Posts by Simon Madorsky, MD
INVASIVE BOWEN’S CARCINOMA OF CHEEK
HISTORY 79 year old woman presented with a 3 month history of right angle of jaw mass hardening over time. A biopsy of a separate lesion of the right central cheek on 2/21/17 showed papillated Bowen’s Disease. The jaw mass was biopsied on 2/24/17 and revealed invasive Bowen’s carcinoma – squamous cell carcinoma. DISCUSSION This…
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LEFT NECK METATYPICAL BASAL CELL CARCINOMA
HISTORY 63 year old man presented with a 5-year history of a lesion on the left anterior neck. The lesion was diagnosed as basal cell carcinoma and excised in 2012 , but it recurred three years ago with progressive deep scar growth. The lesion was re-biopsied in 2017 as a metatypical basal cell carcinoma with…
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MAPPING OF BCC WITH CONFOCAL MICROSCOPY
HISTORY 63 year old woman diagnosed with recurrence of BCC of left upper lip in 2015 after treatment of Efudex and a surgical excision in 2005. Patient had 3 separate BCC locations in left upper lip. Due to the size and multifocality of the lesion, patient was treated with Erivedge for 7…
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CHEEK BASAL CELL CARCINOMA RECURRENCE
Additional soft tissue margin for permanent histology, additional bone margins for permanent histology, partial reconstruction with inferior nasolabial fold/cheek island flap. HISTORY 83 year old man presented in 12/2016 with a 3 month history of a growing painful subcutaneous nodule at the right cheek nasal junction. A biopsy revealed infiltrative basal cell carcinoma. The nodule…
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LEFT FOREHEAD SQUAMOUS CELL CARCINOMA
HISTORY 82 year old man presented in 02/2017 with a 3 year history of a crusty forehead lesion treated with cryoablation and 5-FU. Incisional biopsy in 2016 revealed poorly differentiated sclerosing squamous cell carcinoma, with perineural invasion. Excision a few months later was performed with residual circumferentially involved margins. CT with contrast showed only local…
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CONJUCTIVAL SQUAMOUS CELL CARCINOMA
HISTORY 69 year old man presented in August 2016 for a large papillomatous lesion of the left inferior cornea. Patient has a history of left lower eyelid basal cell carcinoma that was treated in 2014. The area of corneal carcinoma was initially thought to be exposure keratitis. DISCUSSION The patient is a 69-year-old organ transplant…
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Red Light PDT Approval Process
We at Skin Cancer and Reconstructive Surgery Center wanted to upgrade our Photodynamic Therapy (PDT) treatment of AK’s and superficial BCC by switching from the Blu-U light to a red light source. Red light spectrum has been shown to be a deeper penetrating light for photodynamic therapy and, thus, has gained greater worldwide acceptance –…
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Is there a Role for Sentinel Lymph Node Biopsy in Cutaneous Squamous Cell Carcinoma?
Sentinel lymph nodes are defined as the first lymph nodes that receive metastases from a primary tumor. The concept of a first echelon node was first described by Seaman and Powers and later given the name “sentinel node” by Gould in 1960. Cabanas established the basis of modern sentinel lymph node theory by advocating that…
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PDT Across the Atlantic and Medical Economics
Does medical economics bias the community standards for treatment of skin cancers? If the answer is yes, then photodynamic therapy serves as an illustrative example of this bias. Private practice dermatology in the US and National Health Service of UK are practice settings with significantly different economics and also different treatment goals. The one’s is…
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Myocutaneous Island Flap – Upper Lip Reconstruction
Mohs excision of upper lip philtrum squamous cell carcinoma left a subtotal lip defect. Bilateral nasolabial fold myocutaneous island advancement flaps were used to successfully rebuild the functional and aesthetic upper lip. The flaps utilized the outer circumference of orbicularis oris to rebuild the muscular continuity of this large defect. Complete oral competence was restored…
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