Call Us Today:
949.200.1600

Patient Case Studies

Ankle Ganglion Cyst

Skin-Cancer-And-Reconstructive-Surgery-Foundation-ankle-ganglion-cyst-1

HISTORY   51-year-old man presents with a 7-year history of an right ankle subdermal soft mass that has been recently growing. Fine needle aspiration found benign fibrous tissue in myxoid-like material consistent with a ganglion cyst.   DISCUSSION   This case serves as a reminder that not all subcutaneous tissue is dermatologic in origin. Ganglion…

Read More

Forehead SCC with Perineural Invasion

Skin-Cancer-And-Reconstructive-Surgery-Foundation-Forehead-SCC-with-perineural-invasion-Beam’s-eye-view

HISTORY   83-year-old man presented in 02/2017 with a 3-year history of a forehead and temple SCC. The cancer was initially treated with cryoablation and 5-FU. Excision on 9/2/16 was performed with residual circumferential margins. Histology found poorly differentiated sclerosing squamous cell carcinoma, with perineural invasion of 0.1 mm nerves.  Wide local resection with radial…

Read More

Scalp SCC Metastasis to Neck

Skin-Cancer-And-Reconstructive-Surgery-Foundation-Scalp-SCC-Metastasis-to-neck-CT-PET-scan

HISTORY   64-year-old man presents in 11/2017 with tender, right postauricular swelling. Fine needle aspiration biopsy showed squamous cell carcinoma. Extensive squamous cell carcinoma of scalp was treated with 4 levels of Mohs earlier that year in 01/2017. Additional smaller squamous cell carcinoma of the same area of the scalp was treated with Mohs in…

Read More

Mapping of Recurrent Melanoma In Situ of Leg

Skin-Cancer-And-Reconstructive-Surgery-Center-Foundation-Mapping-of-Recurrent-Melanoma-In-Situ-of-Leg

HISTORY   50-year-old woman presents with recurrent melanoma in situ of left leg. First biopsied on 9-2-16, the lesion was excised on 10-14-16 and showed extensive residual melanoma in-situ with radial margins involved from 12- 3 o’clock.  The defect was reconstructed at the time with a full thickness skin graft. Second excision cleared the involved…

Read More

Left Ear Multiple Recurrent Basal Cell Carcinoma

Skin-Cancer-And-Reconstructive-Surgery-Center-Foundation-Left-Ear-Multiply-Recurrent-Basal-Cell-Carcinoma

HISTORY   64-year-old woman presents with recurrence of left ear basal cell carcinoma.  She has a history of sun lamp tanning  and scuba diving with multiple sun burns. Basal cell carcinoma was first removed from left scapha and treated with a skin graft in July 2009. The area subsequently developed crusting and was treated with…

Read More

Hand SCC In Situ

HISTORY 68-year-old woman presents with a many month history of squamous cell in situ of left hand. This large 2.5 cm lesion on the hand poses a unique challenge to ensuring hand function post-operatively. Treatment options include C&D (curettage and desiccation), curettage only with post-treatment imiquimod, Mohs excision with a skin graft closure, or superficial…

Read More

Right Ear Melanoma In Situ with Depth Uncertainty – The role of Histopathologic Discordance in Clinical Decision Making

HISTORY 40-year-old man presents with a 2 month history of right posterior ear pigmented papule. Shave biopsy on 9-18-17 showed malignant melanoma at least in situ. Excision with 5 mm margins on 10-9-17 confirmed residual melanoma at least in situ with clear margins. DISCUSSION Lack of superficial invasion cannot be definitely ruled out after a…

Read More

BCC Presenting as a Back Keloid

Skin-Cancer-Diagnosis-Back-Keloid-with-BCC-SCARS-Foundation

HISTORY 80-year-old man presents with 2-year history of back nodule believed to be a keloid from a spider bite. The patient has a history of multiple basal cell carcinomas.   DISCUSSION Biopsy showed this lesion to be a basal cell carcinoma. Moral of the story is that not all keloids or spider bites are what…

Read More

Chasing Margins of Melanoma In Situ of Back

HISTORY 69-year-old man presents with melanoma in situ of the upper back. A biopsy on 6/15/2017 showed malignant melanoma at least in-situ. Excision with 5 mm margin and skin graft closure on 8/9/2017 found residual melanoma in situ with at 2-4 o’clock. Additional 4mm margin excision on 9-13-17 still found residual lesion at 1-3 o’clock…

Read More

Rhinophyma

Skin-Cancer-Conference-Rhynophyma-nose-SCARS-Foundation2

HISTORY 65-year-old man with a history of BCC presented with a 4-year history of growing inflamed rhinophyma. First rhinophyma excision was done on 04-01-2013. Recurrence of rhinophyma resulted in the second excision and nasal planing procedure on 06-16-17. Pathology showed no evidence of malignancy.   DISCUSSION Our approach to rhinophyma is based on sculpting of…

Read More