Cancer


Mohs surgery is a procedure used to remove skin cancers (most commonly basal and squamous cell carcinoma and melanoma) in a way that preserves a maximum amount of healthy tissue. It is useful for skin cancers when:
(1) the location of the cancer is near sensitive areas, like the fingers or face;
(2) earlier treatments have not worked;
(3) a skin cancer is large; and
(4) regular surgery is less likely to remove the cancer.
This procedure video illustrates the procedure on 2 patients with basal cell carcinoma. Click https://ja.ma/3b4scuY to learn more.
0:00 Disclaimer
0:07 Introduction
0:28 What this video will cover
0:43 Mohs "stage" steps
1:09 Marking surgical sites
1:27 Stage 1: skin layer resection (patient 1)
1:59 Maintaining skin layer orientation
2:55 Stage 1: processing layer onto slides (patient 1)
3:53 Stage 1: histology review for cancer (patient 1)
4:31 Discussion on wound closure
5:10 Wound closure (patient 1)
5:47 Stage 1: histology review for cancer (patient 2)
6:24 Stage 2: skin layer resection (patient 2)
6:38 Stage 2: histology review for cancer (patient 2)
6:56 Stage 3: skin layer resection (patient 2)
7:07 Stage 3: histology review for cancer (patient 2)
7:20 Wound closure (patient 2)
7:57 1-week follow-up before-and-after wound healing


Join experts as they provide information and answer questions about basal cell skin cancer to help patients and caregivers compare, discuss, and select treatment options with their doctor.
Topics Discussed:
00:00 - Welcome and Introductions
02:00 - What is Basal Cell Carcinoma?
05:20 - Risk Factors
08:56 - Signs and Symptoms
10:50 - Diagnosis
11:45 - Staging
14:09 - Treatment and Prevention
18:58 - Clinical Trials
19:34 - Hedgehog Pathway Inhibitors
22:28 - PD-1 Blockade with Cemiplimab
26:25 - Prevention
27:14 - Management of Common Side Effects
36:25 - What is Advocacy and Ways to Get Involved
40:45 - Question & Answer Session
1:00:17 - Closing Remarks
Question & Answer Session
40:50 - What is Basosquamous Cancer?
41:59 - What role does cryosurgery play?
43:03 - What total daily dosage is recommended for Nicotinamide B3? What role does Vitamin B3 play in prevention? How can you discuss with your doctor?
44:57 - What should be included in a yearly skin exam?
46:47 - What are the recommendations for patients positive for lynch syndrome?
47:31 - Does liquid nitrogen ever have a place in early treatment?
48:33 - How do you balance decisions and getting second opinions?
50:43 - Why is Vitamin B3 not recommended for people who are immunosuppressed?
51:42 - If Basal Cell Cancer becomes metastatic, where is it most likely to metastasize?
52:31 - Are there any topical medications available to treat Basal Cell Skin Cancer?
53:51 - Daily dosing for Nicotinamide (Vitamin B3)
54:07 - Are there other supplements you can take to reduce the chances of developing Basal Cell Carcinoma?
55:16 - What portion of those with Basal Cell Skin Cancer develop another within 5 years?
55:56 - How do you know if you have a "good" dermatologist?
59:40 - Do actinic keratosis (AKs) ever become basal cell carcinoma?
The Patient Webinar: Basal Cell Skin Cancer occurred in May 2022. This informational program was created in conjunction with the recently updated NCCN Guidelines for Patients® for Basal Cell Skin Cancer (https://www.nccn.org/patientre....sources/patient-reso
The NCCN Guidelines for Patients are available to read and download for free online and via the NCCN Patient Guides for Cancer mobile app. Printed editions can be ordered from Amazon.com for a small fee.
NCCN Guidelines for Patients DO NOT replace the expertise and clinical judgment of the clinician.
Supporters:
This webinar is supported through the NCCN Foundation, by contributions from our corporate supporters: Sanofi Genzyme and Regeneron Pharmaceuticals, Inc.
________________________________________________________________
About NCCN Foundation®:
NCCN FOUNDATION® is a 501(c)3 organization founded by the National Comprehensive Cancer Network® (NCCN®)—a not-for-profit alliance of leading cancer centers devoted to patient care, research, and education—to empower people living with cancer and advance oncology innovation. For more information or to make a donation, visit http://www.nccn.org/patients/foundation
________________________________________________________________
About NCCN:
The National Comprehensive Cancer Network® (NCCN®) is a not-for-profit alliance of leading cancer centers devoted to patient care, research, and education. NCCN is dedicated to improving and facilitating quality, effective, equitable, and accessible cancer care so all patients can live better lives. Visit https://www.nccn.org/ for more information.
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More info on Mohs
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A slow-growing, locally invasive, but rarely metastasizing neoplasm of the skin derived from basal cells of the epidermis or hair follicles. Let guest host Dr. Franco Louie L.B. Abes, an otorhinolaryngologist from Manila Doctors.
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Basal cell carcinoma is the most common skin cancer on the face. Surgical excision is usually curative. This excision is performed by Dr. Tanveer Janjua, a board certified plastic surgeon located in Bedminster, New Jersey, USA. Proper technique of excision and reconstruction can reduce the resultant aesthetic deformity. This patient of Dr. Tanveer Janjua was nice enough to be on camera for this video.
For more information, visit Dr. Tanveer Janjua's website:
http://www.janjuafacialsurgery.com
Dr. Janjua's office is located at 2345 Lamington Road, Bedminster, NJ 07921.
You can reach the office during normal business hours at 908-470-2600.
For more videos like this one, make sure you're subscribed to Dr. Janjua's YouTube Channel. Just click the red subscribe button under the video.
Dr. Tanveer Janjua on Social Media:
TWITTER: https://twitter.com/DrTanveerJanjua
FACEBOOK: https://www.facebook.com/JanjuaFacialSurgery


Mohs surgery is used to treat the most common skin cancers, basal cell carcinoma and squamous cell carcinoma, as well as some kinds of melanoma.
It’s especially useful for skin cancers located in areas where it’s important to preserve as much healthy skin as possible, such as around the eyes, ears, nose and mouth. Jeff Olsen reports.
More health and medical news on the Mayo Clinic News Network http://newsnetwork.mayoclinic.org/


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