Mohs

Mohs Surgery- Friday Pop Quiz 10/16
Mohs
by NEXT STEPS IN DERM TEAM on
While performing Mohs micrographic surgery for this squamous cell carcinoma (shown in picture), you sever a nerve that lies superficially in the temple, just beneath the thin dermis and subcutaneous fat. The patient would have trouble performing which of the following? A. Raising his eyebrows B. Grimacing C. Smiling D. Closing his eyes E. Chewing food To find out the correct an …
Mohs Surgery – Friday Pop Quiz 5/29
Mohs
by NEXT STEPS IN DERM TEAM on
This patient presents for Mohs surgery. What is the deepest layer that you can undermine in this area? A. Epidermis B. Dermis C. Subcutaneous fat D. Superficial muscular aponeurotic system (SMAS) E. Muscle To find out the correct answer and read the explanation, click here. Brought to you by our brand partner Derm In-Review.  A product of SanovaWorks. …
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 …
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 …
Recurrent Squamous Cell Carcinoma Arising Within a Linear Porokeratosis
SCC
by NEXT STEPS IN DERM TEAM on
JDD authors Amelia M. Abbott-Frey BA, Alexandra J. Coromilas MD, George W. Niedt MD, and Jesse M. Lewin MD report a case of linear porokeratosis with recurrent malignant degeneration to squamous cell carcinoma (SCC) recurring six years after excision of initial SCC. Case Report A 79-year-old woman with a history of hypertension and hypothyroidism presented with a friable tumor within a lesion o …