Call Us Today:
949.200.1600

Posts Tagged ‘April 2018’

Skin-Cancer-And-Reconstructive-Surgery-Foundation-Large-BCC-of-Thigh-3

Large BCC of Thigh

HISTORY   92-year-old man presents with 15 year history of basal cell carcinoma on left thigh. The cancer is now a 9.3 cm x 8.6 cm superficial plaque with a few ulcerations.  Patient is being evaluated for treatment with superficial radiation therapy.       DISCUSSION   Large  superficial basal cell carcinomas of the skin…

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

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
Skin-Cancer-Diagnosis-Chasing-Margins-of-Melanoma-in-Situ-of-Back-SCARS-Foundation4

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…

Read More
AFX to Pleomorphic Sarcoma of Neck - Treatment

Diagnosis change: AFX to Pleomorphic Sarcoma of Neck

HISTORY 93-year-old man presents with an incidentally discovered left neck mass during evaluation of a left ear SCC. Initial biopsy on 9-5-17 showed atypical fibroxanthoma. Excision of the left neck lesion with 5 mm margins on 9-26-17 revealed malignant spindle and epithelioid cell neoplasm consistent with pleomorphic dermal sarcoma. Deep and peripheral margins were involved.…

Read More
SCARS-Center-Reconstructive-Cases-Large-Forehead-Defects-Skin-cancer-forehead-2.1

LARGE FOREHEAD DEFECTS

DISCUSSION This series of large forehead defects features a frequent common theme of reconstruction. The goal of reconstruction is protection of eyebrow position and prevention of upper eyelid retraction. If tension was placed on the eyebrow with a large forehead flap, upper eyelid can suffer from a cicatricial lagophthalmos. Incomplete closure of the eyelid of…

Read More
SCARS-Center-topical-5-fluorouracil-efficacy-in-basal-cell-carcinoma-skin-cancer1

Topical 5-fluorouracil and Imiquimod Efficacy in Basal and Squamous Cell Carcinomas

HISTORY 65-year-old woman presented in January 2017 with a nasal dorsum squamous cell carcinoma in situ. The nasal lesion was treated with 6 weeks of topical 5-fluorouracil with a robust inflammatory response. A separate chin basal cell carcinoma was simultaneously treated with 6 weeks of imiquimod prescribed in February, while still undergoing 5-fluorouracil on the…

Read More