Call Us Today:
949.200.1600

Posts Tagged ‘imiquimod’

Treatment Considerations for Melanoma In-Situ

HISTORY A 22-year-old woman presented with left upper lip lesion. Tape testing showed positive for LINC00518 and PRAME. Excisional biopsy was performed showing atypia on the preliminary results. DISCUSSION Management of melanoma in-situ can be especially challenging in cosmetically sensitive areas such as the lip. Traditional management options for melanoma in-situ include surgical excision, topical…

Read More

A Simple Cream for Cancer with Not Always Simple Consequences

HISTORY A 62-year-old woman presents with multiple hypopigmented areas of previous skin cancer treatment with imiquimod. DISCUSSION Some patients find themselves with a large number of skin cancers and pre-cancerous lesions. While surgical excision is recommended for certain types of skin cancer, pre-cancers and superficial skin cancers can often be treated in other ways. These…

Read More
recurrent-bowens-disease-squamous-cell-carcinoma-topical-chemotherapy

Recurrent Bowen’s Disease of Temple

HISTORY 63-year-old man presents with 9-month history of Bowen’s disease of right anterior and posterior sideburn biopsied on 08-20-18. History of previous Mohs excision of Bowen’s disease of the same area in February 2016. Patient has a history of multiple basal cell carcinomas, squamous cell carcinomas, and melanoma. DISCUSSION Management of this lesion is best…

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
Cancer Diagnosis Hand Squamous Cell Carcinoma in Situ

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
Twice-Recurrent-Upper-Eyelid-SCC-Clear-Cell-SCARS-Foundation-pathology-1

Twice Recurrent Upper Eyelid SCC

HISTORY 53-year-old man presents with a recurrent upper eyelid induration and margin retraction for 3 months. Punch biopsy confirmed squamous cell carcinoma (SCC) recurrence. The first SCC excision with frozen sections and reconstruction was done 12-17-13 elsewhere. Subsequently, the eyelid was treated with LN2 in 2014 for surface AK. Carcinoma recurred at the lid margin…

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
Mapping-BCC-with-Confocal-Microscopy-Skin-Cancer-And-Reconstructive-Surgery-Foundation12

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…

Read More