Benefits & Pitfalls of Gene Expression Profiling in Treating Cutaneous Malignancies
gene expression profiling
by NEXT STEPS IN DERM TEAM on
Next Steps in Derm, in partnership with ODAC Dermatology, Aesthetic and Surgical Conference, interviewed Dr. Vishal A. Patel (fellowship trained Mohs micrographic surgeon who serves as Director of Cutaneous Oncology at the GW Cancer Center and Director of Dermatologic Surgery at the GW Department of Dermatology) about the pros and cons of gene expression profiling. Watch him describe how this tech …

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Mohs Micrographic Surgery for Melanoma (MMS-M) | Cheat Sheet
Mohs micrographic surgery
by Michael J. Visconti, DO on
Mohs micrographic surgery for melanoma (MMS-M) has sharply risen by 304% in a 15-year interval, despite consistent recommendations from the National Comprehensive Cancer Network (NCCN). The aim of this therapeutic cheat sheet is to provide a high-yield literature review of the most pertinent data related to MMS-M. Mohs Micrographic Surgery for Melanoma (MMS-M) ●      MMS for …

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Intralesional Methotrexate & 5-Fluorouracil for Keratoacanthomas | Cheat Sheet
keratoacanthomas
by Vishal A. Patel, MD | Michael J. Visconti, DO on
Keratoacanthomas are a low-grade, well-differentiated variant of squamous cell carcinoma. Characteristically, their abrupt-onset and crateriform microscopic findings assist with their differentiation from more aggressive squamous cell carcinoma. While surgical treatment remains a viable and appropriate option for their management, clinical scenarios (described below) may portend to better outcomes …

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Pain Management After Dermatologic Surgery Cheat Sheet
postoperative pain
by Anna Bar, MD | Michael J. Visconti, DO on
Dermatologic surgery (particularly Mohs micrographic surgery) is associated with low overall postoperative pain that is largely readily resolvable with acetaminophen and ibuprofen. However, certain medical history and predisposing factors for postoperative pain (discussed below) may present scenarios where a broader repertoire of analgesics is required. In this Surgical Dermatology Cheat Sheet, we …

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Methacrylate Polymer Powder Dressing for a Nasal Surgical Defect
Methacrylate Polymer Powder Dressing for a Nasal Surgical Defect
by NEXT STEPS IN DERM TEAM on
The fusion of technology and medicine has led to the advent of advanced wound healing techniques that may be adapted to the management of surgical defects. Shortened duration of healing and ease-of-use are two potential benefits under investigation. Here, Matthew J. Lin MD, Danielle P. Dubin BA, Aaron S. Farberg MD, Hooman Khorasani MD, David A. Kriegel MD describe a 65-year-old male with a nasal …

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