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Papillomavirus DNA has been reported recently in the vapor (smoke plume) derived from warts treated with carbon dioxide laser; this raises concerns for operator safety. We therefore have studied a group of human and bovine warts to define further the potential risk of wart therapy and to test whether a surgical mask could reduce exposure. Half of each wart… (More)
Several patterns of primary cutaneous amyloidosis are recognized; in this report of four cases, we define a new pattern in which the lesions are composed of small papules grouped on the concha of the ear. The lesions typically are not pruritic but slightly friable. They may be present on both ears. The patients do not have lesions of amyloidosis on other… (More)
PURPOSE To assess two electrosurgical approaches for the modification of orbicularis hypertrophy that may be used in conjunction with, or separate from, lower lid blepharoplasty. The hypothesis to be tested is that purely electrosurgical nonexcisional techniques may be used to modify orbicularis oculi muscle. METHODS Electrosurgical techniques to treat… (More)
Notalgia paresthetica, literally an abnormal sensation of the back, is not a well-known entity in the medical community. However, we have recently studied 14 cases that have demonstrated relatively uniform clinical and histopathologic features. To our knowledge the latter of these have not been described previously. We believe it is important to familiarize… (More)
Primary mucinous carcinoma of the skin is a rare entity. It usually presents as a painless nodule, cyst, or ulcer in the head and neck region (especially the eyelid). These tumors have a low metastatic potential but tend to recur locally. Histologically, groups of light- and dark-staining epithelial cells form cords, nests, and ducts separated by clear… (More)
We present several refinements in technique that simplify the tarsal strip procedure and enhance its results. Among these refinements are: electrosurgical deepithelialization of conjunctiva and lid margin, use of a V-shaped needle, direct needle passage about the lateral orbital tubercle, and the parallel placement of a buried absorbable suture to unite the… (More)
BACKGROUND Dermatologic surgeons commonly employ electrosurgery. OBJECTIVE We describe a novel, yet simple, electrosurgical suspension apparatus and variations that facilitate the performance of excision and repair, Mohs micrographic surgery, cosmetic surgery, and other forms of dermatologic surgery. METHODS The described techniques result from more… (More)
BACKGROUND Surgical excision of skin lesions is a common dermatologic procedure. OBJECTIVE An alternative to the elliptical excision is described. METHODS We present an excisional technique that creates a series of nonepidermal outwardly spiraling flaps. The surgical defect is closed with specially tunneled absorbable suture. RESULTS There has been no… (More)
Syringoid eccrine carcinomas (SECs) are rare adnexal neoplasms that may display aggressive local recurrence and occasional metastases. This report describes three cases of SEC treated by Mohs micrographic surgery.
A patient presented with a verrucous carcinoma within a lesion of penile lichen sclerosus et atrophicus. We report a case of lichen sclerosus and the specific squamous cell carcinoma variant, verrucous carcinoma, treated by Mohs surgery.