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    Stable Upper Eyelid after 2 Successive Tarsoconjunctival Flaps.
    Plast Reconstr Surg Glob Open 2018 May 14;6(5):e1724. Epub 2018 May 14.
    Department of Ophthalmology, University of Illinois at Chicago, Chicago, Ill.
    A 70-year-old male with history of multiple cutaneous squamous cell carcinoma throughout the body presented with a left lower lid margin squamous cell carcinoma. The lesion was excised via Mohs surgery elsewhere, and the defect was reconstructed with a tarsoconjunctival flap (Hughes flap). The lesion recurred, and the patient had a second Mohs surgery for excision. Read More

    Reconstruction of Large Defects of the Lower Lip After Mohs Surgery: The Use of Combined Karapandzic and Abbe Flaps.
    Ann Plast Surg 2018 Jun 13. Epub 2018 Jun 13.
    From the Instituto Oncología Angel H. Roffo, Buenos Aires, Argentina.
    Introduction: Lower lip reconstruction should restore oral competence, speech, and cosmesis. These goals are a challenge when reparing large lower lip defects. Karapandzic flap is a reliable technique with consistent functional and esthetic outcome. Read More

    Georgian Med News 2018 May(278):68-71
    1Department of Dermatology and Allergology; 2Institue of Pathology "Georg Schmorl", Städtisches Klinikum Dresden, Academic Teaching Hospital of the Technical University, Dresden, Germany.
    Cutaneous polypoid melanoma is an uncommon subtype of malignant melanoma. The clinical behavior of this subtype has been described as aggressive. Tumors can be sessile or pedunculated. Read More

    [Application of Mohs microsurgery in nasal basal cell carcinoma].
    Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2018 Jun;53(6):440-443
    Department of Otorhinolaryngology, Qilu Hospital of Shandong University, Jinan 250012, China.
    To discuss the application of Mohs microsurgery in nasal and facial basal cell carcinoma (BCC) and analyze the pathological and clinical features. The clinical data of 127 patients who were diagnosed by pathology as nasal and facial BCC in Qilu Hospital of Shandong University from January 2010 to January 2015 were retrospectively analysed. The value of Mohs microsurgery was discussed and the nasal & facial sites of BCC lesions, clinical and histopathology features were summarized. Read More

    Collagen disruption as a marker for basal cell carcinoma in presurgical margin detection.
    Lasers Surg Med 2018 Jun 14. Epub 2018 Jun 14.
    Department of Dermatology, Massachusetts General Hospital, Boston, Massachusetts.
    Introduction And Objective: Nonmelanoma skin cancers (NMSCs) are the most common malignancies in the United States. Surgery is the most common treatment for these tumors, but pre-operative identification of surgical margins is challenging. The objective in this study was to determine whether optical polarization imaging (OPI) could be used prior to surgery to detect the extent of subclinical tumor spread by monitoring disruption in collagen. Read More

    Mohs micrographic surgery for digital melanoma and nonmelanoma skin cancers.
    Cutis 2018 May;101(5):346-352
    Private practice, Chevy Chase, Maryland, and Department of Dermatology, Georgetown University Hospital, Washington, DC, USA.
    Treatment of digital skin cancers is challenging due to various functional and cosmetic implications. Traditionally, routine treatment includes radical amputation, but digital skin cancers are increasingly being treated with more conservative, tissue-sparing methods such as Mohs micrographic surgery (MMS), which provides excellent tissue conservation and margin control when used to treat melanoma and nonmelanoma skin cancers (NMSCs). In this study, we conducted a retrospective chart review to evaluate clinical outcomes following MMS for treatment of digital melanoma and NMSCs. Read More

    Eccrine Porocarcinoma: New Insights and a Systematic Review of the Literature.
    Dermatol Surg 2018 Jun 8. Epub 2018 Jun 8.
    Otolaryngology-Head and Neck Surgery, Keck Medicine of USC, Los Angeles, California.
    Background: Eccrine porocarcinoma (EPC) is a rare cutaneous neoplasm with high potential for morbidity and mortality. Due to its rarity, there is a paucity of data profiling diagnosis, work-up, and management.

    Objective: To consolidate reported information on demographics, diagnostics, clinical behavior, treatment modalities, and patient outcomes in EPC to provide a reference tool to optimize diagnosis and management. Read More

    A Predictive Model for Primary Closure Lengths in Mohs Surgery Based on Skin Cancer Type, Dimensions, and Location.
    Dermatol Surg 2018 Jun 8. Epub 2018 Jun 8.
    Department of Dermatology, University of Virginia Health System, Charlottesville, Virginia.
    Background: Surgical scar length is a common concern among patients undergoing Mohs micrographic surgery (MMS).

    Objective: This study evaluates 3 metrics of preoperative lesion size to determine which correlates best with primary linear closure lengths for nonmelanoma skin cancers (NMSCs) treated with MMS. This metric is then used to develop predictive models for linear closure lengths in 10 different anatomical regions. Read More

    Mohs Micrographic Surgery Dermatopathology Concordance in Canada: A Single-Institution Experience.
    J Cutan Med Surg 2018 Jun 1:1203475418782146. Epub 2018 Jun 1.
    1 Division of Dermatology, University of Calgary, Calgary, AB, Canada.
    Background: Mohs micrographic surgery (MMS) is a surgical modality that achieves high cure rates of nonmelanoma skin cancers but is dependent on accurate histologic examination of surgical margins. Therefore, quality assurance is essential to ongoing assessment of histological margins.

    Objectives: To prospectively determine the concordance rate between a Mohs surgeon (MS) and dermatopathologist (DP) with respect to tumour status (ie, present or absent) and tumour type. Read More

    Hyaluronic acid formulation of near infrared fluorophores optimizes surgical imaging in a prostate tumor xenograft.
    Acta Biomater 2018 Jun 8. Epub 2018 Jun 8.
    Department of Pharmaceutical Sciences, University of Nebraska Medical Center, Omaha, Nebraska 68198, United States; Department of Biochemistry and Molecular Biology, University of Nebraska Medical Center, Omaha, Nebraska 68198, United States; Fred and Pamela Buffett Cancer Center, University of Nebraska Medical Center, Omaha, Nebraska 68198, United States. Electronic address:
    The presence of positive surgical margins confers an increased risk of biochemical relapse and need for salvage therapy in men undergoing radical prostatectomy. Image-guided surgery using near-infrared (NIR) fluorescent contrast agents is a potential method to detect remaining cancerous tissue. The objective of this study was to evaluate three hyaluronic acid (HA) nanoparticle (NP) formulations loaded with NIR fluorophore for their ability to contrast-enhance prostate cancer. Read More

    The Differential Use of Bilobed and Trilobed Transposition Flaps in Cutaneous Nasal Reconstructive Surgery.
    Plast Reconstr Surg 2018 May 22. Epub 2018 May 22.
    Dermatology Professionals, Inc. East Greenwich, RI.
    Background: Bilobed and trilobed transposition flaps are versatile random pattern transposition flaps which reliably restore nasal symmetry, topography, light reflex, contour and are frequently used in cutaneous nasal reconstructive surgery. We wish to compare the characteristics of bilobed and trilobed flaps in cutaneous reconstructive surgery and to identify scenarios for their differential use.

    Methods: A retrospective chart review over 7 years of consecutive patients reconstructed with a bilobed or trilobed flap after Mohs micrographic surgery was performed. Read More

    Merkel cell polyomavirus Integration-PCR in bilateral metachronous Merkel cell carcinoma on the nose.
    J Eur Acad Dermatol Venereol 2018 Jun 11. Epub 2018 Jun 11.
    Department of Dermatology, Venerology and Allergology, University Medical Center Ruprecht-Karls-University, Heidelberg, Germany.
    An 81-year-old woman presented with a several weeks history of an erythematous tumour at her right nostril (Figure 1a). The tumour was surgically removed. Histopathology showed peritumoral clefts and BerEP4-expression consistent with basal cell carcinoma (Figure 2a). Read More

    Distinguishing malignant from benign microscopic skin lesions using desorption electrospray ionization mass spectrometry imaging.
    Proc Natl Acad Sci U S A 2018 Jun 4;115(25):6347-6352. Epub 2018 Jun 4.
    Department of Chemistry, Stanford University, Stanford, CA 94305;
    Detection of microscopic skin lesions presents a considerable challenge in diagnosing early-stage malignancies as well as in residual tumor interrogation after surgical intervention. In this study, we established the capability of desorption electrospray ionization mass spectrometry imaging (DESI-MSI) to distinguish between micrometer-sized tumor aggregates of basal cell carcinoma (BCC), a common skin cancer, and normal human skin. We analyzed 86 human specimens collected during Mohs micrographic surgery for BCC to cross-examine spatial distributions of numerous lipids and metabolites in BCC aggregates versus adjacent skin. Read More

    Basal Cell Carcinoma: A Patient and Physician's Experience.
    Dermatol Ther (Heidelb) 2018 Jun 2. Epub 2018 Jun 2.
    Department of Dermatology, University of California San Diego, La Jolla, San Diego, CA, USA.
    In this article, the first coauthor, a patient with a basal cell carcinoma on her upper lip, discusses her experience with Mohs micrographic surgery for the treatment of the skin cancer. The second coauthor, who is the patient's physician (a dermatologist who shares her last name but is not a relative), diagnosed her skin cancer and referred her for Mohs surgery. The third coauthor, who is the patient's son and not only a dermatologist, but also a dermatopathologist and a Mohs surgeon (and also shares her last name), summarizes the presentation and treatment of the basal cell carcinoma. Read More

    Non-selective beta blockers inhibit angiosarcoma cell viability and increase progression free- and overall-survival in patients diagnosed with metastatic angiosarcoma.
    Oncoscience 2018 Mar 29;5(3-4):109-119. Epub 2018 Apr 29.
    Department of Biomedical Sciences, Texas Tech University Health Sciences Center, El Paso, TX, USA.
    Patients with metastatic angiosarcoma undergoing chemotherapy, radiation, and/or surgery experience a median progression free survival of less than 6 months and a median overall survival of less than 12 months. Given the aggressive nature of this cancer, angiosarcoma clinical responses to chemotherapy or targeted therapeutics are generally very poor. Inhibition of beta adrenergic receptor (β-AR) signaling has recently been shown to decrease angiosarcoma tumor cell viability, abrogate tumor growth in mouse models, and decrease proliferation rates in preclinical and clinical settings. Read More

    Rate of Recurrence of Lentigo Maligna Treated With Off-Label Neoadjuvant Topical Imiquimod, 5%, Cream Prior to Conservatively Staged Excision.
    JAMA Dermatol 2018 May 30. Epub 2018 May 30.
    Department of Dermatology, University of Utah, Salt Lake City.
    Importance: Staged excision of lentigo maligna (LM) often requires multiple stages and can result in significant cosmetic morbidity. Imiquimod cream has been used off-label as monotherapy in the treatment of LM and may be used in the neoadjuvant setting prior to staged excision as a strategy to reduce the size of the surgical margins required to confirm negative histologic margins.

    Objective: To examine the rate of recurrence of LM in patients treated with neoadjuvant topical imiquimod, 5%, cream prior to conservatively staged excisions. Read More

    Patients' Body Image Improves After Mohs Micrographic Surgery for Nonmelanoma Head and Neck Skin Cancer.
    Dermatol Surg 2018 May 24. Epub 2018 May 24.
    Department of Dermatology, Saint Louis University School of Medicine, St. Louis, Missouri.
    Background: Most skin cancers occur on the head and neck, areas of the body that are significant to an individual's body image (BI) perception. Poor BI is a robust risk factor for depression and decreased quality of life. Thus, patients with nonmelanoma head and neck skin cancer (NMHNSC) may be more vulnerable to BI disturbance and the negative sequelae of poor BI. Read More

    Assessment of Frontalis Myocutaneous Transposition Flap for Forehead Reconstruction After Mohs Surgery.
    JAMA Dermatol 2018 Jun;154(6):708-711
    Department of Dermatology, University Clinic of Navarra, Pamplona, Spain.
    Importance: Forehead reconstruction after Mohs surgery has become a challenge for dermatology surgeons, and achieving an excellent cosmetic and functional result is imperative in this location.

    Objective: To highlight the utility of a frontalis myocutaneous transposition flap (FMTF) for forehead reconstruction after Mohs surgery.

    Design, Setting, And Participants: Surgical technique case series including 12 patients with large forehead defects recruited between January 2010 and June 2017 at the Dermatology Department of the University Clinic of Navarra, Spain. Read More

    Mistaken Diabetic Ulcers: A Case of Bilateral Foot Verrucous Carcinoma.
    Case Rep Dermatol Med 2018 23;2018:4192657. Epub 2018 Jan 23.
    Department of Obstetrics and Gynecology, University of Calgary, Calgary, AB, Canada.
    Verrucous carcinoma (VC) is a rare, low-grade, and well-differentiated variant of squamous cell carcinoma. These tumors are slow-growing and exophytic and have a negligible incidence of metastasis. Treatment is complete surgical resection, ideally by Mohs micrographic surgery, to ensure adequate clear margins. Read More

    Ex vivo confocal microscopy: an emerging technique in dermatology.
    Dermatol Pract Concept 2018 Apr 30;8(2):109-119. Epub 2018 Apr 30.
    Department of Medical, Surgical and Neurological Science, Dermatology Section, University of Siena, S. Maria alle Scotte Hospital, Siena, Italy.
    This review aims to give an overview of the current available applications of ex vivo confocal microscopy (EVCM) in dermatology. EVCM is a relatively new imaging technique that allows microscopic examination of freshly excised unfixed tissue. It enables a rapid examination of the skin sample directly in the surgery room and thus represents an alternative to the intraoperative micrographic control of the surgical margins of cutaneous tumors by standard microscopic examination on cryopreserved sections during Mohs surgery. Read More

    Basal Cell Carcinoma, PART II: Contemporary Approaches to Diagnosis, Treatment, and Prevention.
    J Am Acad Dermatol 2018 May 18. Epub 2018 May 18.
    Dermatology Service, Memorial Sloan Kettering Cancer Center, 16 E. 60th Street, 4th Floor, New York, New York.
    As the most common human cancer worldwide and continuing to increase in incidence, basal cell carcinoma is associated with significant morbidity and cost. Continued advances in research have refined both our insight and approach to this seemingly ubiquitous disease. This 2-part continuing medical education article will provide a comprehensive and contemporary review of basal cell carcinoma. Read More

    A Combination Flap for Nasal Defect Reconstruction.
    Ann Plast Surg 2018 May 17. Epub 2018 May 17.
    From the Department of Plastic Surgery, University Hospitals of Leicester, Leicester, United Kingdom.
    Background: Nasal reconstruction is a common plastic surgery procedure following cancer resection. Whereas most small and medium defects are managed using standard local flaps, reconstructive options available for large defects of the nose such as a heminasal defect are very few. Most of the large defects are usually managed using a forehead flap, which involves at least 2 stages or using free tissue transfer. Read More

    Conservative thickness layers in Mohs micrographic surgery.
    Int J Dermatol 2018 May 17. Epub 2018 May 17.
    Surgical Dermatology Group, Birmingham, AL, USA.
    Background: Mohs micrographic surgery (MMS) is used to treat cutaneous malignancies in locations to maximize tissue sparing. The authors' aim is to demonstrate the utility of conservative thickness layers (CTL) in MMS and review patient and tumor characteristics and the potential anatomic locations where this technique may be most useful.

    Methods: We performed a retrospective chart review of patients with tumors treated with CTL in MMS of 339 tumors, recording patient demographics, tumor characteristics, MMS stages for clearance, repairs, complications, and follow-up. Read More

    Solitary Palmar Keratoacanthoma: Case Report.
    Cureus 2018 Mar 15;10(3):e2331. Epub 2018 Mar 15.
    Dermatology, Derm Surgery Associates, PA.
    Keratoacanthoma (KA) is a squamous neoplasm exhibiting a triphasic growth pattern involving rapid growth, stabilization, and eventual spontaneous resolution. Historically, keratoacanthomas were thought to originate on hair-bearing skin or sun-exposed surfaces. However, recent reports demonstrate that they can occur on the mucous membranes, subungual regions, and palms and soles. Read More

    Review of Eyelid Reconstruction Techniques after Mohs Surgery.
    Semin Plast Surg 2018 May 14;32(2):95-102. Epub 2018 May 14.
    Division of Oculoplastic & Reconstructive Surgery, Department of Ophthalmology, UT Southwestern Medical Center, Dallas, Texas.
    Mohs micrographic surgery achieves high cure rates while preserving healthy tissue making it the optimal treatment for skin cancer. The goals of eyelid reconstruction after Mohs surgery include restoring eyelid structure and function while attaining acceptable aesthetic results. Given the variety of eyelid defects encountered after Mohs surgery, a thorough understanding of the complex eyelid anatomy as well as an in-depth knowledge of the numerous reconstructive techniques available are required to accomplish these reconstructive goals. Read More

    Simplifying Lip Reconstruction: An Algorithmic Approach.
    Semin Plast Surg 2018 May 14;32(2):69-74. Epub 2018 May 14.
    Department of Plastic Surgery, University of Texas Southwestern Medical Center, Dallas, Texas.
    The authors provide an overview of lip reconstruction after Mohs surgery based on the senior author's practice. Lip reconstruction offers unique challenges to preserve not only lip function but also aesthetics. Lip reconstruction must take into consideration the three anatomical layers that comprise the lip and defects that involve the mucosa, the muscle, the skin or more than one layer will help determine the modality of repair. Read More

    Mohs Micrographic Surgery: Development, Technique, and Applications in Cutaneous Malignancies.
    Semin Plast Surg 2018 May 14;32(2):60-68. Epub 2018 May 14.
    Department of Dermatology, University of Texas Southwestern Medical Center, Dallas, Texas.
    Mohs micrographic surgery (MMS) is a specialized technique for treating skin malignancies that offers the highest cure rate by allowing histological evaluation of the entire peripheral and deep margins. MMS also maximally preserves as much uninvolved, normal adjacent tissue as possible, allowing for the best cosmetic and functional outcomes. When used for appropriate indications, this technique is also more cost-effective than other treatment modalities. Read More

    Approach to the Post Mohs Patient.
    Semin Plast Surg 2018 May 14;32(2):57-59. Epub 2018 May 14.
    Department of Plastic Surgery, University of Texas Southwestern Medical Center, Dallas, Texas.
    This article discusses the often unique patient presentations and management challenges of the post Mohs resection surgical patient. This includes social, economic, and health issues. Anesthesia considerations and pre- and postoperative care are also discussed in this article. Read More

    Perianal extramammary Paget disease treated with topical imiquimod and oral cimetidine.
    Cutis 2018 Apr;101(4):E19-E22
    Division of Dermatology, Loyola University Chicago, Maywood, Illinois, USA.
    Extramammary Paget disease (EMPD) is a rare intraepithelial adenocarcinoma. The current mainstay of treatment is wide local excision. We present the case of a 56-year-old woman with perianal EMPD that recurred 4 years after initial treatment with wide local excision with Mohs micrographic surgery tissue processing of marginal tissue. Read More

    Penile squamous cell carcinoma with urethral extension treated with Mohs micrographic surgery.
    Cutis 2018 Apr;101(4):E15-E18
    Dermatology, MedStar Georgetown University Hospital/Washington Hospital Center, Washington, DC, and private practice, Chevy Chase, Maryland, USA.
    Penile squamous cell carcinoma (SCC) with considerable urethral extension is uncommon and difficult to manage. It often is resistant to less invasive and nonsurgical treatments and frequently results in partial or total penectomy, which can lead to cosmetic disfigurement, functional issues, and psychological distress. We report a case of penile SCC in situ with considerable urethral extension with a focus of cells suspicious for moderately well-differentiated and invasive SCC that was treated with Mohs micrographic surgery (MMS). Read More

    Impact of Mohs Micrographic Surgery on Tumor Staging of Cutaneous Squamous Cell Carcinoma: A Comparison of the 7th and 8th Editions of the American Joint Committee on Cancer Guidelines.
    Dermatol Surg 2018 May 4. Epub 2018 May 4.
    Department of Dermatology, University of Florida College of Medicine, Gainesville, Florida.
    Background: Based on current AJCC-7 guidelines for staging cutaneous squamous cell carcinoma (cSCC), patients with T2 tumor staging represent a prognostically heterogeneous group. The new AJCC-8 guidelines seek to provide improved stratification by inclusion of independent risk factors in the T3 category. These features may be identified in tissue stages during Mohs micrographic surgery (MMS). Read More

    Facial Basal Cell Carcinoma in Patients Younger Than 40.
    J Drugs Dermatol 2018 May;17(5):525-530
    Introduction: The incidence of basal cell carcinoma in the population younger than 40 years is rising, and a majority of basal cell carcinomas occur on the head and neck. Our objective was to determine whether basal cell carcinomas in the population younger than 40 years occur more frequently at the forehead and its subunits (forehead proper, temple, suprabrow, and glabella).

    Methods: We performed a retrospective case review of 4,337 basal cell carcinomas in 3,223 patients treated with Mohs micrographic surgery. Read More

    A Retrospective Analysis of Complication Rates in Mohs Micrographic Surgery Patients With Clinically Large Tumors and Tumors With Aggressive Subclinical Extension.
    J Drugs Dermatol 2018 May;17(5):511-515
    Background: Clinically large cutaneous tumors and those with aggressive subclinical extension (ASE) often require wider margins and increased operative time during Mohs micrographic surgery (MMS). Our goal is to improve dermatologic surgeons' counseling information on complication risks for aggressive tumors.

    Objective: To examine the incidence of postoperative complications in MMS patients, with a focus on differences between aggressive and non-aggressive tumors. Read More

    Demographic and Tumor Characteristics of Patients Younger Than 50 Years With Nonmelanoma Skin Cancer Referred for Mohs Micrographic Surgery.
    J Drugs Dermatol 2018 May;17(5):499-505
    Background: An increase in nonmelanoma skin cancer (NMSC) in younger patients has been reported. Many are treated with Mohs micrographic surgery (MMS).

    Objective: Investigate patient and tumor characteristics in patients less than 50 years undergoing MMS for NMSC at a large, referral-based practice. Read More

    Bilateral interdigitated Pacman flap for round and oval facial defects.
    J Craniomaxillofac Surg 2018 Jun 12;46(6):1032-1036. Epub 2018 Apr 12.
    Department of Plastic and Reconstructive Surgery (Head: Sang-Ha Oh M.D., Ph.D.), Chungnam National University Hospital, 282 Munhwa-ro, Jung-gu, 35015, Daejeon, South Korea; Department of Plastic and Reconstructive Surgery (Head: Sang-Ha Oh M.D., Ph.D.), Chungnam National University College of Medicine, 266 Munhwa-ro, Jung-gu, 35015, Daejeon, South Korea; Department of Medicine (Head: Dae Hyun Lew M.D., Ph.D.), The Graduate School of Yonsei University, 50-1 Yonsei-ro, Seodaemun-gu, Seoul, South Korea. Electronic address:
    Background: Skin texture and color are important considerations during the reconstruction of facial defects, and anatomical borders should be preserved. Therefore, a local flap is a better option. In these cases, the authors repaired facial defects using a bilateral interdigitated VY flap. Read More

    Appropriate use criteria for basal cell carcinoma Mohs surgery at a single center in the face of high-burden skin cancer: a retrospective cohort study.
    J Dermatolog Treat 2018 May 10:1-7. Epub 2018 May 10.
    a Division of Dermatology, Department of Internal Medicine , Ribeirão Preto Medical School, University of São Paulo , Ribeirão Preto , São Paulo , Brazil.
    Background: Mohs micrographic surgery (MMS) promotes high cure rates, but accessibility to MMS is limited in distinctive realities and countries.

    Objective: We sought to verify applicable criteria for MMS indication and prioritization regarding basal cell carcinoma (BCC) in the face of various limitations.

    Methods: We analyzed MMS-excised BBC, without patient exclusion, through a retrospective cohort study at a single university center. Read More

    Simple 3-criteria-based ex vivo confocal diagnosis of basal cell carcinoma.
    J Biophotonics 2018 May 3:e201800062. Epub 2018 May 3.
    Department of Dermatology and Allergy, University Hospital, Munich, Germany.
    Background: Fast and simple microscopic evaluation of basal cell carcinoma (BCC) together with its subtype determination would accelerate diagnostic and therapeutic procedures in dermatology including Mohs surgery.

    Objectives: Assessing whether simplified 3-criteria-based ex vivo confocal microscopic (CM) examination can reliably predict BCC diagnosis and subtype. Analyzing interobserver agreement between expert and novice examiner. Read More

    Surgical Treatment for Extramammary Paget's Disease.
    Curr Treat Options Oncol 2018 May 3;19(6):27. Epub 2018 May 3.
    General and Visceral Surgery, Asklepios Klinik Altona, Paul-Ehrlich-Straße 1, 22673, Hamburg, Germany.
    Opinion Statement: Extramammary Paget's disease (EMPD) is a rare, slow growing non-melanoma skin cancer.Diagnosis is often significantly delayed, since clinical presentation may resemble common benign dermatoses. Treatment is characterized by high recurrence rates. Read More

    Mohs micrographic surgery for nail unit tumours: an update and a critical review of the literature.
    J Eur Acad Dermatol Venereol 2018 Apr 28. Epub 2018 Apr 28.
    Dermatology, Department of Experimental, Diagnostic and Specialty Medicine, University of Bologna, Bologna, Italy.
    Mohs micrographic surgery (MMS) is a good treatment option for epithelial neoplasms, especially when localized in areas where tissue conservation is crucial, such as the nail unit (NU). MMS is a method of radical excision offering high cure rates due to the margin control and functional preservation. Our aim is to provide a review on the use of MMS for the treatment of the most common nail tumours. Read More

    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

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