A Day in Dermatology: Various dermatologic procedures including extractions

Here’s a collection of short procedures that I did within a day in Dermatology. Thank you as always, for watching!!

See below for some specific descriptions as references in the video:

Patient A: This patient is well into her 90s, is confined to a wheelchair, and lives in an assisted living facility. She has senile dementia, and so although she has this probable basal cell carcinoma (a type of skin cancer) on her forehead, I think it would upset and confuse her if she were to have to spend extended time in my office having this area surgically removed. A BCC like this one is extremely unlikely to threaten her life, so in this case, I need to help her caretaker (her daughter) decide what is the best course for treatment. Upon further questioning her daughter regarding the patient’s cognition and lifestyle, I recommended that we watch the area. If the BCC began to cause her significant discomfort, or if it were to bleed in an uncontrollable manner, for instance, then I would be inclined to remove the skin cancer. However, I felt that the risks would outweigh the benefit, so I recommended that we just watch the area for now. Interestingly, she has pretty extensive solar comedones (Favre Racouchot) on her cheeks. These are comedones (blackheads & whiteheads) that are due to extensive sun exposure over time. Thought you would like to see what it looked like. No, I didn’t extract them, because I refuse to traumatize this sweet elderly woman in any way that’s unnecessary!! 😉

Patient B: This is an example of a “cutaneous horn” which could be a type of actinic keratosis or squamous cell carcinoma. They grow outwards rather than spread across the skin. This one was pretty interesting, since she let it grow to such a length! I think many of us would have removed it ourselves before it got this long!

Patient C: He has a smaller “cutaneous horn”. I biopsy it here, and sent it for pathology to determine whether there was a squamous cell carcinoma present.

This is a little window into my world as a dermatologist, I hope you enjoy, and thank you so much for watching!!

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This video may contain dermatologic surgical and/or procedural content. The content seen in this video is provided only for medical education purposes and is not intended to be a substitute for professional medical advice, diagnosis, or treatment.

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