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Mohs Micrographic Surgery For Skin Cancer
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Some patients, as a result of genetic predisposition, medical conditions, or medications affecting the immune system, are at higher risk for skin cancer. Skin cancers in these patients are often multiple and aggressive. At risk individuals include:
The High Risk Skin Cancer Clinic was established to provide early detection and prompt treatment of skin cancer in high-risk individuals. We educate patients on sun protection, teach self-examination, and schedule regular follow-up visits for full body skin examinations. We specialize in medical and surgical therapies for skin cancer treatment, including Mohs micrographic surgery. We believe in a team approach and work closely with transplant physicians and oncologists (medical, surgical, and radiation) to provide comprehensive care to our patients.
Mohs Surgery And Reconstruction For Nail Unit Melanoma Treatment
Photo Credit: Rytis Bernotas
The following is a summary of "Nail Unit Melanoma Treated with Mohs Micrographic Surgery: Technique, Local Recurrence Rate, and Surgical Outcomes," published in the January 2025 issue of Dermatology by Morales et al.
Digit-sparing Mohs micrographic surgery (MMS) is increasingly used for nail unit melanoma (NUM), though few case series have been published.
Researchers conducted a retrospective study to examine the surgical technique, local recurrence rates, and reconstruction methods for NUM treated with MMS surgery using Melanoma antigen recognized by T cells-1 (MART-1) immunostaining.
They analyzed biopsy-confirmed NUM cases treated with MMS using MART-1 immunostaining, identified from a prospectively maintained database (2008-2023). The primary outcome assessed was the rate of local recurrence and secondary outcomes included the frequency of subclinical spread and the proportions of cases undergoing ablative vs reconstructive amputation.
The results showed 69 cases of NUM, including 51 melanomas in situ (73.9%) and 18 invasive melanomas (26.1%) with a mean Breslow thickness of 1.07 mm (range 0.2–5.4 mm). Local recurrence occurred in 1 case (1/69, 1.4%) during a mean follow-up of 38.2 months. Subclinical spread requiring more than 1 Mohs stage was observed in 38 cases (38/69, 55.1%). Amputation to achieve clear margins was needed in 5 cases (5/69, 7.2%), while reconstruction with amputation at various levels was performed in 33 cases (33/69, 47.8%) due to extensive exposed bone.
Investigators concluded that MMS was effectively treated with low local recurrence rates, and while amputation was rarely required for clear margins, reconstruction might be necessary for extensive bone exposure.
Source: jaad.Org/article/S0190-9622(25)00102-1/abstract
Rock Legend's Son Gets Major Cancer Update For Second Time Since Christmas
Julian Lennon took to social media on New Year's Eve with his second major cancer update in a week's time.
And, once again, it was great news.
"Thankfully, I got the 'All Clear' today, after MOHs surgery on another Skin Cancer area …" he posted on X. "Please take care to get yourself checked out, so you too can have a worry free 2025. At least in regards to this area of health in your life."
He once again thanked his doctors.
"Beyond thankful for everything!" he added with a praying emoji. "Here's to a Happy & Healthy 2025."
It has been a rollercoaster couple of weeks for the son of late Beatles legend John Lennon.
After getting good news on Christmas, he returned to X just days later to ask fans to once again pray for him.
"Well, I don't wanna harp on about this, but just when you think everything's okay, I get another call from my dermatologist, letting me know that I have one more melanoma area to take care of," the 61-year-old wrote on X along with praying emojis. "But again, better out than in, especially in this case.
"I'm thankful that I have a very focused, pro-active and alert team around me, who will be looking for a positive outcome," he continued. "As will I & I believe, yet again, that all will be well, at the end of the day."
"Christmas & New Years certainly ain't what they used to be!" he added. "Love to All & look after yourselves.'
Lennon announced earlier this month that he had to leave his press tour and go right into surgery to deal with two locations on his shoulder and forearm, "one of which was Melanoma."
Lennon said that operation was a success, but asked fans to pray as he awaited biopsy results.
He got those on Christmas day.
"The Best Christmas Gift of All … 'Clear Margins'," he wrote on X along with four heart emojis. "Thanks again to the Dream Team (Dr. Tess Mauricio & Dr. Neavin). Thankful Beyond Words."
And, once again, he has reason to be grateful.
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