Doctor insights on:
Which Dr Is Best At Handling Basal Cell Carcinoma A Dermatologist Or Plastic Surgeon
Cancer is a group of diseases that is characterized by uncontrolled cell growth leading to invasion of surrounding tissues that spread to other parts of the body. Cancer can begin anywhere in the body and is usually related to one or more genetic mutations that allow normal cells to become malignant by interfering with internal cellular control mechanisms, such as programmed cell death or by preventing ...Read more
ACMS members: It is important that you verify that your mohs surgeon is recognized as a fellowship-trained surgeon. Only members of the american college of mohs surgery (acms) are fellowship trained to perform mohs surgery. All members and fellows of the acms are listed on their website directory. The link to the acms website: http://www.Mohscollege.Org/. ...Read moreSee 2 more doctor answers
I need to get a skin lesion removed by a plastic surgeon. What are the risks associated with this procedure? Thanks.
It depends: It will depend on what procedure it is that the Plastic surgeon would need to do. Only way to find an answer to your question is to go see a Plastic surgeon and ask this question after you have had an examination done by him/her and what he recommends as the next step/ procedure to remove your skin lesion. ...Read more
What is the best treatment for stage 2 hidradenitis suppurativa. Skin graph or wide surgical excision? Plastic surgeon or general surgeon?
Hidradenitis supp Tx: Excision with rotational transposition flap closure by boarded Plastic surgeon. ...Read more
Who's responsibility is it to diagnose a biopsied piece of skin, for cancer, the lab, or the dermatologist who will perform the excision?
Depends: In most cases, the biopsied specimen is sent to a pathologist who makes the diagnosis. However in the case of Mohs surgeons, they also act as the pathologist during the procedure. Many Mohs surgeons will also work together with a pathologist during more difficult cases. ...Read moreSee 1 more doctor answer
Would a pa in skin center do shave biopsy for melanoma by appearance after a skin check? Or would the patient be referred to an MD in dermatology
Shave biopsy-Mole?: It requires experience and good judgement before a mole is considered for a biopsy. There has to be sufficient risk of the mole being a Melanoma. Indiscriminate excisons are wasteful of resources. So I do not think this procedure should be done by a PA or any physician other than a experienced Dermatologist. Moreover a shave biopsy for Melanoma is considered a poor choice over an excisional biop ...Read more
Vascular Laser/IPL: Any competent doc can use vascular laser ;/or ipl to safely reduce the visible vessels on the face (or body) with treatments every 3-5 weeks until an acceptable result is reached. Beyond heredity, the cause-sun exposure-rosacea-contact irritant etc should be identified ; reduced. Use of gentle cleansers, exfoliants, moisturizers ; sunblock will help maintain the results between future treatments. ...Read more
What kind of surgery would be done on a hand with multiple squamous cell carcinoma one noted as 'invasive'?
Surgical removal: Surgical removal is usually recommended, but in cases where there are many tumors within a small space, the non-invasive ones can sometimes be treated with nonsurgical methods. These include "freezing" them, or treating them with chemotherapy lotions. See your surgical oncologist or dermatologist for your options. ...Read moreSee 2 more doctor answers
Options: While mohs surgery is an option for removing basal cell carcinoma on an ear it certainly isn't the only option. Excision with frozen section by any of a number of surgical specialists yields a 95% cure rate while mohs, almost always done by a dermatologist boasts a whopping 98% cure rate. This comes from the dermatology literature. ...Read moreSee 2 more doctor answers
Oncologist's: During surgery, can a surgeon actually see the difference between a cancerous vs. a benign tumor/mass in the pancreas?
Surgeon's view: First not a surgeon but work in surgery every single day. It can very difficult to say with certainty if a mass of the pancreas is malignant. It can be difficult even with the help of a microscope. If there is a pancreatic mass with several enlarged lymph nodes nearbye the surgeon will usually think they are dealing with a cancer but they usually wait for the pathology report before telling pt. ...Read more
Dermatologist said I have basal cell carcinoma on my face due to living in Florida. Can this same MD do a second opinion with a different pathologist?
Why should I see a plastic surgeon or mohs surgeon instead of derm doctor for skin cancer removal and repair?
Location: Skin cancers in difficult places(eyes, nose, ears) should always be removed by mohs surgery. It is the only procedure that will assure you have had your skin cancer removed completely. Mohs surgeons are excellent at repairing defects and if they are not confident in their skill they will let a plastic surgeon repair the defect. ...Read moreSee 8 more doctor answers
Oncology: Would it be prudent for a surgeon to remove a benign tumor (if it was) of the pancreas when there is a family history of pc?
Ask the surgeon: I guess the question is 'is there an association between benign tumor and later malignant pancreatic cancer'. But how do you know its benign? In any case, putting the question directly to your surgical consult, and checking the answer with your own practitioner is a good idea. ...Read more
What is the best doctor or hospital to go to for a rare aggressive cancer- small cell breast cancer with bone metasis? No cases are found in the u.S.
Many considerations.: Certainly, there are well known centers in the U.S. With great reputations for experienced cancer care. But excellent care can be obtained at many centers across the country, so it is important to weigh other factors as well. Don't forget that proximity to friends and family is important, as is the potential to need consistent followup care. Seek multiple options and find physicians you trust. ...Read moreSee 1 more doctor answer
My son will need a neurofibroma removed. What type of surgeon should perform the procedure? Is the surgery as simple as removing a cyst or lesion?
Pediatric surgeon: Depending on where it is located a general pediatric surgeon is excellent. If on the face a plastic surgeon may be considered. Yes it should be as simple as removing a cyst or lesion...When you consult with the surgeon be sure to ask him/her these questions. The person doing the procedure will give you the best information. ...Read moreSee 1 more doctor answer
Is it true that a plastic surgeon knows how to remove a mole while reducing the chances of scarring better than a dermatologist? How so?
Mohs micrographic surgery is the gold standard for treating skin cancers. What qualifies a doctor to
Fellowship training : While all dermatologists receive training in their residency in mohs surgery, physicians who are certified by the american colleage of mohs surgery received an additional 1-2 years of post residenct training in which they specialized in this technique. During their fellowship, mohs surgeons perform on average 1000 skin cancer surgery and similar number of complex reconstruction. ...Read moreSee 4 more doctor answers
Improval: Scars can often be improved or made less visible with scar revision surgery but cannot be removed. Scar treatments can include laser or sanding (dermabrasion) or perhaps surgical revision. Surgery is usually done to reduce the overall amount of scar or to reshape or reposition a scar. There is no way to completely remove a scar however. ...Read moreSee 3 more doctor answers
Basal cell carcinoma or bcc is the most common type of skin cancer. There are millions of them each year in the us. They are caused by sun exposure and ultraviolet light (tanning beds) and are very common on the face. It is very rare for them to metastasize or spread to other parts of the body. They can be easily cured with ...Read more
Cancer arising from epithelial layer of the skin developing from basal cells, it is non melanotic. It is a concern with regard to local invasion and growth. Very rarely does it ever metastasize. Treatment centers around surgical excision. It develops usually in areas of sun exposure therefore common in ...Read more