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Plastic and Reconstructive Surgery

Ramon Garza III

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    Disclaimer: These citations have been automatically generated based on the information we have and it may not be 100% accurate. Please consult the latest official manual style if you have any questions regarding the format accuracy.

    AMA Citation
    Garza III R. Garza III R Garza III, Ramon.Plastic and Reconstructive Surgery. In: Dangleben DA, Lee J, Madbak F. Dangleben D.A., & Lee J, & Madbak F(Eds.),Eds. Dale A. Dangleben, et al.eds. ABSITE Slayer. McGraw-Hill; Accessed July 05, 2020. https://accesssurgery.mhmedical.com/content.aspx?bookid=2500&sectionid=201383542
    APA Citation
    Garza III R. Garza III R Garza III, Ramon. (2013). Plastic and reconstructive surgery. Dangleben DA, Lee J, Madbak F. Dangleben D.A., & Lee J, & Madbak F(Eds.),Eds. Dale A. Dangleben, et al. ABSITE Slayer. McGraw-Hill. https://accesssurgery.mhmedical.com/content.aspx?bookid=2500&sectionid=201383542
    MLA Citation
    Garza III R. Garza III R Garza III, Ramon. "Plastic and Reconstructive Surgery." ABSITE Slayer Dangleben DA, Lee J, Madbak F. Dangleben D.A., & Lee J, & Madbak F(Eds.),Eds. Dale A. Dangleben, et al. McGraw-Hill, 2013, https://accesssurgery.mhmedical.com/content.aspx?bookid=2500&sectionid=201383542.

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TEST TAKING TIPS

Test Taking Tips

Review innervation and blood supply to pectoralis major, pectoralis minor, serratus, and latissimus dorsi.

There is always a question about topical antimicrobials such as silver nitrate or sulfamylon. Review their side effects and what organisms they best cover.

SKIN

What type of UV radiation is linked with skin cancer?

  • UVB

What is the most common skin malignancy in the United States?

  • Basal cell carcinoma

What are the classic physical findings of basal cell carcinoma?

  • Pearly appearance with rolled edges, +/− telangiectasia

What type of basal cell carcinoma is the most aggressive?

  • Morpheaform type (produces collagenase)

What margins are appropriate for basal cell?

  • 3 mm margins are acceptable and frozen section can be used intraoperatively.

What is the most common physical finding of squamous cell carcinoma?

  • Scaly appearance, papulonodular, ulceration

What is the name of the cancer associated with a previous burn injury?

  • Marjolin ulcer; can also develop in areas of chronic inflammation, that is, enteric fistula.

What are appropriate margins for squamous cell carcinoma?

  • 0.5 to 1.0 cm margins

What are risk factors for the development of squamous cell carcinoma?

  • Actinic keratosis, arsenics, atrophic dermatitis, Bowen disease, chlorophenols, fair skin, HPV, immunosuppression, nitrates, previous skin cancer, radiation exposure, sun exposure, xeroderma pigmentosum

What is the natural history of squamous cell carcinoma?

  • Actinic keratosis, Bowen disease (squamous cell carcinoma in situ), squamous cell carcinoma

Aside from sun exposure, what is classically a risk factor for squamous cell carcinoma?

  • History of organ transplantation, or any other immunocompromised state

Can squamous cell carcinoma metastasize?

  • Yes, it is uncommon, but it can metastasize to lymph nodes. Regional adenectomy should be performed.

When can Mohs surgery be used for basal cell or squamous cell carcinoma?

  • Delicate areas that include perioral, perioccular, perinasal, ears, hands, and genitalia

What is the most common melanoma site on the skin in men? In women?

  • Men—back

  • Women—legs

What is the most common location for distant melanoma metastasis?

  • The lung (surgery can help relieve pain caused by metastatic melanoma to the lung, but is not a cure)

What is the most common metastasis to the small bowel?

  • Melanoma

What margins are recommended for a melanoma skin lesion with thickness of 1 mm?

  • 1 cm margins ...

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