Needs Assessment for General Dermatologic Surgery - 25/11/11

Doi : 10.1016/j.det.2011.08.011

Jonathan M. Olson, MD ^a, Murad Alam, MD, MSCI ^b,^c,^d,^⁎ , Maryam M. Asgari, MD, MPH ^e,^f
^a Division of Dermatology, Department of Medicine, University of Washington School of Medicine, 1959 NE Pacific Street, Room BB-1353, Box 356524, Seattle, WA 98195, USA
^b Department of Dermatology, Northwestern University Feinberg School of Medicine, 676 North Saint Clair Street, Suite 1600, Chicago, IL 60611, USA
^c Department of Otolaryngology-Head and Neck Surgery, Northwestern University Feinberg School of Medicine, 676 North Saint Clair Street, Suite 1325, Chicago, IL 60611, USA
^d Department of Surgery, Northwestern University Feinberg School of Medicine, 251 East Huron Street, Chicago, IL 60611, USA
^e Division of Research, Kaiser Permanente Northern California, 2000 Broadway, Oakland, CA 94612, USA
^f Department of Dermatology, University of California at San Francisco, 1701 Divisadero Street, 3rd Floor, San Francisco, CA 94115, USA

Corresponding author. Department of Dermatology, Northwestern University Feinberg School of Medicine, 676 North Saint Clair Street, Suite 1600, Chicago, IL 60611.

Résumé

This article reviews current recommendations, strength of evidence, and areas in need of further research in the surgical treatment of melanoma and nonmelanoma skin cancers, as well as other select cutaneous neoplasms. Cryosurgery, electrosurgery, photodynamic therapy, and surgical excision are discussed. Local anesthesia, suturing technique, postsurgical dressings, and optimization of scarring are briefly reviewed. In general, large, high-quality, randomized controlled trials on which to base recommendations are lacking.

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Keywords : Skin cancer, Actinic keratoses, Melanoma, Surgical excision