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Chronic Open Wound Management with Wound Vac

Chronic open wounds present a lifestyle challenge for patients. In particular, lower leg wounds can take months to fully heal and may require wound care to prevent infection and maintain a healthy, healing wound.  A wound vac or “vacuum-assisted closure of wound” can expedite healing. A wound vac decreases the air pressure on the wound…

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Topical Treatment for Actinic Keratoses and Skin Cancer

Diffuse actinic sun damage can present a challenge for both patients and providers. First line treatment options include topical 5-fluorouracil (5-FU) cream or photodynamic therapy (PDT). Topical 5-FU cream is applied to the affected area for 2-3 weeks creating inflammation, redness, and crusting as the body eliminates the actinic damage. Alternatively, topical levulan is applied…

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Evaluating Lesions with Blue Light

Have you ever wondered how your medical provider can look at a lesion and know whether or not it’s something to be concerned about? There are multiple aspects to evaluating pigmented lesions – the most important being physical exam. But there is a very helpful tool that providers have in their tool box: a Wood’s…

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A Simple Cream for Cancer with Not Always Simple Consequences

Some patients find themselves with a large number of skin cancers and pre-cancerous lesions. While surgical excision is recommended for certain types of skin cancer, pre-cancers and superficial skin cancers can often be treated in other ways. These non-surgical options are often ideal for patients with many lesions who want to limit the number of…

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THE SCARS THAT DON’T DEFINE YOU

Many patients have been hesitant of dermatologic and cosmetic procedures due to the fear of leaving scars.  Patients who have surgical or biopsy scars may be hesitant to undergo more procedures. Surgical scars occur for various reasons including high tension closures, swelling, a mismatch of skin during closure, complications such as infections interfering with wound healing and simply genetics.  But did you…

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Skin Cancer Bulletin

We publish a newsletter designed especially for patients and the public. It features real patients, expert advice, and the latest in skin cancer prevention and treatment. See our latest Skin Cancer Bulletin, Winter 2022.

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The Role of Physician Assistants in a Skin Cancer Practice

“I have always viewed each of my colleagues as playing an integral part in the healthcare team. In my opinion, the best healthcare teams have a flat hierarchy. This organizational structure avoids medical errors, improves patient experience, and fosters team member collaboration. Integration of Physician Assistants (PAs) follows this model,” says Dr. Simon Madorsky. As…

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Topical Skin Cancer Treatments

The treatment of basal cell carcinoma (BCC) includes many options depending on the type of pathology, a few of which are: Mohs surgery, electrodessication and curettage, Imiquimod, Efedux, etc. Topical treatments have become increasingly popular due to their non-invasive nature and good aesthetic outcomes. Standard topical treatments for superficial BCCs used in the United States…

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