Dermoscopy is a visualization of cutaneous lesions with certain lights using a handheld device. The light could be polarized at different wavelengths. The visualization is done with magnification. It requires an experienced dermoscopist to distinguish nuances of skin changes. This modality is useful in determining whether atypical pigmented lesions are suspicious enough for biopsy. Dermoscopy can also help map out the periphery of melanocytic lesion prior to excision. This can predict for the patient and the surgeon what kind of margins are needed to clear the pigmented lesion.
HISTORY A 61-year-old male presents for 1.5 cm malignant melanoma of left posterior shoulder invading to at least 1.2 mm (Clark’s Level IV) on a shave biopsy. Left shoulder melanoma was excised, and a left axillary sentinel lymph node was biopsied. Small focus of residual melanoma was found in the primary site, but none in…Read More →
HISTORY 74-year-old woman presents with a third occurrence of poorly differentiated carcinoma of the left cheek. Her history began in March 2015 with a 1 cm left cheek dermal poorly differentiated carcinoma. Histologic differential diagnosis included metatypical basal cell carcinoma, adnexal BCC, or metastatic epidermoid origin carcinoma. CT/PET scan was negative at the time. She…Read More →
Over the last several years technological advancements in the molecular underpinnings of cancer have led to a revolution of cancer management by DNA molecular testing. By utilizing cancer genetics to guide the specific and customized treatment for each patient, the concept of personalized medicine has emerged. Melanoma has been one of the cancers extensively studied…Read More →
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CME ACCREDITED SKIN CANCER CONFERENCE
Earn your CME credits at the SCARS Foundation Monthly Skin Cancer Conference
ELEVATING THE STANDARDS OF SKIN CANCER MANAGEMENT.