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Micrographic surgery

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https://www.readbyqxmd.com/read/28549894/diagnosis-and-management-of-dermatofibrosarcoma-protuberans-in-a%C3%A2-3-year-old-patient
#1
Rajiv Iyengar, Elizabeth Kiwanuka, Shamlal Mangray, Antonio P Cruz, Julia Katarincic, Reena Bhatt
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. In our patient, the tumor extended down to the second and third metacarpal heads and was treated with a multistaged excision of his tumor to achieve negative margins under slow Mohs micrographic surgery.
May 24, 2017: Journal of Hand Surgery
https://www.readbyqxmd.com/read/28543587/optical-mapping-of-nonmelanoma-skin-cancers-a-pilot-clinical-study
#2
Anna N Yaroslavsky, Xin Feng, Victor A Neel
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. While the feasibility of the technique has been successfully demonstrated in ex vivo studies, this is the first pilot study to extend the use of PERFI to in vivo intraoperative imaging of NMSC...
May 23, 2017: Lasers in Surgery and Medicine
https://www.readbyqxmd.com/read/28538891/hidroacanthoma-simplex-dermoscopy-and-cryosurgery-treatment
#3
Karina Colossi Furlan, Priscila Kakizaki, Juliana Cabral Nunes Chartuni, José Alexandre Sittart, Neusa Yuriko Sakai Valente
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.
March 2017: Anais Brasileiros de Dermatologia
https://www.readbyqxmd.com/read/28538032/neuropraxia-of-the-spinal-accessory-nerve-after-mohs-micrographic-surgery
#4
Eileen Axibal, Adam Terella, Dominic Ricci, Mariah Brown
No abstract text is available yet for this article.
May 22, 2017: Dermatologic Surgery: Official Publication for American Society for Dermatologic Surgery [et Al.]
https://www.readbyqxmd.com/read/28538031/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
#5
Marwan Alhaddad, John Zade, Adam Nabatian, David Kriegel, Hooman Khorasani
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...
May 22, 2017: Dermatologic Surgery: Official Publication for American Society for Dermatologic Surgery [et Al.]
https://www.readbyqxmd.com/read/28538028/unnecessary-cost-of-post-mohs-permanent-pathology
#6
Kelly M MacArthur, Nikki Tang, George J Hruza, Timothy S Wang, Robert G Egbers
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. MATERIALS AND METHODS: Patients (12 years and older) with NMSCs cleared by MMS with coordinated closures from 2014 to 2016 were identified...
May 22, 2017: Dermatologic Surgery: Official Publication for American Society for Dermatologic Surgery [et Al.]
https://www.readbyqxmd.com/read/28537871/anxiety-levels-of-patients-undergoing-common-dermatologic-procedures-versus-those-seeking-general-dermatologic-care
#7
Faranak Kamangar, Tatyana A Petukhova, Gabriela Monico, Stephen Mathis, Jayne Joo, Anne Zhuang, Chin-Shang Li, Yu Liu, Elle Lee, Daniel Eisen
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").
May 15, 2017: Dermatology Online Journal
https://www.readbyqxmd.com/read/28537859/combined-closures-in-reconstructive-surgery
#8
Nita Kohli, Kathleen Kwedar, Nicholas Golda
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...
May 15, 2017: Dermatology Online Journal
https://www.readbyqxmd.com/read/28507440/ocular-basal-cell-carcinoma-a-brief-literature-review-of-clinical-diagnosis-and-treatment
#9
REVIEW
Yingyun Shi, Renbing Jia, Xianqun Fan
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. The gold standard of diagnosis of BCC is histopathology. Treatment options for BCC consist of surgery, vismodegib, radiotherapy and imiquimod. Surgical excision using Mohs micrographic surgery or wide surgical excision with frozen section margin control is the first consideration for treatment of periocular BCC...
2017: OncoTargets and Therapy
https://www.readbyqxmd.com/read/28498203/superficial-cd34-positive-fibroblastic-tumor-successfully-treated-with-mohs-micrographic-surgery
#10
Aleksandra G Florek, Aleksandar L Krunic, Sapna M Amin, Joan Guitart
No abstract text is available yet for this article.
May 10, 2017: Dermatologic Surgery: Official Publication for American Society for Dermatologic Surgery [et Al.]
https://www.readbyqxmd.com/read/28492934/mohs-micrographic-surgery-use-in-the-united-states-based-on-medicare-data-reply
#11
Adewole S Adamson, Stacie B Dusetzina
No abstract text is available yet for this article.
May 10, 2017: JAMA Dermatology
https://www.readbyqxmd.com/read/28492845/a-simple-effective-analogy-to-elucidate-the-mohs-micrographic-surgery-procedure-the-peanut-butter-cup
#12
Elizabeth Lee, Jay E Wolverton, Ally-Khan Somani
No abstract text is available yet for this article.
May 10, 2017: JAMA Dermatology
https://www.readbyqxmd.com/read/28492825/mohs-micrographic-surgery-use-in-the-united-states-based-on-medicare-data
#13
Jonathan Kantor
No abstract text is available yet for this article.
May 10, 2017: JAMA Dermatology
https://www.readbyqxmd.com/read/28463814/al2o3-ti-functionally-graded-material-prepared-by-spark-plasma-sintering-for-orthopaedic-applications
#14
Marjan Bahraminasab, S Ghaffari, Hossein Eslami-Shahed
Orthopaedic prostheses still suffer from limited lifetime which imposes revision surgery with the associated risks involved. This, to some extent, is related to the vulnerability of the biomaterials used for their fabrication that are commonly single-constituent and uniform. Therefore, hybrid biomaterials such as composites and functionally graded materials (FGMs) are being developed to overcome the shortcomings of available biomaterials. The present paper focuses on the study of the structural, physical and mechanical properties of a FGM made of alumina-titanium fabricated by spark plasma sintering (SPS)...
April 26, 2017: Journal of the Mechanical Behavior of Biomedical Materials
https://www.readbyqxmd.com/read/28453605/outlier-practice-patterns-in-mohs-micrographic-surgery-defining-the-problem-and-a-proposed-solution
#15
Aravind Krishnan, Tim Xu, Susan Hutfless, Angela Park, Thomas Stasko, Allison T Vidimos, Barry Leshin, Brett M Coldiron, Richard G Bennett, Victor J Marks, Rebecca Brandt, Martin A Makary, John G Albertini
Importance: Outlier physician practices in health care can represent a significant burden to patients and the health system. Objective: To study outlier physician practices in Mohs micrographic surgery (MMS) and the associated factors. Design, Setting, and Participants: This retrospective analysis of publicly available Medicare Part B claims data from January 2012 to December 2014 includes all physicians who received Medicare payments for MMS from any practice performing MMS on the head and neck, genitalia, hands, and feet region of Medicare Part B patients...
April 28, 2017: JAMA Dermatology
https://www.readbyqxmd.com/read/28445202/adnexal-carcinomas-treated-with-mohs-micrographic-surgery-a-comprehensive-review
#16
Stanislav N Tolkachjov
BACKGROUND: Adnexal carcinomas (ACs) are rare cutaneous malignancies of sweat gland or pilosebaceous origin. Optimal treatment and metastatic potential of AC are poorly defined. Mohs micrographic surgery (MMS) has been increasingly used to treat AC. OBJECTIVE: To review selected primary cutaneous AC and their treatment outcomes with MMS. MATERIALS AND METHODS: Literature review using PubMed search for articles related to primary cutaneous ACs...
April 28, 2017: Dermatologic Surgery: Official Publication for American Society for Dermatologic Surgery [et Al.]
https://www.readbyqxmd.com/read/28445198/mohs-micrographic-surgery-for-a-red-tattoo-reaction
#17
Yuri M Kim, Drew Taylor, Eduardo Weiss, Eli R Saleeby
No abstract text is available yet for this article.
April 24, 2017: Dermatologic Surgery: Official Publication for American Society for Dermatologic Surgery [et Al.]
https://www.readbyqxmd.com/read/28433227/nonsurgical-therapies-for-basal-cell-carcinoma-a-review
#18
S Ariza, S Espinosa, M Naranjo
Basal cell carcinoma (BCC) is the most prevalent malignant tumor in humans and the local destruction of tissue that can result from excision has a significant impact on well-being. Treating BCC is costly for health care systems given the high incidence of this tumor, especially in older patients. Standard treatment involves either resection with histologic assessment of margins or Mohs micrographic surgery. Surgery is sometimes contraindicated, however, due to the presence of significant comorbidity or high cosmetic expectations...
April 19, 2017: Actas Dermo-sifiliográficas
https://www.readbyqxmd.com/read/28411790/the-use-of-gentian-violet-2-solution-to-identify-holes-in-the-deep-margin-of-tissue-excised-during-mohs-micrographic-surgery
#19
Thuzar M Shin, Jeremy R Etzkorn, Joseph F Sobanko, Waqas R Shaikh, Stephen J Kovach, Christopher J Miller
No abstract text is available yet for this article.
May 2017: Journal of the American Academy of Dermatology
https://www.readbyqxmd.com/read/28406864/multistep-approach-for-improved-aesthetic-and-functional-outcomes-for-lower-extremity-wound-closure-after-mohs-micrographic-surgery
#20
Elizabeth Kiwanuka, Antonio P Cruz
BACKGROUND: Lower extremity wounds present a major clinical challenge. OBJECTIVE: This paper introduces a new multistep approach for improved aesthetic and functional outcome for lower extremity wound closure after Mohs micrographic surgery. PATIENTS AND METHODS: In this prospective case series, 12 consecutive patients undergoing Mohs micrographic surgery for cutaneous malignancies of the lower extremities underwent closure assisted by elastic bandages, proper positioning with 45° flexion of the knee, buried vertical mattress sutures, and careful eversion, using a premium angled stapler...
May 2017: Dermatologic Surgery: Official Publication for American Society for Dermatologic Surgery [et Al.]
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