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Cynthia Golomb, MD | Dermatology Boutique

Skin Cancer

Mohs Provides Higher Cure Rate for Skin Cancer

· Skin Cancer · Comments Off on Mohs Provides Higher Cure Rate for Skin Cancer

Immediately after Mohs surgery.

I performed Mohs surgery and then did a skin graft on this patient.  She had basal cell cancer on her ear.

Mohs surgery is a precise technique to remove skin cancers layer by layer resulting in a higher cure rate than standard excision or radiation therapy.

For example, basal cell carcinomas have a 97 to 99% cure rate.

Mohs also allows me to limit the size of removal and conserve normal skin to minimize scarring.  After removal, I treat the wound in a manner to promote good healing and preserve cosmetic results.

The Mohs procedure can be as short as one hour as in the case of this patient, or it can take several hours depending on the number of layers and type of repair, like a skin graft.  This patient’s skin graft took an additional hour.

This photo was taken 11 days after her Mohs surgery and skin graft.

I became very interested in Mohs during my residency and training at the University of Miami, and then later during my dermatopathology fellowship at Roger Williams Hospital at Boston University.  A dermatopathologist diagnoses skin disorders under a microscope.

Removing a tumor and examining the tissue immediately after removal was a natural for me because of my sub-specialty as a dermatopathologist.

Designed by Frederic E. Mohs, M.D., the surgery excises not only the visible tumor but also any “roots” that may have extended beneath the surface of the skin.

This procedure is most commonly used for the treatment of basal and squamous cell carcinomas, the two most common types of skin cancer, although it can also be used to treat melanoma and other types of cancer.

Mohs surgery is often recommended for recurring cancer because its results are so thorough.

My patient 3 1/2 months after Mohs and her skin graft. Her face mask is pulling the top of her ear forward in this photo.

It is ideal for treating cancer in cosmetically and functionally prominent areas such as the nose, eyelids, lips, hairline, ears, hands and feet.

Compared to other skin cancer treatments, Mohs surgery has a very high success rate. As I mentioned, basal cell carcinomas have a 97 to 99% cure rate, while squamous cell carcinomas are cured 94% of the time.

Melanoma now most common cancer in young women

· Skin Cancer · Comments Off on Melanoma now most common cancer in young women

sample_widget_photo01Melanoma is second only to breast cancer in women who are 30 to 34.*  But for women aged 25-29, melanoma is the most common cancer!*

Prevent undue skin cancer risk by limiting sun exposure, using sunscreen and protective clothing and hats, and never get into a tanning bed.


*Source:  The Skin Cancer Foundation

Don’t forget your head!

· Skin Cancer · Comments Off on Don’t forget your head!

shutterstock_56111731When you’re checking yourself for new moles or growths, the one place on your body that is difficult to check is your scalp. Unfortunately melanomas on the scalp are more deadly than on other locations of the body.  This could be due to a number of factors including the number of blood vessels in the scalp, proximity to the brain and the often delayed diagnosis when the melanoma is hidden by hair.

A thorough skin exam by a board certified dermatologist is so important to locate hard to find skin cancers.  In addition, on an ongoing basis, you can ask your hair care professional to let you know if he or she sees anything unusual on your scalp during your haircuts.  Melanoma is the most deadly skin cancer because of how quickly it spreads in your body.

Symptoms and the appearance of a cancerous lesion can vary widely and sometimes they are not obvious. It could be painful or sensitive to the touch, but not necessarily.  It might bleed.  And it could be just about any color or a combination of colors:  brown, black, white, red and even blue.  It could be raised or flat. Look carefully because these spots can be very small.

A recurring theme I’ve seen in my career is even when a primary care physician refers a patient to a dermatologist due to a scalp lesion or any other suspicious spot, the patient delays a few months in making the appointment and by that time the skin cancer has spread to the lymph nodes or other parts of the body.

New immune-targeted treatment will help former President Carter

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Former President Carter’s melanoma spread to his liver and his brain. Patients like him, with advanced melanoma, have a better prognosis today because of immune therapy. Even five years ago we may have said he has five months to live. But today there are so many new immune-targeted treatments. With many malignancies the immune system no longer recognizes the tumor, this along with other events allow the tumor to grow. Some advanced melanomas can be treated this way “rebooting ” the immune system so that the tumor may shrink as a result.

Diane Keaton speaks on behalf of the Melanoma Research Alliance

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Diane Keaton’s earliest skin cancer diagnosis was when she was 21. In this video for the Melanoma Research Alliance, she says she finally caught on when the skin cancer diagnoses kept coming.
Since it was founded in 2007, Melanoma Research Alliance (MRA) has raised more than $60 million for research globally.
L’Oréal Paris supports MRA’s efforts by donating $1 every time a bottle of Advanced Suncare, SPF day moisturizers or Sublime Bronze Sunless tanners are purchased.  Find out more at

Find a doctor with the expertise and training you need to treat your skin cancer.

· Skin Cancer · Comments Off on Find a doctor with the expertise and training you need to treat your skin cancer.

Upload: June 2, 2015As a member of the American Society for Dermatologic Surgery (ASDS) I can provide you with the latest options for treating your skin cancer.  Listen to Lisa Pace, a college basketball coach, as she talks about her skin cancer journey.  Schedule an appointment for your skin cancer check today.

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