Browsing by Subject "Mohs micrographic surgery"

Now showing 1 - 4 of 4
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    Cutaneous Metastases in a Patient With Muir–Torre Syndrome
    (Wolters Kluwer, 2019-09) Kunz, Michael; Bari, Omar; Alomari, Ahmed K.; Somani, Ally-Khan; Dermatology, School of Medicine
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    How We Do It Optimizing the Histological Mapping of Thin Delicate Tissue in Mohs Micrographic Surgery—The “Paper Cut Technique”
    (Wolters Kluwer, 2019-09) Kunz, Michael; Poynter, Lauren; Walker, Kimberly; Somani, Ally-Khan; Dermatology, School of Medicine
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    Hydrocolloid dressing versus conventional wound care after dermatologic surgery
    (Elsevier, 2021-12-21) Holmes, Samantha P.; Rivera, Sydney; Hooper, Perry B.; Slaven, James E.; Que, Syril Keena T.; Medicine, School of Medicine
    Background: Hydrocolloid dressings (HCD) are helpful in chronic wound care, but research is limited in acute postoperative wounds. HCD can potentially be incorporated into a simplified wound care regimen after excisional surgeries. Objective: To examine whether a one-time HCD application after dermatologic surgery results in greater patient satisfaction and improved postoperative outcomes compared with conventional daily dressings (CDD). Methods: We examined patients who underwent Mohs or standard surgical excision with linear closure followed by HCD. The patients additionally had a history of excisional surgery with CDD in the past 5 years. A modified version of the validated Bluebelle Wound Healing Questionnaire was administered. Results: The survey response rate was 74.4% (64/86). Compared with CDD, HCD rated higher in comfort, convenience, scar appearance, and simplicity of wound care instructions (P < .0001). Nearly all patients (96.8%) preferred HCD over CDD. Limitations: Variability in time from prior dermatologic surgery may introduce recall bias. Prior surgeries involving CDD were sometimes performed by a different surgeon, which could introduce other confounding factors. Conclusions: A simplified wound care regimen involving HCD can potentially lead to increased comfort, convenience, simplicity, and a subjective improvement in scar appearance, though additional studies are needed.
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    Pedunculated atypical fibroxanthomas of the face
    (UC Davis, 2020-10) Xiao, Honglin; Bittar, Peter G.; Wolverton, Jay E.; Dermatology, School of Medicine
    Atypical fibroxanthomas are rare, superficial dermal tumors. Most cases are benign and only locally destructive with a low rate of metastasis. Lesions are most commonly found on sun-exposed sites of elderly light-skinned patients and present as asymptomatic nodules with irregular borders; ulcerations and friability are other key characteristics. Pedunculated lesions, however, are rarely described in the literature. We present two cases of atypical fibroxanthoma manifesting as exophytic, pedunculated lesions on the face: one in a 74-year-old man and the other in an 82-year-old woman. These tumors are very effectively treated by excision with Mohs micrographic surgery.