Publications by authors named "Margaret W Mann"
Article Synopsis
- Sebaceous carcinoma typically affects adults over 60, commonly found on the eyelid, head, neck, and trunk, requiring thorough diagnosis and treatment strategies.
- Deep biopsies and special histological stains are essential for accurate diagnosis, while surgical removal is the first-line treatment, supported by careful margin assessment.
- Radiotherapy may be used for advanced cases or those not suitable for surgery, with follow-up examinations recommended every 6 months for at least 3 years; new targeted and immunotherapies are also being researched for advanced disease.
Article Synopsis
- Opioid overprescribing significantly contributes to the opioid crisis, with a lack of specific guidelines leading to inconsistent prescribing practices in dermatology.
- A panel of dermatologists used a modified Delphi method to create consensus guidelines for opioid prescribing in common dermatologic procedures, primarily aimed at opioid-naive patients.
- The findings suggest that most postoperative pain can be managed with non-opioid medications like acetaminophen and ibuprofen, with very few scenarios requiring more than 15 oxycodone 5-mg tablets, highlighting the need for individualized approaches based on patient circumstances.
Previously, we determined that genetic and environmental factors contributed equally towards rosacea in twins. To assess an environmental factor, we characterized the malar cheek bacterial microbiome from twins discordant for rosacea. We found no significant difference in facial microbiome alpha and beta diversity between related twins discordant for rosacea.
View Article and Find Full Text PDFWith the recent US Food and Drug Administration (FDA) approval of polidocanol in the United States, there has been a resurgence of interest in sclerotherapy. Despite the popularity of laser therapy, sclerotherapy remains the gold standard for treating spider and reticular veins. Although this traditional method of treatment has been around for more than 100 years, better sclerosing agents and newer techniques have made sclerotherapy safer and more efficacious than ever before.
View Article and Find Full Text PDFAlthough suction-assisted liposuction under tumescent anesthesia remains the traditional method for body sculpting, newer technologies promise to increase efficiency, decrease surgeon fatigue, and minimize complication. Power-, ultrasound-, and laser-assisted devices are ideal in large volume cases and in areas of fibrous tissues as an adjunct to traditional liposuction. Although skepticism remains chemical lipolysis, more commonly termed mesotherapy or lipodissolve may be an alternative to surgical treatment of localized fat.
View Article and Find Full Text PDFPurpose: Mohs micrographic surgery is efficacious for the primary treatment and local recurrence control of nongenital and cutaneous squamous and basal cell cancers. The efficacy of this procedure for squamous cell carcinoma of the penis was reviewed.
Materials And Methods: We retrospectively reviewed the charts of all patients treated with Mohs micrographic surgery for penile cancer at our institution from 1988 to 2006.
A 23-month-old boy with persistent acne since 6 months of age had signs of virilization and accelerated growth. Hormone evaluation indicated increased levels of dehydroepiandrosterone (DHEA) and testosterone. Ultrasound and abdominal computed tomographic scan revealed a large adrenal mass consistent with an adrenocortical tumor.
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