Skin Cancer

RSB Dermatology

Malignant melanoma

Nearly all melanomas are treated surgically, by cutting the tumor out. Depending upon the thickness (how deep the tumor goes into the skin), staging procedures may be recommended and may include: chest x-ray, CT-scan, PET scan, sentinel lymph node biopsy, and blood tests. Treatment of metastatic disease (that which has already spread to the lymph…

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RSB Dermatology

Basal Cell Carcinoma

Basal cell carcinoma is the most common form of skin cancer. This tumor is not life threatening, except in the rarest of circumstances when tumors go untreated for decades. For most, basal cell carcinoma grows slowly over years, and appears as a pimple-like growth that bleeds, heals, and re-bleeds. If untreated, basal cell carcinoma my…

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RSB Dermatology

Squamous Cell Carcinoma

Squamous Cell Carcinoma Squamous Cell Carcinoma is the second most common type of skin cancer that is caused by ultraviolet rays (sunshine), arsenic ingestion, some wart viruses (human papilloma virus), and radiation. Although uncommon, this tumor does have the potential to metastasize (spread to the lymph nodes and internal organs) and can be fatal. Tumors…

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RSB Dermatology

Skin Cancer

Skin Cancer Information Skin Cancer Dr. Bader specializes in the detection and treatment of skin cancer. As the incidence of malignant melanoma is risking in epidemic proportions, our office offers full body skin examinations to all patients, although these must be requested and scheduled in advance of one’s appointment. It is recommended that all patients…

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RSB Dermatology

Actinic Keratosis (Pre-Cancer)

Actinic keratosis (AK or Solar Keratosis) is the most common precancerous condition affecting the skin. In nearly all cases, these lesions form on skin that has been damaged by chronic exposure to ultraviolet (UV) rays from the sun and/or indoor tanning beds. Do I have to treat these lesions? If left untreated, these precancerous lesions may…

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RSB Dermatology

HYDROCHLOROTHIAZIDE (HCTZ) USE IS ASSOCIATED WITH INCREASED RISK OF BASAL CELL AND SQUAMOUS CELL CARCINOMA

A recent study published in the Journal of the American Academy of Dermatology has shown that taking hydrochlorothiazide (HCTZ) is associated with an increased risk of basal cell carcinoma and an even higher risk of squamous cell carcinoma. The risk was dose dependent (the higher the cumulative dose, the higher the risk). An increased risk…

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RSB Dermatology

THERE IS NO REASON TO RE-EXCISE A MODERATELY-ATYPICAL NEVUS

To those who are patients and those who follow my posts, you know that I am adamant that there has been an over-treatment of these atypical nevi for decades. In short, the data just does not support the removal of these lesions–PERIOD! Another study was just completed at Emory University (Atlanta) and Atlanta Veterans Administration Medical…

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RSB Dermatology

CONSUMING ALCOHOL INCREASES RISK OF SKIN CANCER: MAYBE

A recent study has shown a positive association of increased alcohol consumption with the risk of non-melanoma skin cancer. The study was small, so larger studies are needed to confirm these preliminary results. Here is yet another possible reason to limit or eliminate alcohol consumption. Red wine has some other health benefits that, according to…

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RSB Dermatology

ERECTILE DYSFUNCTION TREATMENTS LEAD TO INCREASED RISK OF MELANOMA AND BASAL CELL CARCINOMA.

The use of PDE5 inhibitors such as sildenafil (Viagra), tadalafil (Cialis), and vardenafil (Levitra) are common for those with erectile dysfunction. More and more research has shown an increased risk of some types of skin cancer for those taking these medications. Interestingly, there have been no studies showing an increased risk of squamous cell carcinoma. For this reason, those with a history…

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RSB Dermatology

MELANOMA: LYMPH NODE DISSECTION

Are we doing more harm than good? This has been a question that we have asked for decades regarding the treatment of malignant melanoma. Over the recent decades, margins of normal skin that are removed when treating melanoma have gotten smaller. Recently, the benefit of lymph node dissection to treat involved lymph nodes has come…

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