Prolonged Exposure for Guilt and Shame in a Veteran of Operation Iraqi Freedom.

Morally injurious events appear capable of producing posttraumatic stress disorder (PTSD), even though they may not involve actual or perceived life-threat or a response of fear, horror, or helplessness. Researchers have questioned whether exposure therapies can address these events. The current report presents evidence of the effectiveness of this treatment approach for addressing posttraumatic symptoms related to a morally injurious event through an illustrative case of an Operation Iraqi Freedom veteran with PTSD characterized by symptoms of guilt and shame.

Peripheral in-continuity tissue examination: a modification of Mohs' micrographic surgery.

The use of peripheral in-continuity tissue examination, in which the surgeon or dermatologist and pathologist combine their talents to remove cutaneous tumors with rapid evaluation of all margins, is useful and practical for excision of basal cell and squamous cell carcinomas that are recurrent, large, or occur in historically difficult areas to treat. This procedure, like Mohs' micrographic surgery, can be used as a tissue-sparing measure while still providing the physician and patient with confidence of complete tumor removal. Because the technique allows for primary closure and immediate reconstruction of larger and more complex tumors, patients can be spared the added inconvenience, pain, and expense of multiple separate procedures that may be necessary with Mohs' micrographic surgery or traditional tumor excision with permanent section margin evaluation.

Stereotactic core biopsy of nonpalpable breast lesions.

We report our experience with stereotactic core breast biopsies (SCBB) for mammographically suspicious, nonpalpable breast lesions. Ninety-seven patients, ages 29 to 94 (mean 57.3 years) underwent SCBB with a 14-gauge Biopty gun.

Fine-needle aspiration cytology of an endometrioid-like variant of yolk sac tumor.

A 36-year-old male with a history of immature teratoma and embryonal carcinoma of the testis was admitted to the hospital for abdominal pain and fever. A CT scan revealed a large right abdominal mass. The patient's serum alpha-fetoprotein (AFP) was 46.