SLUCare Mohs Surgeon Dr. Ramona Behshad discusses the differences between excision, staged excision and mohs surgery which are used to remove various forms of skin cancer. Melanoma Skin cancers are typically removed with either a staged or standard excision and will use either based on where it is and if they need to minimize how much skin is removed. Mohs surgery is typically used to remove non-melanoma skin cancers such as basal-cell carcinoma and squamous cell carcinoma. More information online at www.slucare.edu

To schedule an appointment with a SLUCare physician, please call (314) 977-4440.

SLUCare Physician Group is a patient-centered network of more than 500 health care providers on staff at Saint Louis University School of Medicine. As part of an academic medical practice, SLUCare physicians are experts in their respective fields, providing specialty care for even the most complex medical conditions. SLUCare physicians practice in 47 different hospitals and clinics throughout the St. Louis region, making high-quality, advanced care convenient for you and your family.

Skin Cancer is the most common cancer in the United States. It affects over 3 million people a year. The good news is that when found early it's easy to treat. In this video we are going to go over the most common signs of skin cancer and when you should go see a doctor.

00:00 Intro
00:27 Prevalence of Skin Cancer
01:10 Basal Cell Carcinoma
02:28 Squamous Cell Carcinoma
04:00 Actinic Keratosis
04:55 Malignant Melanoma
06:00 ABCDE of Melanoma

Sunscreen is one of the best ways that we can help protect ourself from skin cancer. These are some that I use most frequently:

Neutrogena Ultra Sheer Dry-Touch Water Resistant and Non-Greasy Sunscreen Lotion with Broad Spectrum SPF 45
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Coppertone SPORT Sunscreen Lotion Broad Spectrum SPF 50 Multipack (7 Fluid Ounce Bottle, Pack of 3)
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(These are affiliate links. By visiting them and purchasing a small portion of the proceeds do go to help support this channel)


Learn more about our practice at:

www.saltzerhealth.com



Thanks for watching.



** The information in this video is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. All content, including text, graphics, images, and information, contained in this video is for general information purposes only and does not replace a consultation with your own doctor/mental health professional **



All images and additional video segments contained in the Thumbnails and/or B-roll segments are used in strict compliance with the appropriate permissions and licenses required from soundstripe.com, storyblocks.com, https://pixabay.com and/or https://stock.adobe.com and in accordance with the YouTube Partner Program, Community guidelines & YouTube terms of service

Several photos in this presentation were used under creative commons licensing. Special thanks to the following for the use of these photos:
James Heilman, MD, CC BY-SA 3.0
Sterilgutassistentin, CC BY-SA 3.0
Klaus D. Peter, Wiehl, Germany, CC BY 3.0 DE
Bin im Garten, CC BY-SA 3.0
DermNetNZ, CC BY 4.0
Klaus D. Peter, Wiehl, Germany,
OpenStax College, CC BY 3.0CommonsXavier-Júnior, José & Munhoz, Tania & Souza, Vinicius & Campos, Eloísa & Stolf, Hamilton & Marques, Mariângela., CC BY 4.0, via Wikimedia Commons

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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See my photos https://blog.patsloan.com/2022..../02/what-the-others-

Read Mel’s story from 2016 https://www.melskitchencafe.co....m/on-a-personal-note

More info on Mohs
https://www.mhealth.org/blog/2....017/march-2017/five-

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#BCC #BasalCellCarcinoma #skincancer #skincanceronnose

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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