Journal Mobile

L Naysmith
Journal Issue: 
Volume 38: Issue 1: 2008




Changes  in  clinical  practice  within  dermatology  have  led  to  a resurgence of dermatological surgery as a sub-specialty. The dermatologist’s skill-set not only includes the diagnosis and management of rashes but also increasingly the diagnosis and appropriate surgical management of both benign and malignant lesions.  Skin  cancer,  particularly  basal  cell  carcinoma,  accounts  for  a  large proportion  of  a  dermatological  surgeon’s  caseload,  with  choice  of  treatment ranging  from  simple  cryosurgery  and  curettage  through  surgical  excision  and Mohs  micrographic  surgery  with  challenging  fascioplastic  reconstruction. Although  opinions  regarding  the  relative  efficacy  of  Mohs  surgery  vary, it  has revolutionised  the  management  of  cutaneous  malignancy  in  the  USA  and  is influencing dermatology worldwide.