Mark Gregory, Meredith Hengy, Niloofar Anooshiravani, Abraham Abdulhak
{"title":"Mohs Micrographic Surgery After Previous Nonsurgical Treatment in Basal and Squamous Cell Carcinoma: A Scoping Review of Diagnostic Challenges.","authors":"Mark Gregory, Meredith Hengy, Niloofar Anooshiravani, Abraham Abdulhak","doi":"10.1097/DSS.0000000000005344","DOIUrl":"https://doi.org/10.1097/DSS.0000000000005344","url":null,"abstract":"<p><strong>Background: </strong>Mohs micrographic surgery (MMS) is a precise, tissue-sparing technique for the treatment of cutaneous malignancies. Diagnostic challenges after previous non-MMS treatments have been described in the literature but remain variably characterized.</p><p><strong>Objective: </strong>To review published diagnostic challenges encountered during MMS for basal and squamous cell carcinomas after non-MMS treatments.</p><p><strong>Materials and methods: </strong>A scoping review was conducted using PubMed, MEDLINE Scopus, and Wiley Online Library, in accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines extension for Scoping Reviews 2020. Extracted data included patient demographics, primary tumor and location, previous non-MMS therapies, depth of tumor invasion, intraoperative diagnostic challenges, and subsequent management.</p><p><strong>Results: </strong>Thirty-eight studies comprising 93 patients (ages 2-92 years) met the inclusion criteria. Fourteen diagnostic challenges were reported, most commonly scarring masking residual tumor (n = 3, 21.4%) and verrucous carcinoma (n = 2, 21.4%).</p><p><strong>Conclusion: </strong>Previous non-MMS therapies may complicate MMS by introducing diagnostic ambiguity. These diagnostic challenges highlight variability in reporting and emphasize the need for standardized characterization of MMS specimens in previously treated tumors. Future studies using prospective or multicenter cohort designs are needed to better define the frequency and clinical relevance of these observations in modern practice.</p>","PeriodicalId":11289,"journal":{"name":"Dermatologic Surgery","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149012135","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Alana Luna Ferreira Cisneros, Saranya Ravi, Christopher Stamey
{"title":"The Top 100 Most-Cited Papers in Mohs Reconstruction: A Bibliometric Analysis.","authors":"Alana Luna Ferreira Cisneros, Saranya Ravi, Christopher Stamey","doi":"10.1097/DSS.0000000000005350","DOIUrl":"https://doi.org/10.1097/DSS.0000000000005350","url":null,"abstract":"<p><strong>Background: </strong>Prior bibliometric analyses of Mohs micrographic surgery (MMS) have examined the field broadly, but none has focused on the reconstructive literature.</p><p><strong>Objective: </strong>To identify and characterize the 100 most-cited papers on reconstruction after MMS.</p><p><strong>Materials and methods: </strong>The Web of Science Core Collection was searched on June 10, 2026, combining an MMS topic anchor with a reconstruction term required in the title, without date restriction. English-language articles and reviews were ranked by total citations.</p><p><strong>Results: </strong>The 100 papers, published from 1991 to 2021, were cited 4,101 times (mean 41.0, median 33.5, range 22-196; citation index mean 2.4). The most-cited was Rohrich and colleagues' 15-year review of nasal reconstruction (196 citations). Dermatologic Surgery published the most papers (32%), followed by Plastic and Reconstructive Surgery (11%) and the Journal of the American Academy of Dermatology (10%). J. F. Thornton was the most frequent author (7 papers), and the United States contributed to 78%. The literature centered on nasal and periocular reconstruction, flaps and grafts, and second-intention healing. Restricting to the 94 original research articles gave essentially unchanged results (mean 40.7, median 33.5).</p><p><strong>Conclusion: </strong>This first reconstruction-specific citation analysis maps the influential literature of post-Mohs repair and offers a practical reference for clinicians and trainees.</p>","PeriodicalId":11289,"journal":{"name":"Dermatologic Surgery","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149012144","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Margin Positivity After Conventional Excision of Genital Basal Cell Carcinoma.","authors":"Tejas P Joshi, Jennifer S Ranario","doi":"10.1097/DSS.0000000000005348","DOIUrl":"https://doi.org/10.1097/DSS.0000000000005348","url":null,"abstract":"","PeriodicalId":11289,"journal":{"name":"Dermatologic Surgery","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149012051","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Mandy W M Chan, Samantha Y N Shek, Christina S M Wong, C K Yeung, Henry H L Chan
{"title":"Noninvasive Subcutaneous Fat Reduction Using Cryolipolysis in a Chinese Population.","authors":"Mandy W M Chan, Samantha Y N Shek, Christina S M Wong, C K Yeung, Henry H L Chan","doi":"10.1097/DSS.0000000000005330","DOIUrl":"https://doi.org/10.1097/DSS.0000000000005330","url":null,"abstract":"<p><strong>Background and objectives: </strong>Cryolipolysis is effective for body contouring and reducing subcutaneous fat. The aim of this study was to investigate the safety and efficacy of cryolipolysis performed with regular-sized (6.0-inch) and small-sized (4.5-inch) vacuum applicators for reducing subcutaneous fat in a Chinese population.</p><p><strong>Methods: </strong>In this study, 24 participants underwent 46 cryolipolysis treatments. The participants received up to 2 cryolipolysis treatments with 6.0-inch and/or 4.5-inch length vacuum applicators and were followed up at 12-week postfinal treatment. Treatment efficacy was assessed through blinded physician review of clinical photographs, caliper and circumference measurements, and participant satisfaction questionnaires. Any procedure-related adverse effects were documented for safety evaluation.</p><p><strong>Results: </strong>In the abdominal area, caliper measurements at 12-week postfinal treatment were significantly lower than those at baseline. The mean reduction in caliper measurements at the abdomen and flank areas was -2.0 mm (p < .01) and -1.6 mm (p < .05), respectively. Meanwhile, the mean reduction in the overall abdominal circumference was -0.55 cm (p = .13). No adverse effects were recorded in the study.</p><p><strong>Conclusion: </strong>Cryolipolysis with both 6.0-inch and 4.5-inch vacuum applicators can be safely used for fat reduction and body contouring in Chinese patients with minimal side effects. Caliper measurements significantly decreased at the flank and abdominal areas with treatment.</p>","PeriodicalId":11289,"journal":{"name":"Dermatologic Surgery","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148918006","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Letter to the Editor: Methodological Clarification on Polidocanol Dosing and Preparation for Axillary Osmidrosis Sclerotherapy.","authors":"Hui Shao, Weiwei Li, Jianmin Yang, Qiang Chen","doi":"10.1097/DSS.0000000000005342","DOIUrl":"10.1097/DSS.0000000000005342","url":null,"abstract":"","PeriodicalId":11289,"journal":{"name":"Dermatologic Surgery","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148911165","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jenna Currier, Bryan Daines, Marianne Cortes, George J Murakawa
{"title":"Surgical Management and Outcomes of Atypical Fibroxanthoma and Pleomorphic Dermal Sarcoma: A Retrospective Cohort.","authors":"Jenna Currier, Bryan Daines, Marianne Cortes, George J Murakawa","doi":"10.1097/DSS.0000000000005341","DOIUrl":"https://doi.org/10.1097/DSS.0000000000005341","url":null,"abstract":"","PeriodicalId":11289,"journal":{"name":"Dermatologic Surgery","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148911256","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Rashwan Alameddine, Allison Roecker, Mohamad Jabin, Richard F Wagner
{"title":"Reduced Risk in Melanoma and Nonmelanoma Skin Cancers in Obese Patients on Semaglutide and Tirzepatide.","authors":"Rashwan Alameddine, Allison Roecker, Mohamad Jabin, Richard F Wagner","doi":"10.1097/DSS.0000000000005339","DOIUrl":"https://doi.org/10.1097/DSS.0000000000005339","url":null,"abstract":"","PeriodicalId":11289,"journal":{"name":"Dermatologic Surgery","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148911109","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Reconstruction of a Complex Oral Commissure Defect After Mohs Surgery.","authors":"Pedro Rodríguez-Jiménez, Javier Vicente","doi":"10.1097/DSS.0000000000005333","DOIUrl":"https://doi.org/10.1097/DSS.0000000000005333","url":null,"abstract":"","PeriodicalId":11289,"journal":{"name":"Dermatologic Surgery","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148911128","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}