basal cell carcinoma

5-Fluorouracil Therapeutic Cheat Sheet
Fluoroplex
by Blair Allais, MD on
Actinic keratoses represent the most common dermatologic diagnosis in patients older than 45 years old in the United States and account for 5.2 million visits annually.1 Cutaneous field cancerization represents areas with a high burden of both clinical and subclinical actinic damage. Cryotherapy can often be combined with topical chemotherapy for a synergistic approach. We continue our series, The …

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Imiquimod Cream Therapeutic Cheat Sheet
Imiquimod Therapeutic Cheat Sheet
by Jessica Kalen, MD on
In this month’s installment of our Therapeutic Cheat Sheet Series, we will review the topical immunomodulatory agent imiquimod. Originally approved for the treatment of external genital warts, FDA approval has expanded to include use as field therapy for actinic keratoses as well as treatment of superficial basal cell carcinomas. Here’s what you need to know about imiquimod. [caption id=" …

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Ocular Dermoid in Patient With Basal Cell Nevus Syndrome
ocular dermoid
by NEXT STEPS IN DERM TEAM on
CASE A 47-year-old woman presented for Mohs Micrographic Surgery for a biopsy-proven basal cell carcinoma involving the right nasal ala. The patient had a history of basal cell nevus syndrome (BCNS) and previous history of multiple basal cell carcinomas. On initial examination, the patient was noted to have a few scattered pearly molluscoid papules on the head and neck, which were suspicio …

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Does This Skin Cancer Really Need Mohs?
by Yumeng Marina Li, MD on
Have you ever come across a patient with a skin cancer that you are not 100% sure should be treated with Mohs surgery or an alternative modality? Or a patient who comes back for a follow-up after skin cancer surgery with an undesirable scar and you wonder if you should have opted for a less invasive option? I certainly have. Some of these nagging questions were answered by a thoughtful, case-based …

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Combination Topical Chemotherapy for the Treatment of an Invasive Cutaneous Squamous Cell Carcinoma
Invasive Invasive Cutaneous Squamous Cell Carcinoma
by NEXT STEPS IN DERM TEAM on
JDD Authors Rachel Fayne BA, Sonali Nanda MS, Anna Nichols MD PhD, and John Shen MD report a case of biopsy-proven invasive SCC in an 86-year-old Caucasian male with history of multiple actinic keratoses and no previous skin cancers. The patient declined surgical treatment due to concerns about cosmetic outcomes. A combination of topical 5% imiquimod cream, 2% 5-FU solution, and 0.1% tretinoin cre …

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