Histologic pitfalls in the Mohs technique.

Abstract:

:The success of the Mohs procedure depends on the reliability of each step in the technique. Pitfalls in histologic preparation of the tissue specimens may occur during debulking, excising, orienting, creating the map, sectioning, inking, tissue flattening and freezing, cutting, slide fixation, staining, and mapping the tumor. Challenges are also present in interpreting the slides. Diagnostic pitfalls include floaters, inflammatory conditions resembling tumor, and perineural invasion. The technique requires time, teaching, and a sufficient quantity of cases from which to learn, as well as attention to the pitfalls that occur while processing tissue specimens and interpreting and mapping the histology.

journal_name

Dermatol Clin

journal_title

Dermatologic clinics

authors

Bouzari N,Olbricht S

doi

10.1016/j.det.2011.01.002

subject

Has Abstract

pub_date

2011-04-01 00:00:00

pages

261-72, ix

issue

2

eissn

0733-8635

issn

1558-0520

pii

S0733-8635(11)00003-9

journal_volume

29

pub_type

杂志文章,评审
  • Aminolevulinic acid-photodynamic therapy for photorejuvenation.

    abstract::Light therapy is widely used in dermatology. An enhancement to his therapy is the use of a photosensitizing medication along with light therapy, known as photodynamic therapy (PDT). PDT is primarily used for the treatment of precancerous lesions, acne vulgaris, and nonmelonoma skin cancer, and has also been shown to i...

    journal_title:Dermatologic clinics

    pub_type: 杂志文章

    doi:10.1016/j.det.2006.09.010

    authors: Nootheti PK,Goldman MP

    更新日期:2007-01-01 00:00:00

  • Common Allergens and Considerations When Performing Pediatric Patch Testing.

    abstract::Pediatric allergic contact dermatitis (Ped-ACD) is an increasingly recognized highly prevalent skin disease that has a significant impact on the quality of life of patients and their families. Accurate and appropriate patch testing is vital to diagnosing Ped-ACD. This requires knowledge of the most common allergens in...

    journal_title:Dermatologic clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.det.2020.02.003

    authors: Sindle A,Jacob SE,Martin K

    更新日期:2020-07-01 00:00:00

  • Prenatal diagnosis and screening.

    abstract::We have limited the scope of this article to those disorders that have already been successfully diagnosed or excluded in utero. We currently have the potential to diagnose a number of others for which the opportunity has not yet arisen. If a biochemical, morphologic, chromosomal, or DNA alteration is known for a spec...

    journal_title:Dermatologic clinics

    pub_type: 杂志文章,评审

    doi:

    authors: Sybert VP,Holbrook KA

    更新日期:1987-01-01 00:00:00

  • An approach to initial examination of the nail.

    abstract::A systematic method of examining nail disorders is important. A patient questionnaire (sample provided) and a basic method of categorizing various problems are helpful tools. Thorough investigation usually yields a diagnosis. ...

    journal_title:Dermatologic clinics

    pub_type: 杂志文章

    doi:

    authors: Daniel CR 3rd

    更新日期:1985-07-01 00:00:00

  • Vascular studies of the legs for venous or arterial disease.

    abstract::The basis of in-office evaluation of leg vascular disease involves Doppler ultrasound to estimate flow in arteries and veins. Arterial evaluation localizes sites of obstruction by segmental pressures obtained by Doppler signal assessment using pressure cuffs. Ankle compared with brachial arterial pressure is the most ...

    journal_title:Dermatologic clinics

    pub_type: 杂志文章,评审

    doi:

    authors: Weiss RA

    更新日期:1994-01-01 00:00:00

  • Pemphigus vulgaris and vegetans.

    abstract::Pemphigus vulgaris, which has multiple clinical variants, is an autoimmune blistering disorder of skin and mucous membranes, usually affecting the elderly, with a strong immunogenetic link. Immunologic studies of this disease have been productive in defining the pathophysiology of blister formation and the characteris...

    journal_title:Dermatologic clinics

    pub_type: 杂志文章,评审

    doi:

    authors: Becker BA,Gaspari AA

    更新日期:1993-07-01 00:00:00

  • Nonsteroidal treatment of autoimmune skin diseases.

    abstract::This brief survey has, it is hoped, helped to ease some of the anxiety associated with the management of complex autoimmune skin disorders. The main points to remember are that there are numerous therapeutic options for each disease. I like to think of this method of therapeutics as 'informed trial and error.' One doe...

    journal_title:Dermatologic clinics

    pub_type: 杂志文章,评审

    doi:10.1016/s0733-8635(05)70479-4

    authors: Fivenson DP

    更新日期:1997-10-01 00:00:00

  • Osteoporosis in health and disease: a dermatologist's perspective.

    abstract::Osteoporosis affects more than 75 million people in the United States, Asia, and Europe. Osteoporosis results from a combination of genetic and environmental factors that contribute to peak bone mass and the rate of bone loss. These factors include medications, diet, race, sex, lifestyle, and physical activity. The ma...

    journal_title:Dermatologic clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.det.2006.01.013

    authors: Lamb A,Werth V

    更新日期:2006-04-01 00:00:00

  • Liposuction of the arms.

    abstract::Liposuction of arms when properly performed with realistic expectations is almost always a "patient pleaser." Patients routinely marvel at the degree of skin contraction that typically occurs. Before and after photos, even as early as 1 week, routinely show dramatic skin contraction when significant volumes of fat are...

    journal_title:Dermatologic clinics

    pub_type: 杂志文章

    doi:10.1016/s0733-8635(05)70127-3

    authors: Lillis PJ

    更新日期:1999-10-01 00:00:00

  • Cosmetic surgery of black skin.

    abstract::Black patients who desire cosmetic surgery have not had many treatment options or services available to them. At this time, the requests for specific cosmetic surgical procedures by black patients have far exceeded the number of cosmetic surgeons able to meet their needs. A surgeon who calls himself or herself a cosme...

    journal_title:Dermatologic clinics

    pub_type: 杂志文章,评审

    doi:

    authors: Pierce HE Jr

    更新日期:1988-07-01 00:00:00

  • New antifungal agents.

    abstract::This article, rather than presenting an overview of all available antifungal agents, has provided an update on new information about older agents, as well as evolving information about new agents, including those currently undergoing clinical trials. Among the azoles, ketoconazole will continue to be used as a major a...

    journal_title:Dermatologic clinics

    pub_type: 杂志文章

    doi:

    authors: Lesher JL Jr

    更新日期:1992-10-01 00:00:00

  • Growth factors and wound healing.

    abstract::If one looks at the development of most drugs, it becomes evident that an extended period of time is necessary before the proper use and full range of activities of the drug in treating human disease become apparent. In many cases, initial treatment failures are due to faulty expectations as well as inadequate dosing ...

    journal_title:Dermatologic clinics

    pub_type: 杂志文章,评审

    doi:

    authors: Falanga V

    更新日期:1993-10-01 00:00:00

  • Practice and Educational Gaps in Blistering Disease.

    abstract::Treatment of autoimmune patients can be challenging and rewarding. These patients often remain undiagnosed for prolonged periods of time or underdiagnosed without immunologic confirmation, resulting in significant morbidity. The most important principle in management of autoimmune bullous disease is to halt blistering...

    journal_title:Dermatologic clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.det.2016.02.001

    authors: Ehsani-Chimeh N,Marinkovich MP

    更新日期:2016-07-01 00:00:00

  • Management of Chronic Hepatic Itch.

    abstract::Hepatic itch remains among the most agonizing symptoms for affected patients and a major clinical challenge for physicians. Pruritus may occur in almost all liver diseases, particularly those with cholestatic features. Hepatic itch arises irrespective of the severity of the underlying liver disease or extent of choles...

    journal_title:Dermatologic clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.det.2018.02.008

    authors: Düll MM,Kremer AE

    更新日期:2018-07-01 00:00:00

  • Dermatopathology education: an update.

    abstract::Dermatopathology (DP) education is critical to the comprehensive training of dermatology and pathology residents and to the accurate diagnosis and management of cutaneous disease. DP has seen tremendous growth, and its success depends on our ability to effectively educate future leaders, teachers, and researchers who ...

    journal_title:Dermatologic clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.det.2012.06.003

    authors: Hinshaw MA

    更新日期:2012-10-01 00:00:00

  • Morphologic spectrum of cutaneous B-cell lymphomas.

    abstract::Cutaneous B-cell lymphomas represent a heterogeneous group of entities which show variation in histology, immunophenotype, and in prognosis. In the current review the morphologic spectrum of cutaneous B-cell lymphomas comprising primary and secondary cutaneous B-cell lymphomas is discussed according to the REAL classi...

    journal_title:Dermatologic clinics

    pub_type: 杂志文章,评审

    doi:10.1016/s0733-8635(05)70109-1

    authors: Sander CA,Flaig MJ

    更新日期:1999-07-01 00:00:00

  • Batch variations.

    abstract::One of the basic principles in the investigation of suspected contact dermatitis is always to test with the patient's "own" product or chemical, the one to which he or she was actually exposed. An equally basic second principle is not to rely solely on a positive test reaction. The author discusses a case of contact d...

    journal_title:Dermatologic clinics

    pub_type: 杂志文章

    doi:

    authors: Calnan CD

    更新日期:1990-01-01 00:00:00

  • Depigmentation Therapies for Vitiligo.

    abstract::The general goals of medical management of vitiligo are to repigment vitiliginous areas of skin and to stabilize the progression of depigmentation. However, for some patients with vitiligo affecting extensive body surface areas who are unresponsive to repigmentation therapies, depigmentation of the remaining normal sk...

    journal_title:Dermatologic clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.det.2016.11.010

    authors: Grimes PE,Nashawati R

    更新日期:2017-04-01 00:00:00

  • Thyroid disease and the skin.

    abstract::Cutaneous manifestations of thyroid disease are protean in nature and can be divided into specific lesions such as the thyroglossal duct cyst and cutaneous metastases from thyroid malignancy, nonspecific signs secondary to thyroid hormone imbalance, and associated dermatologic and systemic disorders. This review repre...

    journal_title:Dermatologic clinics

    pub_type: 杂志文章,评审

    doi:10.1016/s0733-8635(02)00009-8

    authors: Leonhardt JM,Heymann WR

    更新日期:2002-07-01 00:00:00

  • Dermatologic side effects of psychopharmacologic agents.

    abstract::Exanthematous eruptions, urticaria, photosensitivity, pigmentary problems, acne, alopecia, fixed drug eruptions, and lichenoid reactions are the most common dermatologic side effects associated with the administration of psychopharmacologic agents. The cutaneous findings associated with the various eruptions and the m...

    journal_title:Dermatologic clinics

    pub_type: 杂志文章,评审

    doi:10.1016/s0733-8635(05)70378-8

    authors: Garnis-Jones S

    更新日期:1996-07-01 00:00:00

  • Oral manifestations of genodermatoses.

    abstract::Many genodermatoses have distinct oral features that may help identify or confirm a genetic diagnosis. Oral features of the disorders described here are summarized in Table 1. These conditions provide clear examples of rapid progress in the field of genetic technology relevant to patient care. Less than a decade ago, ...

    journal_title:Dermatologic clinics

    pub_type: 杂志文章

    doi:10.1016/s0733-8635(02)00082-7

    authors: Hand JL,Rogers RS 3rd

    更新日期:2003-01-01 00:00:00

  • The clinical features of malignant melanoma.

    abstract::The clinical diagnosis of malignant melanoma requires the following: an acceptance of the concept of "in situ" malignancy, both clinically and histologically; a high index of suspicion concerning any pigmented lesion; recalling the mnemonic "remember your A,B,C,D's"; and a knowledge of the clinical simulators of malig...

    journal_title:Dermatologic clinics

    pub_type: 杂志文章

    doi:

    authors: Friedman RJ,Rigel DS

    更新日期:1985-04-01 00:00:00

  • Psychosocial aspects of aging skin.

    abstract::Many older individuals use products and procedures to conceal or delay the signs of aging. For most, this provides a helpful ego boost, but some suffer from pathologies such as eating disorders and body dysmorphic disorder. The impact of aging skin may include social anxiety and social isolation. Poor self-image is as...

    journal_title:Dermatologic clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.det.2005.05.012

    authors: Gupta MA,Gilchrest BA

    更新日期:2005-10-01 00:00:00

  • Patient Burden of Atopic Dermatitis.

    abstract::Atopic dermatitis is associated with significant patient burden, with impacts from symptoms and visible physical manifestations of the disease. Consequences include detrimental effects on quality of life (QoL), sleep, self-esteem, interpersonal relationships, participation in leisure and sports, and attendance or perf...

    journal_title:Dermatologic clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.det.2017.02.004

    authors: Sibbald C,Drucker AM

    更新日期:2017-07-01 00:00:00

  • Traumatic panniculitis.

    abstract::Traumatic panniculitis refers to changes in the subcutaneous fat related to physical or chemical agents. The clinical picture of traumatic panniculitis is nonspecific. Cutaneous lesions are indurated, warm, red, subcutaneous plaques or nodules not necessary related to the intensity of the injury. The histologic pictur...

    journal_title:Dermatologic clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.det.2008.06.004

    authors: Moreno A,Marcoval J,Peyri J

    更新日期:2008-10-01 00:00:00

  • Distinguishing Myth from Fact: Photocarcinogenesis and Phototherapy.

    abstract::Ultraviolet (UV) radiation contributes to the development of skin cancer through direct and indirect DNA damage, production of reactive oxygen species, and local immunomodulation. The association between UV radiation and skin cancer has raised concern for the risk of carcinogenesis following phototherapy. The photocar...

    journal_title:Dermatologic clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.det.2019.08.003

    authors: Thompson KG,Kim N

    更新日期:2020-01-01 00:00:00

  • The Medical Treatment of Vitiligo: An Historical Review.

    abstract::Discolorations of the skin, such as vitiligo, were recognized thousands of years ago. White spots caused by vitiligo and other disorders have caused significant social opprobrium to those disfigured by these pigmentary disorders, throughout history and still in the present day. Treatments have been desperately sought ...

    journal_title:Dermatologic clinics

    pub_type: 历史文章,杂志文章,评审

    doi:10.1016/j.det.2016.11.001

    authors: Nordlund JJ

    更新日期:2017-04-01 00:00:00

  • Extramammary Paget Disease.

    abstract::Extramammary Paget disease is an intraepidermal adenocarcinoma, most often limited to the epidermis, with typical cases affecting genital skin. When limited to the epidermis, primary extramammary Paget disease is not life-threatening, but invasive disease may portend a poor prognosis. Surgical excision remains the mai...

    journal_title:Dermatologic clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.det.2019.02.002

    authors: Merritt BG,Degesys CA,Brodland DG

    更新日期:2019-07-01 00:00:00

  • Special considerations for children with hyperhidrosis.

    abstract::Hyperhidrosis, characterized by excess sweat production, affects children and adults. Primary focal hyperhidrosis affects any anatomic region with sweat appendages present. Primary hyperhidrosis has traditionally been considered a problem for adults, but approximately 1.6% of adolescents and 0.6% of prepubertal childr...

    journal_title:Dermatologic clinics

    pub_type: 杂志文章,评审

    doi:10.1016/j.det.2014.06.005

    authors: Bohaty BR,Hebert AA

    更新日期:2014-10-01 00:00:00

  • Sunburn.

    abstract::UV erythema or sunburn is a common sequela of modern man's pursuit of leisure activities. The dermatologist is frequently confronted with this painful cutaneous inflammatory response. The pathogenesis of sunburn is examined in terms of individual genetic sensitivity, environmental exposure, spectral variability, and t...

    journal_title:Dermatologic clinics

    pub_type: 杂志文章

    doi:

    authors: Cavallo J,DeLeo VA

    更新日期:1986-04-01 00:00:00