Mohs Micrographic Surgery, an advanced treatment procedure for skin cancer, offers the highest potential for recovery--even if the skin cancer has been previously treated. This procedure is a state-of-the-art treatment in which the physician serves as surgeon, pathologist, and reconstructive surgeon. It relies on the accuracy of a microscope to trace and ensure removal of skin cancer down to its roots. This procedure allows dermatologists trained in Mohs Surgery to see beyond the visible disease and to precisely identify and remove the entire tumor, leaving healthy tissue unharmed. This procedure is most often used in treating two of the most common forms of skin cancer: basal cell carcinoma and squamous cell carcinoma. The cure rate for Mohs Micrographic Surgery is the highest of all treatments for skin cancer--up to 99 percent even if other forms of treatment have failed. This procedure, the most exact and precise method of tumor removal, minimizes the chance of regrowth and lessens the potential for scarring or disfigurement

This issue of Dermatologic Clinics, guest edited by Drs. Divya Srivastava and Rajiv Nijhawan of UT Southwestern Medical Center, is devoted to Cutaneous Oncology and Dermatologic Surgery. Articles in this important issue include: Squamous cell carcinoma: updates on staging and management; AFX/UPS: updates on classification and management; EMPD: updates on management; Merkel Cell Carcinoma: updates on staging and management; The management of skin cancer in the elderly; Topical and systemic modalities for chemoprevention; Medications that increase risk for skin cancer development; Dermatologic surgery in the pregnant or lactating patient; Optimizing patient safety in dermatologic surgery; Perioperative antibiotic use in dermatologic surgery; Post-operative pain management in dermatologic surgery; Novel skin substitutes and surgical dressings; Optimizing the patient experience and patient satisfaction in dermatologic surgery; Surgical and Non-invasive Modalities for Scar Revision; and Pearls for dermatologic surgery in pediatric patients.

In this issue of Dermatologic Clinics, guest editor Dr. Stan N. Tolkachjov brings his considerable expertise to Cutaneous Oncology Update. Top experts in the field cover key topics such as T-cell lymphomas; B-cell lymphomas; Mohs micrographic surgery; mesenchymal carcinomas; cutaneous oncology in the immunosuppressed; approaches to tumors of the nail unit and genitalia; and more. - Contains 16 relevant, practice-oriented topics including squamous cell carcinoma (including high-risk); targeted therapy and immunotherapy in non-melanoma skin cancer; melanoma; targeted therapy and immunotherapy in melanoma; genetic expression profiles in cutaneous oncology; and more. - Provides in-depth clinical reviews on cutaneous oncology, offering actionable insights for clinical practice. - Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.

This book provides a practically applicable resource for all clinicians managing patients with or who may develop melanoma. Each chapter focuses on clinically relevant information on the latest advances in the field, including techniques for early detection of skin cancers, cross-sectional imaging and staging of regional nodes. Algorithms for clinical decision-making along with clinical vignettes are incorporated into each chapter, enabling the reader to develop a deep understanding of how to manage a range of scenarios. Practical Manual for Dermatologic and Surgical Melanoma Management systematically details the latest diagnostic criteria, treatment guidelines and management techniques available for treating these patients and is a valuable resource for the trainee and practising clinician.

Mohs Surgery is reviewed in this issue of Dermatologic Clinics, guest edited by Drs. Allison Vidimos, Christine Poblete-Lopez, and Christopher Gasbarre. Expert contributors offer reviews on topics including the history of Mohs surgery, Techniques, Mohs surgery for melanoma in situ, Flaps and grafts reconstruction, Transplant patients, Imaging, Histologic pitfalls, Special stains and Mohs, Special considerations: Eyes, lips, nailbed, and genitalia, Multidisciplinary approach to large tumors, Prosthetic rehabilitation, Setting up a Mohs surgery lab, and Coding for Mohs surgery.

The editor of Skin Cancer Management: A Practical Approach, Dr. Deborah MacFarlane, gathers experts in selected techniques related to the assessment and management of skin cancer and has them critically review the existing literature in light of their considerable experience delivering care. The authors make recommendations for the best way to perform procedures. The tables provided in each chapter then become a manual of how to perform these procedures, and may in time be adopted by the wider universe of dermatologists as the standard of performance. The detailed descriptions of technique and treatment pearls lead the novice through the sequence of events in a way that instills confidence in their ability to safely perform the procedure. An example of the painstaking expla- tions is found in Chapter 5, Intralesional and Perilesional Treatment of Skin Cancers. The reader is advised to place eye protection on the patient and those performing the injection of methotrexate into a keratoacanthoma with a central crust. Rest assured that there will be a spray or stream of methotrexate emitted from the crusted area. Having eye protection will prevent methotrexate from accidentally getting into someone’s eye. Since we all learn to assimilate new information by taking action on the recommendations that we read, it would be a good idea for the physician to create, where relevant, a checklist for each procedure in the text. The checklist can be given to the office staff to set up the equipment for the procedure.

This book is written for dermatologists, otolaryngologists, facial plastic surgeons and any physician who want to provide state of the art treatment for skin cancer patients. Considering the high incidence of non-melanoma skin cancers such as Basal Cell Carcinoma and Squamous Cell Carcinoma (accounting for over one million cases per year in the United States) and since Mohs Micrographic Surgery has become the treatment of choice for these skin cancers, the popularity of this technique has been increasing dramatically, worldwide.