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A surgical margin of at least two millimetres around a cancerous skin lesion is the minimum requirement to ensure total removal of cancer cells and to avoid the need for further surgeries, according to a study by researchers at Perlmutter Cancer Center at NYU Langone Health.
The results of a study enlisting 138 skin cancer patients was published in the Journal of the American Academy of Dermatology, and found that excising a two millimetre margin beyond the edges of a suspicious mole was best practice for complete removal.
In this short video, experienced skin cancer doctor Colin Armstrong demonstrates how to use steri-strips for wound closures on thin skin, particularly on elderly patients. Continue reading “How to Close Wounds on Paper Thin Skin”
In this skin cancer update video, Associate Professor Giuseppe Argenziano discusses the revolutionary results of a study comparing lymph-node dissection with observation in patients with advanced metastatic melanoma. Of patients who had a positive sentinel-node biopsy, the study compared the outcomes of patients who underwent complete lymph-node dissection with the outcomes of patients who were just observed after a positive sentinel-node biopsy and did not undergo a dissection.
This week we have another great case from Dr Slavko Doslo. An older female presented for a skin check and there was an obvious standout lesion on her face.
We have the clinical and dermoscopy picture below. What do you think about the lesion? What are the next steps you would take to treat this patient? Continue reading “Case discussion: How would you treat this patient? [02 October]”
Skin cancer doctors and dermatologists may be tempted to over-treat patients with minor skin cancers in order to make a financial profit for performing higher-cost procedures, according to a symposium focusing on controversies in dermatology.
A presentation entitled “Inconvenient Truths in Skin Cancer Care” was delivered at the 26th European Academy of Dermatology and Venereology Congress by Dr Tamar Nijsten from Erasmus Medical Center in the Netherlands. The presentation highlighted concerns that dermatologists and skin physicians and might perform unnecessary treatments on minor skin cancers such as basal cell carcinoma, or prescribe high-cost drugs offering no advantage over generic-brand counterparts, because these approaches financially benefit the physicians.
This week we have an interesting case from Dr Colin Armstrong. An elderly lady presented for a skin check and had a suspicious lesion on calf muscle as shown.
We have the clinical and dermoscopy picture below. What do you think about the lesion? What are the next steps you would take to treat this patient?
This month’s research article is a scholarly review from the British Journal of Dermatology. The topic of the article is actinic keratosis (AK), which is such a common condition – and $1 billion is spent in the US each year treating it. Continue reading “Treating Actinic Keratosis In Primary Care”
If you perform skin cancer surgery in your practice, you might be interested to see the 1-minute video below with experienced skin cancer doctor Hamilton Ayres. Dr Ayres uses the principle of hydrodissection to remove a lesion on a patient’s ear. The injected fluid helps to separate the tissue planes and facilitates excision. Continue reading “How to Use the Principle of Hydrodissection in Skin Cancer Surgery”
This week we have a great case from Dr Umesh Sharma. A 52-year-old female presented for a first-time skin check after her husband was diagnosed with level 1 melanoma and a couple of BCCs recently. On examination, a lonely pigmented modular lesion was located hiding in the right lower lateral skin fold on the back. Continue reading “Case discussion: How would you treat this patient? [11 September]”
Experienced skin cancer doctor Hamilton Ayres gives a quick overview of all you need to know about local anaesthetics, possible side effects and considerations to take into account before you perform a surgical procedure. Continue reading “A Quick Guide to Local Anaesthetics for Skin Cancer Procedures”