BACKGROUND Wrong-site surgery in dermatology often occurs due to difficulty finding the initial biopsy site prior to Mohs surgery. Patients frequently present for Mohs surgery weeks to months following the initial biopsy site. Visualization of the biopsy site may become difficult at presentation due to healing. OBJECTIVE To investigate the utility of anesthetic blister induction at a su...

The incidence and cost of nonmelanoma skin cancers are skyrocketing. Five million cases cost $8.1 billion in 2011. The average cost of treatment per patient increased from $1000 in 2006 to $1600 in 2011. We present a study of the economics and costs of skin cancer management in Medicare patients. METHODS We studied data released by the Centers for Medicare and Medicaid Services in 2014. Treat...

OBJECTIVE To determine factors predictive of complications and the need for adjunctive treatments repair of facial Mohs defects. METHODS Charts of patients undergoing repair of facial defects from 2000 to 2010 in an academic facial plastic surgery practice were reviewed for patient medical history, tumor type, defect site and size, method of repair, postoperative sequelae, and adjunctive trea...

INTRODUCTION The Spanish registry of Mohs micrographic surgery started collecting data in July 2013. The aim of the registry is to report on the use of this technique in Spain and the outcomes achieved. In the present article, we describe the characteristics of patients and the tumors treated. MATERIAL AND METHODS This is a prospective cohort study of patients treated with Mohs micrographic s...

Trichilemmal carcinoma is a cutaneous adnexal tumor originating from the outer root sheath of hair follicle, and it was first described by Headington in 1976. Clinically, it usually occurs as an asymptomatic solitary papule, nodule or mass on the face or scalp. This neoplasm is a malignant counterpart of trichilemmoma, and it has been reported in the literature as trichilemmal carcinoma, tricho...

OBJECTIVE To describe our use of cheek-based 2-stage transposition flaps for repairing Mohs surgery defects of the lower third of the nose. DESIGN Retrospective case series. SETTING Private dermatologic day surgery facility. Patients Twenty-eight patients with defects of the lower third of the nose after Mohs surgery. Intervention Ten alar and 18 nasal tip defects repaired using cheek-based...

To the Editor: Mohs micrographic surgery (MMS) is increasingly used to treat melanoma in United States.1Lee M.P. Sobanko J.F. Shin T.M. et al.Evolution of excisional practices for States.JAMA Dermatol. 2019; 155: 1244-1251Crossref Scopus (10) Google Scholar Recent studies have shown lower recurrence rates and improved survival outcomes treated with MMS compared wide local excision.2Cheraghlou S...

BACKGROUND With the continuing increase in the incidence of skin cancer, delivery of cost-efficient skin cancer treatment is a top priority. OBJECTIVE To compare costs associated with removal of skin cancers using Mohs micrographic surgery (MMS) with that using standard surgical excision (SSE) with frozen or permanent margin control in the office or an ambulatory surgery center (ASC). METHO...