Mohs micrographic surgery of Merkel cell carcinoma lowers local recurrence risk and has similar metastasis and survival compared with conventional excision: A single-center retrospective cohort study

Journal of the American Academy of Dermatology · 2025-10-17

Interdisciplinary approaches to diagnosing oral cavity skin cancers: The Dentist’s involvement in detecting dermatological conditions

Oral Oncology · 2025-05-09 · 1 citations

Subsequent Primary Malignancies Confer Worse Hazards of Survival in Patients With Merkel Cell Carcinoma

Dermatologic Surgery · 2025-04-14 · 1 citations

Response to Gill et al, “Response to factors associated with adherence to skin self-examination recommendations for melanoma patients: A prospective cohort study”

Journal of the American Academy of Dermatology · 2025-12-06

Compliance with guidelines and timeliness of sentinel lymph node biopsy for Merkel cell carcinoma treated with Mohs micrographic surgery versus conventional excision at a tertiary academic center

Journal of the American Academy of Dermatology · 2025-10-17

Incorporating Optometrists in Early Detection of Facial Melanoma: A Call to Action for Increasing Community Dermatology Referrals

Dermatologic Surgery · 2025-01-23

Nail unit melanoma treated with Mohs micrographic surgery: Technique, local recurrence rate, and surgical outcomes

Journal of the American Academy of Dermatology · 2025-01-21 · 2 citations

Practical Interventions to Optimize Patient Adherence in Dermatologic Surgery and Mohs Micrographic Surgery: A Review

Dermatologic Surgery · 2025-06-26 · 2 citations

BACKGROUND: Patient nonadherence is a leading cause of treatment failure, suboptimal outcomes, and increased health care utilization. Adherence is also suboptimal in dermatologic surgery and Mohs micrographic surgery (MMS), despite playing a vital role in the surgical outcome. Poor adherence may lead to untreated skin cancers, complications such as flap or graft necrosis, and low patient satisfaction due to inferior cosmesis. OBJECTIVE: To outline targeted, practical interventions, the dermatologic surgeon can implement to improve outcomes in patients at risk for poor adherence. MATERIALS AND METHODS: Searches of MEDLINE and Scopus were conducted using a search strategy to identify articles discussing adherence and dermatologic surgery. Articles were assessed for level of evidence, and recommendations were assigned a grade according to the system outlined by the Oxford Centre for Evidence-Based Medicine. RESULTS: Thirty-six interventions-using evidence-based behavioral principles such as anchoring, salience, and "white coat compliance"-to improve patient adherence in the preoperative, intraoperative, and postoperative settings are described. CONCLUSION: Poor patient adherence is common in dermatologic surgery, and MMS and can lead to surgical complications and suboptimal outcomes. Understanding the scope and reasons for poor adherence may allow the dermatologic surgeon to assess adherence, determine the rationale for nonadherence, and implement practical interventions to optimize adherence.

Mohs micrographic surgery reduces the risk of reconstruction with positive margins, repeat surgeries, and time to definitive reconstruction compared to conventional excision of hand and foot melanomas: A retrospective cohort study

Journal of the American Academy of Dermatology · 2025-03-11 · 3 citations

BACKGROUND: Hand and foot melanomas (HFMs) have increased risk for positive margins after conventional excision (CE). Mohs micrographic surgery (MMS) may improve margin clearance prior to reconstruction. Rates of reconstruction with positive margins have not been compared after CE versus MMS for HFMs. OBJECTIVE: To compare rates of reconstruction with positive margins after CE or MMS of HFMs. METHODS: In situ and invasive melanomas of hands and feet treated with CE or MMS with melanoma antigen recognized by T cells-1 immunostaining between 1994 and 2023 were identified from an academic center. The primary outcome was rate of reconstruction with positive margins after CE versus MMS. Secondary outcomes were repeat excision and time to definitive reconstruction after CE versus MMS. RESULTS: Of 269 HFMs, 180 (66.91%) were treated with MMS versus 89 (33.09%) with CE. Reconstruction with positive margins after initial excision was significantly more likely after CE (20.22%) versus MMS (0%) (P < .001). Compared to MMS, CE had higher rates of repeat excisions (20.22% vs 1.67%) (P < .001) and longer mean time to definitive reconstruction (11.35 vs 1.44 days) (P < .001). LIMITATIONS: Single-site, retrospective design. CONCLUSION: Compared to MMS, CE of HFMs has higher rates of reconstruction with positive margins, repeat surgeries, and a longer time to definitive reconstruction.

National prevalence of melanoma: a cross-sectional analysis using the All of Us database

Baylor University Medical Center Proceedings · 2025-05-15