Histologic Pitfalls in the Mohs Technique
The success of the Mohs procedure depends on the reliability of each step in the technique. Pitfalls in histologic preparation of the tissue specimens may occur during debulking, excising, orienting,…
Special Stains in Mohs Surgery
The excellent cure rates associated with Mohs micrographic surgery depend on accurate interpretation of complete and high-quality microscopic frozen sections. Reliable interpretation of microscopic slides is only possible if the…
The Role of Radiation Therapy in the Management of Skin Cancers
The use of radiation therapy in the management of skin cancer is variable and often anecdotal. Applied as both primary and adjuvant therapy in patients with both nonmelanoma skin cancer…
Imaging in Cutaneous Oncology: Radiology for Dermies
An overview of currently available imaging modalities is presented. Indications for imaging in cutaneous nonmelanoma skin cancers, selection of the most appropriate and cost-effective study, limitations, and risks are discussed….
Management of Skin Cancer in Solid-organ Transplant Recipients: A Multidisciplinary Approach
Solid-organ transplant recipients are at increased risk for the development of skin cancers. A promising strategy for managing these complex patients involves a multidisciplinary approach that incorporates clinicians from various…
Management of Unusual Cutaneous Malignancies: Atypical Fibroxanthoma, Malignant Fibrous Histiocytoma, Sebaceous Carcinoma, Extramammary Paget Disease
Atypical fibroxanthoma, malignant fibrous histiocytoma, sebaceous carcinoma, and extramammary Paget disease are rare cutaneous tumors. Their recognition and diagnosis are critical in decreasing long-term morbidity and mortality. Surgical excision is…
Flaps and Grafts Reconstruction
Reconstruction of Mohs surgical defects is a challenging venture. A thorough understanding of skin physiology and anatomy (cosmetic subunits, relaxed skin tension lines, underlying neurovascular structures at risk, potential functional…
Advances in Management of Dermatofibrosarcoma Protuberans
Dermatofibrosarcoma protuberans (DFSP) is a rare soft-tissue tumor that most commonly presents on the trunk and extremities of adults. It is characterized by low metastatic potential and a favorable prognosis,…
Mohs Micrographic Surgery in the Treatment of Microcystic Adnexal Carcinoma
Microcystic adnexal carcinoma is a rare neoplasm with a propensity for slow growth and extensive local invasion. Pathology is characterized by multiple islands of basaloid epithelial cells, ductal structures, and…
Mohs Surgery for Melanoma in Situ
Mohs micrographic surgery is a valuable option for the treatment of melanoma in situ, especially lesions of the lentigo maligna subtype that are clinically ill defined. Complete peripheral margin assessment…
