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A N D R E W S T Y P E R E K M D
Treating your Skin cancer
TAMARAC
7301 N University Drive, Suite 102
Tamarac, FL 33321
Phone: 954-726-2000
Basal Cell Carcinoma (BCC)
Quick Facts
 #1 cancer in America, ~ 2M cases annually
 No precursor lesion
 Aggressive and Non-aggressive subtypes
 Local destructive growth
 Metastasis: < 1/1000
Squamous Cell Carcinoma
Quick Facts
 #2 cancer, ~ 1M cases annually
 Precursor lesions for most types of SCC
 Lifetime risk of SCC if have pre-cancers: 6-10%
 Aggressive and Non-aggressive subtypes
 Local destructive growth which may track along
nerves
 Metastasis: < 5%, up to 30% on lip or genitals
 Related to depth, location, immunosuppression
Don’t let garden weeds become kudzu
Mohs: Choosing the best for your family
 Certainty of removal
Patient: Convenient & Fast
Medical: No lesion follow-up. Cost effective.
 Minimize tissue removal
Certainty allows you to take smaller margins
Important for vital structures (nose, ears,
eyelids, lips, etc.)
Experience is paramount
Non-surgical treatments offered by many
dermatologists can lead to bigger problems
7cm
14cm
Initial Lesion
Mohs treated
Lesion (20 yrs later)
The miMOHS™ experience
 Minimal pain injections
 We offer topical numbing cream to apply at home
 Patient and gentle techniques to avoid the “stick and sting”
 Creating a comfortable environment
 Friendly staff, relaxed atmosphere
 Bottle water and coffee, relaxing music, private waiting area
 Subtle & sophisticated: Taking less tissue without compromising certainty
 Minimize surgical injury
 Minimal cautery smoke
 Simpler closures when possible, speeding post-operative healing
 Instructions & Medications to treat residual pain post-procedure
 Antibiotics to prevent infection
 A personal emergency contact number
 A follow-up call to ensure comfort
 Scar revision
 Chemical peel, dermabraision, or laser scar treatment
Not every tumor is the same…
Some are shallow
Which would you prefer? Shallow or Deep?
Vs.
miMOHS™
traditional
MOHS
Some tumors are deep
If the tumor is deep, we treat that too.
Melanoma in situ
Quick facts
 Melanoma is #4 diagnosed cancer, ~ 74K in 2015
 In-situ is #1 stage diagnosed, ~ 64K in 2015
 Indolent (in elderly) vs. early aggressive tumor types
 5-10 year survival ~ 99-100%
 Very low risk of metastasis
 Treated with excision only
Treating your Melanoma in situ
 Excision of 5-10 mm margins
 Similar drawbacks as for BCC/SCC excision
 Mohs with IHC
 Total margin control of Mohs + immunohistochemical stains
(MART-1) to track and identify positive margins at the time of
excision
 577 pt study, avg f/u 2.8 yrs: < 0.5% recurrence
MART-1 Stain
 Using special stains, we track the melanoma tumor to
ensure the tumor is out and the least tissue is sacrificed.

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Treating your Skin cancer - pt -update

  • 1. A N D R E W S T Y P E R E K M D Treating your Skin cancer TAMARAC 7301 N University Drive, Suite 102 Tamarac, FL 33321 Phone: 954-726-2000
  • 3. Quick Facts  #1 cancer in America, ~ 2M cases annually  No precursor lesion  Aggressive and Non-aggressive subtypes  Local destructive growth  Metastasis: < 1/1000
  • 5. Quick Facts  #2 cancer, ~ 1M cases annually  Precursor lesions for most types of SCC  Lifetime risk of SCC if have pre-cancers: 6-10%  Aggressive and Non-aggressive subtypes  Local destructive growth which may track along nerves  Metastasis: < 5%, up to 30% on lip or genitals  Related to depth, location, immunosuppression
  • 6. Don’t let garden weeds become kudzu
  • 7. Mohs: Choosing the best for your family  Certainty of removal Patient: Convenient & Fast Medical: No lesion follow-up. Cost effective.  Minimize tissue removal Certainty allows you to take smaller margins Important for vital structures (nose, ears, eyelids, lips, etc.)
  • 9. Non-surgical treatments offered by many dermatologists can lead to bigger problems 7cm 14cm Initial Lesion Mohs treated Lesion (20 yrs later)
  • 10. The miMOHS™ experience  Minimal pain injections  We offer topical numbing cream to apply at home  Patient and gentle techniques to avoid the “stick and sting”  Creating a comfortable environment  Friendly staff, relaxed atmosphere  Bottle water and coffee, relaxing music, private waiting area  Subtle & sophisticated: Taking less tissue without compromising certainty  Minimize surgical injury  Minimal cautery smoke  Simpler closures when possible, speeding post-operative healing  Instructions & Medications to treat residual pain post-procedure  Antibiotics to prevent infection  A personal emergency contact number  A follow-up call to ensure comfort  Scar revision  Chemical peel, dermabraision, or laser scar treatment
  • 11. Not every tumor is the same… Some are shallow
  • 12. Which would you prefer? Shallow or Deep? Vs. miMOHS™ traditional MOHS
  • 14. If the tumor is deep, we treat that too.
  • 16. Quick facts  Melanoma is #4 diagnosed cancer, ~ 74K in 2015  In-situ is #1 stage diagnosed, ~ 64K in 2015  Indolent (in elderly) vs. early aggressive tumor types  5-10 year survival ~ 99-100%  Very low risk of metastasis  Treated with excision only
  • 17. Treating your Melanoma in situ  Excision of 5-10 mm margins  Similar drawbacks as for BCC/SCC excision  Mohs with IHC  Total margin control of Mohs + immunohistochemical stains (MART-1) to track and identify positive margins at the time of excision  577 pt study, avg f/u 2.8 yrs: < 0.5% recurrence
  • 18. MART-1 Stain  Using special stains, we track the melanoma tumor to ensure the tumor is out and the least tissue is sacrificed.