In mybook®: Health
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VISA, AMEX, MASTERCARD
- Cosmetic Dermatology
- Hair Diseases
- Mohs Micrographic Surgery
- Skin Diseases
Radiation TherapyAbstract. We reviewed all studies (since 1945) reporting recurrence rates for treatment of recurrent (previously treated) basal cell carcinomas (BCC) using surgical excision, radiotherapy, cryotherapy, curettage and electrodesiccation, and Mohs micrographic surgery. The 5-year recurrence rate for Mohs micrographic surgery is 5.6%. The recurrence rate for non-Mohs modalities of 19.9% is nearly four times higher. Individual recurrence rates for the non-Mohs modalities are 17.4% for surgical excision, 40.0% for curettage and electrodesiccation, and 9.8% for radiation therapy. There are no studies reporting 5-year data for cryotherapy. However, the recurrence rate is 13.0% for cryotherapy when the follow-up period is less than five years. The data support the following conclusions: (1) Mohs surgery is the treatment of choice for recurrent BCC; (2) if the patient is not a surgical candidate and the lesion is small, radiation therapy is an alternative that offers a better chance for cure than the other non-Mohs modalities; and (3) curettage and electrodesiccation should not be used to treat recurrent basal cell carcinoma.
BotoxSCDI hired Dr. Franz J. Stadler, in the fall of 2002 to work at locations in the Carson City, Fallon, and Reno offices. He recently purchased laser equipment to provide hair removal, treatment of spider veins, brown/red spots and acne. In addition to using lasers, Dr. Stadler specializes in Botox, Collagen, Radiance, and Restylane Injections and chemical peels; Cosmetic Services. Dr. Stadler became an SCDI partner in the fall of 2003.
Cosmetic DermatologyDr. Stadler has been practicing General Dermatology and Cosmetic Dermatology in the Reno and Carson City area since 1999. Dr. Stadler is a Diplomat of the American Board of Dermatology and specializes in cosmetic dermatology and surgical dermatology.
Skin CancerMohs Micrographic Surgery was developed about 50 years ago by Dr. Fred Mohs as a new method to remove difficult skin cancers. The technique had 2 advantages over standard skin cancer surgery...
DermatologyLaura Hay, APN, NP-C received her Masters of Science in Nursing degree from the University of Nevada, Laura has been in nursing since 1993, spending several years as a Clinical Registered Nurse before getting her Masters of Science in Nursing in 2008. Laura is certified as a Family Nurse Practitioner by the American Academy of Nurse Practitioners. Her focus is in Dermatology.
LesionsThe procedure takes a minimum of 2 hours but can go much longer, depending on the severity of your cancer. After filling out all the paperwork, the area around your cancer will be numbed up using local anesthetic. Your doctor will then take a small saucer shaped piece of tissue around and underneath your cancer site. The nurse will then bandage up the area and you can relax and wait in a separate, smaller waiting room. During the next 45 minutes to 1 hour, a specialized technician will turn the piece of tissue into a microscopic slide. The doctor reviews the slide and determines if any cancerous cells are remaining. If all the cancer is gone, your lesion site will be sewn up and bandaged. Otherwise, the procedure will be repeated until all the cancer is gone. On the rare occasions, where the cancer lesions are too large to be repaired in our office, expert reconstructive surgeons are recruited to assist us.
Chemical PeelsSerious anti-aging benefits, targeted results. Chemical peels can remove fine wrinkles, age spots and help with acne scarring. Treatment takes approximately 15 minutes. Depending on strength of peel and type of peel, Jessner or TCA, (Trichoracetic Acid), expect redness and peeling for 5 days.
Skin CareSkin Cancer and Dermatology Institute was established in 1996 and currently provides service to patients at 3 locations; 640 W. Moana Lane, Reno, NV; 3950 GS Richards Blvd., Carson City, NV; and 801 E. Williams St., Ste 1101, Fallon, NV. Our providers offer skin care solutions for all ages, which includes; comprehensive cancer screenings and treatment; treatment of hair, skin and nail diseases; treatment of acne and rashes; Botox injections and Mohs Micrographic Surgery. New patients are gladly accepted.
PsoriasisDr. Hovenic is a board certified dermatologist and joins Dr. and Dr. Rowe as the third fellowship-trained Mohs surgeon in Northern Nevada. Dr. Hovenic specializes in Mohs surgery and skin cancer, but also practices general dermatology with special interest in acne, eczema, psoriasis, cosmetic dermatology and the use of lasers for medical and cosmetic purposes.
Mohs SurgeryDrs. Rowe and Kiene both completed Medical School and general dermatology at UCLA Medical School. In addition, they both fulfilled a very intensive 1-year fellowship in Mohs surgery at the prestigious University of British Columbia Skin Cancer Centre. This extra training and the experience of hundreds of cases is necessary to become members of the ACMS (the American College of Mohs Surgery). Dr. Hovenic graduated from the University of Nevada School of Medicine and completed her residency in dermatology at the University of Missouri. She also completed her fellowship in Mohs Micrographic Surgery at the University of California, Irvine. Dr. Kiene, Dr. Rowe and Dr. Hovenic are currently the only three members of the ACMS in Northern Nevada.
CryotherapyAbstract. We reviewed all studies (since 1947) reporting recurrence rates for treatment of primary (previously untreated) basal cell carcinomas using surgical excision, radiotherapy, cryotherapy, curettage and electrodesiccation, and Mohs micrographic surgery. Our findings indicate that recurrences following treatment of primary basal cell carcinoma appear later than is generally acknowledged in the literature. We found that less than one-third of all recurrences appear in the first year following treatment; only 50% appear within the first 2 years following treatment; and only 66%, or nearly two-thirds, appear within the first 3 years following treatment. A good rule of thumb is that the 10-year recurrence rate is double, or 2 times, that of the 2-year recurrence rate. Furthermore, 18% of recurrences appear between the fifth and tenth year following treatment. These results held true, irrespective of treatment modality examined. Seventy-two studies reporting short-term recurrence rates (follow-up less than 5 years) had a weighted average recurrence rate of 4.2%, whereas 34 long-term studies (follow-up of 5 years) had a weighted average recurrence rate of 8.7%, or more than 2 times the short-term rate. Five-year recurrence rates by treatment modality are as follows: Mohs micrographic surgery 1.0%, surgical excision 10.1%, curettage and electrodesiccation 7.7%, radiation therapy 8.7%, and cryosurgery 7.5%. We conclude that the reporting of recurrence rate data for basal cell carcinoma should be standardized using 5-year life table analysis, and even more important is our conclusion that lifetime follow-up is necessary after treatment of primary basal cell carcinoma in order to detect both recurrences and new primaries.
Pediatric CareLisa graduated with Bachelor of Science Degree from the University of South Florida in Medical Technology and worked six years as a Microbiology Medical Technologist. She returned to the University of Florida and received another Bachelor of Science Degree in Health Sciences, Physician Assistant Program, graduating in 1985. She has specialized in Pediatrics and laterDermatology, primarily practicing in General Dermatology since 1995.
Primary CareAs a general rule, no. If you take aspirin (even baby aspirin) you should stop taking it 10 days before the surgery day and if you take coumadin, it should be stopped 3 days before the surgery. Always let your primary care doctor and our office know about stopping these medicines to ensure your safety.
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