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Related Concept Videos

Skin Cancer01:30

Skin Cancer

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Skin cancer is a type of cancer that occurs when there is an abnormal growth of skin cells, usually triggered by damage to the DNA within the skin cells. It is primarily caused by exposure to ultraviolet (UV) radiation from the sun or artificial sources like tanning beds. Skin cancer is the most common type of cancer worldwide, and its incidence continues to rise.
Basal Cell Carcinoma (BCC): BCC is the most common type of skin cancer, accounting for about 80% of cases. It typically develops in...
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Author Spotlight: Non-Surgical Treatment of Melasma– Microneedling with Tranexamic Acid
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Lentigo maligna part II: Management.

Sameer Gupta1, Michael Shaughnessy2, Sarem Rashid3

  • 1Department of Otolaryngology-Head and Neck Surgery, Massachusetts Eye and Ear, Boston, Massachusetts.

Journal of the American Academy of Dermatology
|October 24, 2024
PubMed
Summary
This summary is machine-generated.

Lentigo Maligna (LM), a skin cancer on sun-damaged skin, requires careful diagnosis and treatment. This review covers surgical and non-surgical options for managing LM, emphasizing cure and patient outcomes.

Keywords:
lentigo malignamelanomanonsurgical managementradiation therapysurgical managementsurveillancetopical therapy

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Area of Science:

  • Dermatology
  • Oncology

Background:

  • Lentigo Maligna (LM) is a melanoma in situ common on chronically sun-exposed skin.
  • It can present with extensive subclinical spread, posing challenges in cosmetically and functionally sensitive areas.

Purpose of the Study:

  • To provide a comprehensive review of Lentigo Maligna (LM) in a two-part continuing medical education (CME) series.
  • To cover epidemiology, risk factors, diagnosis, histopathology, and treatment strategies for LM.

Main Methods:

  • Part I: Review of epidemiology, risk factors, clinical presentation, diagnostic tools, biopsy technique, and histopathology.
  • Part II: Review of surgical (excision, Mohs surgery, staged excision) and non-surgical (topical, radiation) treatment options.
  • Discussion of surveillance recommendations post-treatment.

Main Results:

  • Surgical interventions are the primary approach for achieving a cure for Lentigo Maligna.
  • Non-surgical modalities offer alternative treatment options for patients unsuitable for surgery or those who prefer them.
  • Effective management involves accurate diagnosis, appropriate treatment selection, and vigilant surveillance.

Conclusions:

  • Lentigo Maligna management necessitates a thorough understanding of its characteristics and available therapeutic modalities.
  • A multidisciplinary approach combining surgical and non-surgical options, tailored to individual patient needs, is crucial for optimal outcomes.
  • Long-term surveillance is essential to monitor for recurrence or new developments.