.
    *Department of Dermatology, Cleveland Clinic, Cleveland, Ohio; †St. Louis University School of Medicine, St. Louis University, St. Louis, Missouri; ‡Department of Psychiatry and Psychology, Cleveland Clinic, Cleveland, Ohio; §Center for Outcomes Research, St. Louis University, St. Louis, Missouri; ‖St. Louis University, St. Louis, Missouri; ¶Department of Dermatology, St. Louis University School of Medicine, St. Louis, Missouri.
    Background: Skin cancer commonly occurs on areas that are salient to body image perception (i.e., head and neck). Read More

    Utilization of Topographical Mohs Micrographic Surgery Maps for Rapid Review of Clinicopathologic Characteristics of Nonmelanoma Skin Cancers of the Ear.
    Dermatol Surg 2017 Aug 29. Epub 2017 Aug 29.
    Surgical Dermatology Group, Birmingham, Alabama.
    Background: Nonmelanoma skin cancers (NMSCs) of the ear are considered high risk. Precise location of tumor sites is important when identifying surgical treatment sites.

    Objective: Review precise locations and histopathologic subtypes of auricular NMSC treated with Mohs micrographic surgery (MMS) using a standardized topographical numbering system for rapid data extraction. Read More

    Videodermoscopy and Curettage: The Value of Simple Procedures During Mohs Surgery.
    Dermatol Surg 2017 Aug 30. Epub 2017 Aug 30.
    Departments of *Dermatology, and †Experimental, Diagnostic and Specialty Medicine, University of Bologna, Bologna, Italy; ‡Department of Dermatology, University of California, San Francisco, San Francisco, California.
    Background: Mohs surgery (MS) is regarded as one of the most efficient surgical procedures for the treatment of skin tumors.

    Objectives: Delineating tumor margins accurately is important in limiting broad excisions during conventional surgery and in reducing the number of stages during Mohs procedure.

    Methods: This study aimed to evaluate the role of 2 simple procedures, curettage and videodermoscopy (VDS), in determining margins during MS for the treatment of basal cell carcinoma (BCC) of the head and neck. Read More

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