6,536 results match your criteria: "Mohs Micrographic Surgery"

Factors Associated With Outcomes of Facial Reconstruction After Mohs Micrographic Surgery.

Craniomaxillofac Trauma Reconstr

May 2024

Department of Otolaryngology - Head and Neck Surgery, Division of Facial Plastic and Reconstructive Surgery, Washington University School of Medicine, St. Louis, MO, USA.

Article Synopsis
View Article and Find Full Text PDF

CIC::DUX4 fusion sarcoma represents a rare and aggressive subtype of undifferentiated small round blue cell tumors. We report on a 23-year-old African male who developed a rapidly enlarging inferolateral left buttock nodule with ulceration. After debulking excision of the lesion, histologic sections demonstrated sheets and lobules of atypical round blue cells with significant cytologic atypia.

View Article and Find Full Text PDF

Mohs micrographic surgery (MMS) is a precise and effective technique for treating skin cancers, necessitating high accuracy and real-time decision-making to ensure complete tumor removal while preserving healthy tissue. The introduction of the Apple Vision Pro (AVP), an advanced mixed-reality headset, presents a potential technological advancement in surgical practice. The present investigation explores the integration of AVP into Mohs surgery, focusing on its potential to enhance preoperative planning, intraoperative guidance, and postoperative analysis.

View Article and Find Full Text PDF
Article Synopsis
  • - PDEMA, previously known as CCPDMA, allows for complete histologic visualization of tumor margins, which helps in accurately removing cancerous tissue while preserving healthy tissue.
  • - It is the preferred treatment method by NCCN for certain skin cancers due to its high cure rates, with Mohs micrographic surgery being the most common PDEMA technique used in the U.S.
  • - The article discusses the differences between Mohs and Tubingen PDEMA techniques, emphasizing the importance of collaboration between surgeons and pathologists, and includes a step-by-step Tubingen protocol with visual aids.
View Article and Find Full Text PDF

Seromas are characterized as an accumulation of serous fluid beneath the skin, commonly occurring as a postoperative complication. Such formations can occur in dermatologic surgeries where the undermining and dissection of soft tissue create an empty cavity for fluid accumulation. When seromas develop, they usually do so at the wound closure site, within approximately a week after repair.

View Article and Find Full Text PDF

Weakly Supervised Classification of Mohs Surgical Sections Using Artificial Intelligence.

Mod Pathol

November 2024

Department of Pathology, Research Institute for Medical Innovation and Oncode Institute, Radboud University Medical Center, Nijmegen, The Netherlands.

Basal cell carcinoma (BCC) is the most frequently diagnosed form of skin cancer, and its incidence continues to rise, particularly among older individuals. This trend puts a significant strain on health care systems, especially in terms of histopathologic diagnostics required for Mohs micrographic surgery (MMS), which is used to treat BCC in sensitive locations to minimize tissue loss. This study aims to address the challenges in BCC detection within MMS whole-slide images by developing and evaluating a deep learning model that bridges weakly supervised learning with interpretable segmentation-based methods through attention maps.

View Article and Find Full Text PDF

Symplastic glomus tumors are a rare subtype of glomus tumor defined by nuclear atypia without additional markers of malignancy such as large size, deep location, or atypical/prevalent mitotic figures. Glomus tumors, including the symplastic subtype, most commonly present in the subungual area with rarer extradigital presentation. To our knowledge, there have been less than 25 cases of symplastic glomus tumors described in the literature.

View Article and Find Full Text PDF

Frederic Mohs was an American physician and surgeon who revolutionized the treatment of skin cancer through the development of the Mohs micrographic surgery technique. Born in 1910, Mohs devised this innovative procedure while still a medical student, seeking a more effective method for removing skin cancers with minimal damage to surrounding healthy tissue. The technique, which involves the precise removal of cancerous tissue, layer by layer, while examining each under a microscope, allows for the highest possible cure rates and the preservation of as much healthy tissue as possible.

View Article and Find Full Text PDF

Perspectives on oral benzodiazepine use for anxiety in Mohs micrographic surgery: A response to the Australian survey.

Australas J Dermatol

December 2024

Department of Addiction Psychiatry, Taoyuan Psychiatric Center, Ministry of Health and Welfare, Taoyuan City, Taiwan.

Article Synopsis
  • This letter discusses a recent Australian survey on the use of oral benzodiazepines for managing anxiety during Mohs micrographic surgery (MMS).
  • It commends the survey's authors while providing insights on current practices, new evidence, and safety concerns related to benzodiazepines.
  • The letter emphasizes the need for standardized guidelines and further research, along with highlighting the importance of non-drug interventions and the availability of flumazenil.
View Article and Find Full Text PDF

Pancreatic cancer is the third leading cause of death related to cancer. The only possible cure presently is complete surgical resection; however, this is limited by difficulty in clearly defining tumor margins. Enhancement of the visualization of pancreatic ductal adenocarcinoma (PDAC) tumor margins using near-infrared dye-conjugated tumor-specific antibodies was pioneered by using anti-CEA, anti-CA19.

View Article and Find Full Text PDF

: Pancreatic ductal adenocarcinoma (PDAC) has a poor prognosis. Currently, surgical resection is the only potentially curative treatment. Unfortunately, less than 20% of PDAC patients are eligible for surgical resection at diagnosis.

View Article and Find Full Text PDF

The paramedian forehead flap is renowned for its versatility and can cover a wide range of nasal defect sizes. Most of the literature discussing outcomes of paramedian forehead flap reconstructions focuses on morbidity at the recipient site. Frontal bone exposure resulting from the use of the paramedian forehead flap is a rare but possible complication, especially when periosteum overlying the bone is damaged during surgery or during healing by secondary intention due to desiccation.

View Article and Find Full Text PDF
Article Synopsis
  • Ex vivo fusion confocal microscopy (EVFCM) is a rapid method for examining breast tissue that could minimize the need for further surgeries by improving the accuracy of cancer detection compared to traditional methods.
  • In a study with 36 tissue samples, EVFCM demonstrated high accuracy in detecting neoplastic cases and showed significant agreement with routine histopathology results, especially when evaluated by an experienced Mohs surgeon.
  • The findings suggest that using EVFCM could enhance surgical outcomes in breast-conserving surgery by reducing re-excision rates, lowering healthcare costs, and improving both cosmetic and oncological results.
View Article and Find Full Text PDF