Call Us Today:
949.200.1600

Melanoma In Situ

Management of Recurrent Large Melanoma In Situ

melanoma-in-situ-serial-excisions-mohs-excision-platysma-myocutaneous-flap-mapping-biopsy-orange-county-skin-cancer

HISTORY 78-year-old man presents with a recurrent melanoma in situ of left cheek in April 2018. Previously, the melanoma in situ was excised in 2001. Patient’s dermatologists performed excision in three stages over a period of 3 weeks to achieve clear margins.  Reconstruction of left cheek was performed with a cheek and neck platysma myocutaneous…

Read More

Chin Reconstruction 3

Skin-Cancer-And-Reconstructive-Surgery-Center-Skin-Cancer-Specialists-Intraoperative-Photos-WM-2

Patient diagnosed with Melanom-In-Situ of left chin. Mohs excision performed at primary dermatologist’s office. Chin reconstruction performed by Dr. Simon Madorsky at SCARS Center. 

Read More

Melanoma In Situ of Leg – Mapping Excision Margins

Recurrent-Melanoma-In-Situ-of-Leg-Imaging-Guided-Excision-SCARS-Foundation.1

The vexing problem of positive margins after excision of melanoma in situ has many solutions. In this article, we summarize them and rank them in the order of efficacy.   Melanoma in situ excision margin guidelines range from the older 5 mm margin to the aggressive 10 mm margin of resection. 7 mm seems to…

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

MULTIPLE ATYPICAL NEVI WITH STRONG FAMILY HISTORY OF CANCER

Scars Center - Skin Cancer Conference

HISTORY 24-year-old woman presents with multiple atypical nevi.  Almost all lesions had mild atypia, few had focally moderate atypia, and one on her right posterior shoulder had severe atypia and was excised with 5mm margins elsewhere. Family history is significant for melanoma in grandmother and pancreatic cancer in her father. Physical exam showed multiple 2-4…

Read More

MELANOMA IN SITU OF BACK

Melanoma-in-situ-of-Back-Skin-Cancer-And-Reconstructive-Surgery-Foundation-Skin-Cancer-Conference-August-2017

  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 and at least Clark’s level I with margins involved. Excision and skin graft closure performed on 8/9/2017. Pathology showed residual malignant melanoma in situ with involved margin at 2-4 o’clock. DISCUSSION Management…

Read More