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Vulvar Dermatofibrosarcoma Protuberans: Surgical Planning and Management Considerations for the Dermatologic Surgeon. 外阴隆突性皮肤纤维肉瘤：皮肤科外科医生的手术计划和治疗考虑。
IF 2.2 3区 医学 Q2 DERMATOLOGY
Dermatologic Surgery
Pub Date : 2026-01-01 Epub Date: 2025-07-23 DOI: 10.1097/DSS.0000000000004739
Jacob P Reinhart, Nirusha Lachman, Yolanda Salinas-Alvarez, Addison M Demer, Nahid Y Vidal

Background: Dermatofibrosarcoma protuberans (DFSP) arising in the vulvar and perivulvar region poses unique challenges to the dermatologic surgeon. The potential for broad subclinical extension and involvement of deeper and high-risk functional structures requires a strong knowledge of relevant anatomy. Careful considerations are required for preoperative arrangements, surgical day preparations, and postoperative surveillance to improve treatment outcomes and patient experiences.

Objective: The authors aim to provide a practical guide for the dermatologic surgeon, which outlines surgical planning and management recommendations for vulvar DFSP. Emphasis on pelvic anatomy through cadaveric and patient images as well as anatomical illustrations will be included.

Materials and methods: A literature review was performed to identify evidence-based management recommendations for vulvar DFSP. Authors share anecdotal perioperative recommendations for optimizing the patient experience. A detailed pelvic dissection of a female cadaver was performed for anatomical depiction of relevant high-risk structures. Illustrations of sensory nerve distributions were created for reference.

Conclusion: Vulvar DFSP is a challenging cutaneous tumor in a sensitive anatomical location. As Mohs surgery offers clear advantages over wide local excision, the authors provide dermatologic surgeons with detailed anatomy review resources as well as recommendations and considerations for management and perioperative planning for this specialized site.

背景：外阴和外阴周围区域出现的隆突性皮肤纤维肉瘤（DFSP）对皮肤外科医生提出了独特的挑战。潜在的广泛亚临床延伸和涉及更深和高风险的功能结构需要强大的相关解剖学知识。需要仔细考虑术前安排，手术日准备和术后监测，以改善治疗结果和患者体验。目的：为皮肤科外科医生提供实用指南，概述外阴DFSP的手术计划和治疗建议。强调骨盆解剖通过尸体和病人的图像以及解剖插图将包括在内。材料和方法：通过文献回顾来确定外阴DFSP的循证管理建议。作者分享轶事围手术期的建议，以优化患者的经验。对一具女性尸体进行了详细的骨盆解剖，以对相关高危结构进行解剖描述。制作了感觉神经分布图供参考。结论：外阴DFSP是一种具有挑战性的皮肤肿瘤，解剖位置敏感。由于Mohs手术比广泛的局部切除具有明显的优势，作者为皮肤科外科医生提供了详细的解剖回顾资源，以及对该专业部位的管理和围手术期计划的建议和注意事项。
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引用次数: 0
Commentary on Practical Interventions to Optimize Patient Adherence in Dermatologic Surgery and Mohs Micrographic Surgery. 在皮肤外科和莫氏显微摄影手术中优化患者依从性的实际干预措施评论。
IF 2.2 3区 医学 Q2 DERMATOLOGY
Dermatologic Surgery
Pub Date : 2026-01-01 Epub Date: 2025-06-26 DOI: 10.1097/DSS.0000000000004754
Chenan A Huang, Steven R Feldman, Laura B Doerfler
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引用次数: 0
A New-Generation 1550-nm, Nonablative, Resurfacing Laser With Focal Point Technology for Neck Rejuvenation. 用于颈部年轻化的新一代1550nm非烧蚀性激光换肤技术。
IF 2.2 3区 医学 Q2 DERMATOLOGY
Dermatologic Surgery
Pub Date : 2026-01-01 Epub Date: 2025-07-08 DOI: 10.1097/DSS.0000000000004765
Jordan V Wang, Roy G Geronemus
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引用次数: 0
Practical Interventions to Optimize Patient Adherence in Dermatologic Surgery and Mohs Micrographic Surgery: A Review. 在皮肤外科和莫氏显微摄影手术中优化患者依从性的实际干预措施：综述。
IF 2.2 3区 医学 Q2 DERMATOLOGY
Dermatologic Surgery
Pub Date : 2026-01-01 Epub Date: 2025-06-26 DOI: 10.1097/DSS.0000000000004736
Daniel J Lewis

Background: Patient nonadherence is a leading cause of treatment failure, suboptimal outcomes, and increased health care utilization. Adherence is also suboptimal in dermatologic surgery and Mohs micrographic surgery (MMS), despite playing a vital role in the surgical outcome. Poor adherence may lead to untreated skin cancers, complications such as flap or graft necrosis, and low patient satisfaction due to inferior cosmesis.

Objective: To outline targeted, practical interventions, the dermatologic surgeon can implement to improve outcomes in patients at risk for poor adherence.

Materials and methods: Searches of MEDLINE and Scopus were conducted using a search strategy to identify articles discussing adherence and dermatologic surgery. Articles were assessed for level of evidence, and recommendations were assigned a grade according to the system outlined by the Oxford Centre for Evidence-Based Medicine.

Results: Thirty-six interventions-using evidence-based behavioral principles such as anchoring, salience, and "white coat compliance"-to improve patient adherence in the preoperative, intraoperative, and postoperative settings are described.

Conclusion: Poor patient adherence is common in dermatologic surgery, and MMS and can lead to surgical complications and suboptimal outcomes. Understanding the scope and reasons for poor adherence may allow the dermatologic surgeon to assess adherence, determine the rationale for nonadherence, and implement practical interventions to optimize adherence.

背景：患者不依从是治疗失败、次优结果和医疗保健使用率增加的主要原因。尽管在手术结果中起着至关重要的作用，但在皮肤科手术和莫氏显微摄影手术（MMS）中，依从性也不是最佳的。依从性差可能导致未经治疗的皮肤癌、并发症，如皮瓣或移植物坏死，以及由于劣质美容而导致的患者满意度低。目的：概述有针对性的，实用的干预措施，皮肤外科医生可以实施，以改善预后的患者有不良依从性的风险。材料和方法：使用检索策略在MEDLINE和Scopus中检索讨论依从性和皮肤外科手术的文章。文章的证据水平被评估，建议根据牛津循证医学中心概述的系统被分配一个等级。结果：本文描述了36种干预措施——采用基于证据的行为原则，如锚定、显著性和“白大褂依从性”——以提高患者在术前、术中和术后的依从性。结论：患者依从性差在皮肤科手术中很常见，MMS和MMS可导致手术并发症和次优结果。了解不良依从性的范围和原因可以让皮肤科医生评估依从性，确定不依从性的理由，并实施实际的干预措施来优化依从性。
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引用次数: 0
Castañares 2.0: Recycling a Direct Brow Lift Into a Transverse Supratrochlear Artery Propeller Flap for One-stage Nasal Reconstruction. Castañares 2.0：将直接提眉术转化为滑车上动脉横向螺旋桨皮瓣进行一期鼻部重建。
IF 2.2 3区 医学 Q2 DERMATOLOGY
Dermatologic Surgery
Pub Date : 2026-01-01 Epub Date: 2025-07-10 DOI: 10.1097/DSS.0000000000004759
Beniamino Brunetti, Matteo Pazzaglia, Mauro Barone, Paolo Persichetti
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引用次数: 0
Mohs Surgery in a Patient With Hailey-Hailey Disease. 莫氏手术治疗黑利-黑利病
IF 2.2 3区 医学 Q2 DERMATOLOGY
Dermatologic Surgery
Pub Date : 2026-01-01 Epub Date: 2025-06-17 DOI: 10.1097/DSS.0000000000004734
Kathryn Therese Zalla, Mark James Zalla
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引用次数: 0
Radiofrequency Microneedling for Fibrofatty Change in an Involuted Hemangioma. 射频微针治疗内陷血管瘤纤维脂肪改变。
IF 2.2 3区 医学 Q2 DERMATOLOGY
Dermatologic Surgery
Pub Date : 2026-01-01 Epub Date: 2025-06-25 DOI: 10.1097/DSS.0000000000004744
Monica Nicole Williams, Maral Kibarian Skelsey
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引用次数: 0
High-Stage Cutaneous Squamous Cell Carcinoma in a Pregnant Patient. 妊娠期皮肤鳞状细胞癌1例。
IF 2.2 3区 医学 Q2 DERMATOLOGY
Dermatologic Surgery
Pub Date : 2026-01-01 Epub Date: 2025-07-23 DOI: 10.1097/DSS.0000000000004762
Morgan T Nguyen, Amanda M Ferrante, T Anthony J Apicelli, Basia M Michalski-McNeely
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引用次数: 0
Locally Advanced Cutaneous Squamous Cell Carcinoma Arising in the Setting of Bothnian Palmoplantar Keratoderma. 局部进展的皮肤鳞状细胞癌产生的设置掌足底角化病。
IF 2.2 3区 医学 Q2 DERMATOLOGY
Dermatologic Surgery
Pub Date : 2026-01-01 Epub Date: 2025-07-02 DOI: 10.1097/DSS.0000000000004757
Jessica Forman, Ella Engels, Jinia El-Feghaly, Franki Lambert Smith
{"title":"Locally Advanced Cutaneous Squamous Cell Carcinoma Arising in the Setting of Bothnian Palmoplantar Keratoderma.","authors":"Jessica Forman, Ella Engels, Jinia El-Feghaly, Franki Lambert Smith","doi":"10.1097/DSS.0000000000004757","DOIUrl":"10.1097/DSS.0000000000004757","url":null,"abstract":"","PeriodicalId":11289,"journal":{"name":"Dermatologic Surgery","volume":" ","pages":"83-85"},"PeriodicalIF":2.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144539526","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Peri-Tumoral Varicosities: Surgical Implications. 肿瘤周围静脉曲张：手术意义。
IF 2.2 3区 医学 Q2 DERMATOLOGY
Dermatologic Surgery
Pub Date : 2026-01-01 Epub Date: 2025-07-08 DOI: 10.1097/DSS.0000000000004766
Michael Goldenberg, Austin S Cusick, Conway Huang, Tony Adar
{"title":"Peri-Tumoral Varicosities: Surgical Implications.","authors":"Michael Goldenberg, Austin S Cusick, Conway Huang, Tony Adar","doi":"10.1097/DSS.0000000000004766","DOIUrl":"10.1097/DSS.0000000000004766","url":null,"abstract":"","PeriodicalId":11289,"journal":{"name":"Dermatologic Surgery","volume":" ","pages":"86-88"},"PeriodicalIF":2.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144583371","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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