agnesian healthcare know & go showcase: dermatology

Mohs Surgery Brings Innovation to Cancer Care

Know & Go Friday

Burt Steffes, MDAgnesian HealthCare Dermatology

& Skin Care Services

Our Team

Robert Schuster, MD Burt Steffes, MD Michael Tjoelker, MD

What Is Skin Cancer?

• Skin cancer comes in all forms• Most common types include:– Basal cell carcinoma (BCC)– Squamous cell carcinoma (SCC)– Melanoma

• One in every six people will develop a skin cancer during their lifetime

How Do I Know IfI Have Skin Cancer?

• Common signs include rapid growth, bleeding easily and non-healing

• Changes in size, shape and color

What Does BCC Look Like?

What Does SCC Look Like?

What Does Melanoma Look Like?

Skin Cancer Treatment

• Curettage and desiccation• Topical chemotherapy• Standard surgical excision• Mohs micrographic surgery• Radiation therapy

Curettage and Desiccation• Utilizes a curett to “scrape” skin cancer cells

away• Appropriate for certain BCCs and low risk SCC

Standard Surgical Excision• A margin is drawn around

visible tumor and then excised.

• Standard pathology technique is then used to check margins.

• Appropriate for melanoma, BCC and many SCCs.

Radiation Therapy• Uses superficial X-rays to destroy skin cancer.

Can health without a scar.• Used for very large BCC and SCC that are not

good candidates for surgery, or to decrease the risk of metastasis.

Mohs Micrographic Surgery

• Precise, tissue sparing technique utilizing specialized excision and frozen section processing to clear tumor.

• Highest skin cancer clearance rates and useful for most BCC, SCC and certain melanoma.

Mohs Surgery

Mohs Surgery

What Can I Do ToPrevent Skin Cancer?

• Protect yourself from harmful UV radiation– Clothing– Avoidance– Broad spectrum sunscreen

• Zinc-based sunscreens are superior to chemical-based sunscreens

What Should I Do?• Perform regular skin self examinations• Seek medical attention from a dermatologist

if you notice irregular growths

Radiation Therapyfor Skin Cancer

Michael J. Vander Kooy, MDRadiation Oncologist

Agnesian Cancer Center

Agnesian Cancer Center

Our Team

Michael Jones, MD Timothy Korytko, MD Joel Lundberg, MD Michael Vander Kooy, MD

Linear Accelerator

Electron Block

5/22/2012

5/22/2012

7/17/2012

8/9/2012

We Like to Have FUN!

Thank You!

Questions?