Large full-thickness nasal tip defects after Mohs surgery present a challenge to the reconstructive surgeon. The interpolated paramedian forehead flap is the standard modality to repair such defects, especially when exposed cartilage is present. Despite providing an excellent cosmetic outcome, some patients are reluctant to undergo this procedure due to the associated temporary deformity, the p...

The majority of penile carcinoma is squamous cell carcinoma. Although uncommon in the United States, it represents a larger proportion of cancers in the underdeveloped world. Invasive squamous cell carcinoma may arise from precursor lesions or de novo , and has been associated with lack of circumcision and HPV infection. Early diagnosis is imperative as lymphatic spread is associated with a poo...

Mohs micrographic surgery is a surgical technique that seeks to ensure the clearance of cutaneous tumors while maximizing normal tissue conservation. This is accomplished through the sequential removal of thin layers of tissue in which the entire peripheral and deep margins are examined for residual tumor. This approach appears to be superior to conventional surgical excision in the treatment o...

The incidence of skin cancer (e.g., squamous cell carcinoma, basal cell carcinoma, and melanoma) has been increasing over the past several years. It is expected that there will be a parallel demand for cutaneous tumor samples for biomedical research studies. Tissue availability, however, is limited due the cost of establishing a biorepository and the lack of protocols available for obtaining cl...

BACKGROUND Atypical fibroxanthoma is a rare mesenchymal tumor of the head and neck region. METHODS We analyzed the files of 3 large dermatology hospitals from the years 2001 to 2013 in southeast Germany. RESULTS We identified 53 patients (56 tumors) with a male predominance. The mean age was 78.0 years ± 8.3 years. Mohs surgery was performed in all cases resulting in complete remission in 4...

Squamous cell carcinoma is the most common malignancy of the lower lip. Environmental factors such as ultraviolet light exposure, arsenic and smoking are contributing factors to the increasing incidence. Mohs surgery is the treatment of choice ensuring the lowest recurrence rates. The closure of the surgical defects, however, can be a challenge. Multiple and versatile methods of reconstructing ...

A 57-year-old woman with Fitzpatrick skin type V presented with a 5-month history of tender enlarging lesions on the anterior neck. She reported excision of a lesion at this site 14 years before. Examination revealed an 85-mm scar on the anterior neck. Firm tender subcutaneous papules and nodules were noted at two sites adjacent to the scar measuring 29 by 17 mm and 30 by 13 mm (Figure 1). Skin...

BACKGROUND Because outpatient surgery is being increasingly scrutinized in the lay press, it is important that dermatologists and dermatologic surgeons accurately characterize the safety of office-based surgery. Although there is abundant anecdotal evidence to support the inherent safety of dermatologic surgery, there are few data that support the safety of Mohs micrographic surgery (MMS) as pe...

Second intention may be the best option available to the surgeon for the healing of particular surgical defects after Mohs micrographic surgery. It often provides satisfactory cosmetic and functional outcomes. However, healing takes longer than that for other repair options, and patients may need to endure a prolonged and cumbersome course of postoperative wound care. Some healing defects may d...