BACKGROUND Surgical reconstructive planning following Mohs surgery can be a difficult subject for dermatology residents to master. Prior research demonstrates that active learning is preferred and more effective compared to passive learning models and that dermatology residents desire greater complexity and volume in surgical training. We present a novel, active, problem-based learning tool for...

OBJECTIVE To determine long-term tumor recurrence rates after treatment of primary nonmelanoma skin cancer (NMSC). Data are currently insufficient to permit evidence-based choices among treatments for NMSC. DESIGN Prospective study of an inception cohort observed for a median of 6.6 years after treatment. SETTING Dermatology clinic at a Veterans Affairs hospital. Care was provided by dermat...

Mohs chemosurgery, using the fixed-tissue technique, was proposed for the treatment of melanoma by Frederic Mohs in 1950.[1] In numerous publications since, Mohs reported cure rates at least comparable to those obtained with the conventional surgical therapies of the time. Initially, Mohs believed that the in situ tissue fixation with zinc chloride paste inherent in the fixed-tissue technique w...

Skin cancers are the most common malignancies occurring in the Caucasian population. Basal cell carcinoma (BCC) represents 75% and squamous cell carcinoma (SCC) 20% of cutaneous malignancies5,29. The other 5%, including melanomas, are beyond the scope of this article. Over the last decade, a significant rise in incidence of non melanoma skin cancer (NMSC) has been noted16,20,29. However, the mo...

Hidradenocarcinoma (HAC) is an exceedingly rare and aggressive malignant tumor of the adnexal eccrine apocrine sweat gland. Due to its low incidence rate, nonspecific clinical presentation, similar histopathological features benign hidradenoma (HA), HAC often misdiagnosed as counterpart.

OBJECTIVE To compare the cost and margin adequacy of Mohs micrographic surgery (Mohs) and traditional surgical excision (TSE) for the treatment of facial and auricular nonmelanoma skin cancer (NMSC). DESIGN Prospective cost analysis with each patient serving as his or her own control. SETTING Study was performed from 1999 to 2001 at the University of Connecticut dermatology clinic, a tertia...