Blog Layout

Mohs Case - Squamous Cell Carcinoma

Dr. David Roy • Nov 06, 2019
An 89-year-old male patient, presented to our office for the evaluation of a rapidly growing lesion on his left temple area. A squamous cell carcinoma had been removed from the same area one month prior. A biopsy of the lesion demonstrated a very aggressive moderately to poorly differentiated squamous cell carcinoma (Figure 1). This type of skin cancer can grow rapidly and has potential for metastasis. 

Due to the aggressive nature of the lesion, Mohs surgery was performed. After 3 stages of surgery the final defect can be seen below (Figure 2).

Closure options for this defect included a split thickness skin graft, and local tissue flaps. Options were limited due to the large size of the defect. The patient stated that he did not want a graft. Together with the patient and his family, we agreed upon an inferiorly based rotation flap from the left cheek. The final closure can be seen below (Figure 3).

Sutures were removed after one week, and at 4 weeks, excellent early surgical results were noted (Figure 4). Normal anatomy was maintained, there was no alteration of the position of the corner of the eye or the position of the ear, and the hairline was re-created correctly. The patient lost no motor function of the muscles of his face and was able to make a complete recovery. He and his family were very happy with the results.

For a more in depth look at squamous cell carcinomas and why they need to be treated, check out our previous blog: Squamous Cell Carcinoma - When You Should Worry
Yeast Infections on the Skin | Pine Belt Dermatology
26 Apr, 2024
Yeast infections on the skin can be uncomfortable and persistent if not properly managed. Medically known as cutaneous candidiasis, a yeast infection on the skin arises when a fungus called Candida albicans overstays its welcome.
Allergies | Pine Belt Dermatology
01 Apr, 2024
As the spring season unfolds, many individuals eagerly anticipate spending more time outdoors, reveling in the beauty of blooming flowers and vibrant landscapes. However, for some, spring brings about a different experience—one characterized by itchy, irritated skin and uncomfortable allergic reactions. Skin conditions associated with allergies or heightened exposure to outdoor elements can significantly impact individuals' quality of life during this time.
Skin Cancer Screening | Pine Belt Dermatology
01 Mar, 2024
Skin cancer is one of the most common types of cancer worldwide, affecting millions of people every year. The good news is that, with early detection, the majority of skin cancers are highly treatable. Regular skin cancer screenings play a crucial role in identifying potential issues before they escalate.
Sunscreen | Pine Belt Dermatology
30 Jan, 2024
As winter blankets the world in a serene layer of snow and chilly temperatures, many of us tend to believe that the need for sunscreen diminishes along with the intensity of the sun's rays. The misconception that sunscreen isn’t essential during the winter can lead to unintended consequences for our skin.
Indoor Tanning | Pine Belt Dermatology
02 Jan, 2024
We all love that golden glow from a day spent basking in the sun, but what about those days when the sun decides to take a break? That's where indoor tanning comes into play, right? Well, hold on to your tanning goggles because there’s more to this seemingly harmless activity than meets the eye.
Dermatologist | Pine Belt Dermatology
By PatientPoint Launch 04 Dec, 2023
Your skin is a window into the health and happiness of your whole body. As the body's largest organ, it plays a pivotal role in physical protection and shaping your identity and self-esteem. Seeking the guidance of a dermatologist is a wise decision when faced with skin issues, be it medical or cosmetic. However, the challenge lies in how to find the perfect dermatologist who can address your unique concerns and requirements.
At-Home Skin Care | Pine Belt Dermatology
30 Oct, 2023
The key to soft and radiant skin often lies in our daily routines. Home-based skincare goes beyond mere daily practice; it signifies a dedication to the well-being of your skin and a much-desired glow.
Cosmetic Skin Treatments | Pine Belt Dermatology
02 Oct, 2023
If you're like most people, you desire flawless skin that radiates confidence and natural beauty. We understand that achieving and maintaining healthy skin can be challenging, especially with the countless cosmetic skin treatments available and the staggering number of product reviews.
Myths about Skincare
07 Sep, 2023
In the world of skincare, there are many myths and misconceptions that can make it difficult to tell what is true and what is not. From extravagant claims about miracle ingredients to misguided beliefs about skincare practices, these myths can hinder our journey towards healthy, glowing skin.
Skin Cancer | Pine Belt Dermatology
02 Aug, 2023
The warm embrace of the sun holds a hidden danger called skin cancer. This pervasive disease affects millions in the United States, with over 5.4 million cases diagnosed annually. As the numbers continue to rise, it's crucial to shed light on this menacing threat. Fortunately, with early detection and the right treatment, you can safeguard the well-being of your or a loved one’s skin.
More Posts
Share by: