Posts Tagged ‘Reflectance Confocal Microscopy’
Melanoma In Situ of Leg – Mapping Excision Margins
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…
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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…
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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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