Plastic Surgery Key

Fig. 10.1 (a–g) Left cheek lentigo maligna with final defect much larger than anticipated Several studies have reported reconstruction techniques that were used following excision of LM/LMM. In the above…

Fig. 9.1 (a) Histology of normal eyelid skin; (b) Eyelid melanoma, 1.7 mm breslow thickness The eyelid is made up of three functional lamellae, the anterior lamella which includes the…

Fig. 4.1 Dermoscopy image of lentigo maligna melanoma on the cheek displaying an annular-granular pattern composed of gray and brown dots asymmetrically distributed around follicular openings UVR damaged skin of…

Fig. 3.1 Classic examples of lentigo maligna (a) on the cheek in a 60 year old female, (b) on the nasal tip in an 83 year old male, (c) and…

Fig. 14.1 RCM feature of LM: nonedged dermal papillae Fig. 14.2 RCM feature of LM: round large pagetoid cells Fig. 14.3 RCM feature of LM: atypical cells at the dermal-epidermal…

Fig. 6.1 The 2-bladed square technique, (a) The purpose of the initial stage(s) is to define the lesion perimeter. The peripheral wound is sutured, (b) Tissue is processed to examine…

Fig. 17.1 Irregular brown patch on the left cheek in background of solar lentigines; biopsy sites marked in purple Fig. 17.2 Melanoma in situ of the lentigo maligna type: confluent…

Fig. 7.1 Immunohistochemical stains for melanocytes during Mohs surgery. (a) Hematoxylin and eosin-stained frozen section of melanoma in situ (magnification, 20×) with a large nest of melanocytes (blue arrow). The…

Fig. 5.1 Lentigo maligna. Severe solar elastosis with increased density of junctional melanocytes (a), asymmetric nests (a–c), adnexal involvement (a, b, d), and cytologic atypia of melanocytes (c, d) Fig….

Radiation quality Energy (kV) D50a (mm) Grenz rays (ultrasoft, supersoft, Bucky therapy) 10–20 0.2–1.0 Soft x-ray 20–100 1–20 Superficial x-ray (low voltage x-ray therapy) 60–150 7–10 Orthovoltage therapy (deep x-ray…