SCC

Blastomycosis-like Pyoderma Arising in Lichen Planus – A JDD Case Report
Lichen Planus
by NEXT STEPS IN DERM TEAM on
CASE REPORT A 71-year-old Fitzpatrick phototype IV man with a history of hyperlipidemia and extensive travel to the Middle East presented with a mildly painful vegetative growth on his right lower leg for 1.5 months (Figure 1). In 2014, the patient reported a pruritic “rash” in the same location, which was treated with fluocinonide .05% ointment with resolution. [caption id="attachment …
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 …
Full-Field Ablative Resurfacing: Is the Pendulum Swinging Back?
Joel Cohen, MD
by NEXT STEPS IN DERM TEAM on
According to ODAC Vice-Chair Dr. Joel Cohen, Director of AboutSkin Dermatology (Greenwood Village and Lone Tree, Colorado),  and Associate Clinical Professor at the University of California at Irvine, the pendulum is swinging back to heavy resurfacing in areas such as around the mouth and around the eyes that really need it. He uses full-field erbium resurfacing and shares why this is the way to …
Using Dermoscopy to Diagnose Difficult Clinical Conditions
Dermoscopy
by Nicole Negbenebor, MD on
  Poised at the microphone, Dr. Sima Jain taught us how to use dermoscopy to diagnose difficult clinical cases during the 17th Annual ODAC Dermatology, Aesthetic and Surgical Conference in Orlando, Florida. Dermoscopy uses epiluminescent microscopy to help the provider get a more in-depth examination of the skin. It is extremely helpful for aiding the diagnosis of pigmented skin lesion …