14 Eylül 2012 Cuma

Basal Cell Carcinoma treatment moh's Surgery

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Mohs Micrographic Surgery or just Mohs Surgery is the most advanced and effective treatment procedure for skin cancer available today. It is an outpatient procedure in which the tumor is surgically excised and then immediately examined under a microscope. It said that Mohs surgery has a high cure rate compared to other skin cancer treatment. It is a good treatment for basal cell carcinoma.


The base and edges are microscopically examined to verify sufficient margins before the surgical repair of the site. If the margins are insufficient, more is removed from the patient until the margins are sufficient.

However, mohs surgery procedure usually performed by specially trained surgeons who have completed at least one additional year of fellowship training (in addition to the physician's three-year dermatology residency) under the tutelage of a Mohs College member.


With the Mohs technique, physicians are able to see beyond the visible disease, to precisely identify and remove the entire tumor layer by layer while leaving the surrounding healthy tissue intact and unharmed. As the most exact and precise method of tumor removal, it minimizes the chance of re-growth and lessens the potential for scarring or disfigurement.


Because the physician is specially trained in surgery, pathology, and reconstruction, Mohs surgery has the highest success rate of all treatments for skin cancer - up to 99 percent. The Mohs technique is also the treatment of choice for cancers of the face and other sensitive areas as it relies on the accuracy of a microscopic surgical procedure to trace the edges of the cancer and ensure complete removal of all tumors down to the roots during the initial surgery. Mohs surgery also used for squamous cell carcinoma; however, the cure rate is not as high as Mohs surgery for basal cell carcinoma.

Main article - Standard Surgical Excision

Moh's Surgery for Melanoma

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Mohs Surgery is a type of skin cancer treatment that not only has a very high cure rate but also less invasive. Moh’s surgery has a very high cure rate depend on what its treat, it has the highest cure rate when treating basal cell carcinoma skin cancer, but the cure rate is lesser in treating squamous cell carcinoma skin cancer.


Mohs surgery can also be used to treating melanoma. However, moh’s surgery has a higher cure rate if treating melanoma in situ. It has been used in the removal of melanoma-in-situ (cure rate 77% to 98% depending on surgeon), and certain types of melanoma (cure rate 52%). Another study of melanoma-in-situ revealed Mohs cure rate of 95% for frozen section Mohs, and 98 to 99% for fixed tissue Mohs method. In situ is a condition that a cancer is still not become cancer yet.

However, mohs surgery is appropriate when:
  • The skin cancer is in an area where it is important to preserve healthy tissue for maximum functional and cosmetic result, such as: eyelids, nose, ears, lips, fingers, toes, genitals.
  • The skin cancer was treated previously and recurred.
  • Scar tissue exists in the area of the cancer.
  • The skin cancer is large.
  • The edges of the cancer cannot be clearly defined.
  • The skin cancer is growing rapidly or uncontrollably.
 Main Article - Moh's Surgery

Cranberry juice benefits are enormous

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Cranberry juice benefits are enormous. Cranberries are time-tested dwarf shrubs that grow in the acidic areas of the north hemisphere. These bushes bear bit of berries which initially stay whitish however flip red after they obtain ripened. These fruits can be drunk and used to make juice that is bitter in the pure kind. However, virtually all of the commercially available styles of cranberry juices are syrupy by adding synthetic essences. In addition to being incredibly tasty and also enjoyable, this berry juice extends a number health advantages.

UTI: One of the crucial cranberry fruit juice health perks is its potential to battle urinary tract infections. Our prime degrees of oligomeric proanthocyanidins minerals deposits in cranberry extract juice make it rinse out the unsafe E. coli parasites from urinary system that can easily result in numerous uncomfortable microbe infections. Cranberry juice consists of minerals that are effective antioxidants. The certain anti-inflammatory, anti-carcinogenic and also anti-microbial traits include in the important things relating to consuming cranberry remove juice. It has definitely obtained acids in it that make urine that do not let the micro-organisms to stay with the wall structures of the bladder. This particular eliminates the prospect of infection. Anxiety of Staphylococcus aureus, or perhaps S. aureus is accountable for urinary tract infections which trigger skin color rash and could also result in blood flow infections. Cranberry remove juice shields your body coming from STAPH infections.

Tummy Ulcers: In addition to battling the true E. coli microorganisms, cranberry fluid has the potential involving destroying the certain Helicobacter pylori micro-organisms. This certain pressure concerning micro-organisms may cause uncomfortable belly ulcers via harming the certain preventive mucous polish of the mid-sections. In significant cases of infection, this leads to tolerate cancer malignancy.

Cancer: Red grapes help abolish and stop the growth concerning tumors that results in cancer. Investigation has definitely exposed that the medicines used for many of the ovarian cancers along with chemotherapy have definitely been even more successful in the celebration the client is let to consume cranberry fluid frequently. Muchmore investigations have definitely been performed on this score verify the major advantages of cranberry liquids for cancer malignancy customers.

Breathing system Infection: Study indicates that cranberry juices permit you battle particular pressures in the Homophiles Influenzas bacteria that have the microorganisms that are found in the nasal area that may be the root cause of concern for healthy and balanced grownups and kids. This bacterium supervises creating excruciating respiration system as well as hearing infections in children. This juice inhibits the micro-organisms originating from affecting cells by not enabling their tresses like framework (referred to as pili) to fasten by themselves to the wireless area. Thus, it assists eliminate wellness problems much like the typical influenza, cough, painful throats and the typical cold.

Cardiovascular Illnesses: The polyphenols included in cranberry juice support improve the healthiness of the heart. These chemical materials are thought to bring up the degrees of correct blood cholesterol lowering the degrees of the poor cholesterol levels in the body, thus reducing the risk of cardio conditions.

Dental health: Cranberry fluid juice is great at reducing germs in dental cavity. Drinking one glass of this berry juice is understood to inhibit microbial development in nicotine gums, protect against back bowl forming in addition to improve dental tidiness. The anti-inflammatory factors of red grapes help lower the prospective danger of periodontal conditions.

There are many other cranberry health advantages that might lure one to consume a whole lot of this kind of juice. However, an overdose regarding cranberry fluid could add to your weight due to its huge glucose subject matter. This aside, excess intake of this juice may even create diarrhea, abdominal distress, bloating, gastrointestinal problems, as well as enamel cavities. A maximum of 2 glasses for adults as well as 1 glass for the kids in a day will be the medication dosage that is definitely suggested by a lot of specialists.

If you have to make the most of your cranberry juice benefits, you might acquire natural unsweetened berry juice created from organic cranberries. It is available at most wellness stores.

Water With Lemon, can do wonders for your weight?

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Ever thought that lemon juice and water can do wonders for your weight? Well, a new diet has been proven to help you lose all those excess pounds and all it consists is a glass of lemon juice in the morning combines with good exercise and eating healthy food.

The lemon water diet has been said to be effective in helping our digestive mechanisms work faster, thus, aiding in our weight loss. So, what bolsters digestion better than this? It does a number of great things for your body. Here are some of the great effects of a glass of water with lemons for your body.

1. It helps in your digestion by preventing build-up of accumulated wastes resulting in constipation or diarrhea.

2. This process is the natural way of losing weight. No need to worry about harmful side effects of water and lemon juice because, as of the moment, there are certainly isn’t one.

3. It reinforces your immune system. It helps your body develop into something stronger since lemons are obviously made from vitamin C.

4. It cleanses your blood. Not only does it do that, but it helps clear off toxins from your entire body. Therefore, that one glass can help prevent future health issues from arising.

5. It is a great booster for absorbing calcium in your body. We all need calcium to strengthen our bones, so this is all you need to help you march your way into good health.

Therefore, if you want to lose weight the natural route, then this is the weight loss method for you. All you need is about 8-10 glasses of water with lemon every day. Once you start shedding those pounds then just carry on with at least one glass every day. This could be the key to saying goodbye to those expensive diet supplements that are all talk, but no results.

Weight loss percentage calculator, Knowing how to calculate

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Knowing how to calculate weight loss percentage can really be a morale booster for your rough times because your actual results can only encourage you to perform more of the taken actions - like jogging, dieting or others.

It can also help you stay on track and not exaggerate with anything, as we do know that anything done in excess can harm your body. It can help you set goals and achieve them step by step.

But how do we calculate weight loss percentage? Is it a difficult math task? No way! It's a pretty basic formula. First of all you'll need to remember your initial weight.
Secondly, you'll need your actual weight at this point.
Now, the formula goes like this:

((IW-AW)/IW) * 100= weight loss percentage

In this formula IW is your initial weight and AW is your actual weight at this point.
It's not as complicated as it initially seems: practically all you do is subtract the actual weight from the initial weight and divide the number obtained by your initial weight. Multiply the result with 100 and you'll get the exact percent.

Now you can see that it's pretty basic - but opening a lot of possibilities. For example, you can measure your weight once a week and create an Excel table which instantly calculates the weight loss percentage for you. This can really help you keep track of your progress and can be a real motivation booster as I previously mentioned.

With this you can also create a weight loss percentage graphic - actually drawing your progress at certain points.

Well, if you fully understood how this works, you can conclude that now you know how to calculate weight loss percentage. If not, try to re-read the article more carefully.

How to Use Weight Loss Calculator

There is always fear and anticipation by most people on weight loss program when they start using the calculator. Their fear is based on the fact that they may not have lost any weight especially if they're been banging on foods during midnight, or not strictly following the diet recommendation. But definitely, the calculator is a must have for individuals who are dead serious about losing weight and staying healthy.

The number of calories you consume in your diet has a direct correlation to your weight. Many people count the calories in order to maintain a healthy weight or lose the extra pound. A pound of body weight is equal to 3500 calories, but very few people consume this number of calories daily. In order to achieve your ideal weight, it is important to calculate the number of calories your body needs to stay at your current weight. And if this is known, what remain is to monitor or maintain your ideal weight.

There are many websites online that you can quickly and easily complete the calculation of how many calories you need. All you have to do is enter your height and weight and click enter. The result will be the number of calories for your present weight.

Although the most popular and widely used method of assessing body weight is jumping on the bathroom scale. Measuring body weight on a scale is probably so trusted a method because it is widely used, but it not reliable.

You can assess your body weight by calculating your Body Mass Index (BMI). This simple calculation compares your weight to your height to see if you're in a healthy weight range. This is a great starting point as it will quickly give you an indication of where your weight should be and because it works on range. BMI does not take into account your actual body fat. The best way to assess your body weight is not through BMI whose readings lead to many inaccuracies. Rather the body percentage calculator is the best instrument.

The body fat percentage calculator takes in the measurement of your weight in pounds, inches in certain areas of your body ( such as neck, waist, and thigh), you gender, your bone mass and your muscle mass. For example a woman who is 150 lb. at 5' 6 is not necessarily overweight. Her body fat percentage may be only 17%, and that her weight is made up mostly of 145 pounds of lean muscle which weigh more than fat. The body fat percentage readings always give more accurate result than BMI. You could be 150 lb. of pure muscle and BMI will read you as being overweight. The body fat percentage calculator also takes into account differences in biological sex. Women naturally have an extra layer of fat that helps them in pregnancy that men don't have. This is one of the reasons why many women have problems losing weight since it is a natural function of the body

A healthy reading for women sits between 18%--29%, anything over is considered obsessed. A lean woman should be no more than 12%, otherwise her body fat stores are insufficient and can lead to medical problems. A lean man should be between 4%--10%, and a healthy man should be between 11%--25%.

The body fat percentage calculator is the best way to accurately assess your weight loss. As you trim down and the activity becomes easier, you'll burn fewer calories and it will be necessary to maintain the same Daily Calorie Deficit.

Excisional Skin Biopsy for Melanoma

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Melanoma is a malignant tumor of melanocytes which are found predominantly in skin but also in the bowel and the eye. It is one of the less common types of skin cancer but causes the majority of skin cancer related deaths. Melanocytes are normally present in skin, being responsible for the production of the dark pigment melanin.

Around 60,000 new cases of invasive melanoma are diagnosed in the US each year, more frequently in males and in Caucasians. It is more common in Caucasian populations living in sunny climates than in other groups, or in those who use tanning salons. According to a WHO report about 48,000 melanoma related deaths occur worldwide per year.

Excisional skin biopsy is the management of choice for melanoma diagnosis; this is where the suspect lesion is totally removed with an adequate ellipse of surrounding skin and tissue. The preferred surgical margin for the initial biopsy should be narrow in order to prevent the disruption of the local lymphatic drainage.

The biopsy will include the epidermal, dermal, and subcutaneous layers of the skin, enabling the histopathologist to determine the thickness of the melanoma by microscopic examination. This is described by Breslow's thickness. Large initial excision will disrupt the local lymphatic drainage and can affect further lymphangiogram directed lymphnode dissection.

A small punch biopsy can be utilized at any time where for logistical and personal reasons a patient refuses more invasive excisional biopsy. Small punch biopsies are minimally invasive and heal quickly, usually without noticeable scarring. Thus, a small punch biopsy in representative areas will give adequate information and will not disrupt the final staging or depth determination.

For large lesions such as suspected lentigo maligna, or for lesions in surgically difficult areas (face, toes, fingers, eyelids), a small punch biopsy in representative areas would be enough. In no circumstances should the initial biopsy include the final surgical margin, as a misdiagnosis can result in excessive scarring and morbidity from the procedure.

Lactate dehydrogenase (LDH) tests are often used to screen for metastases, although many patients with metastases have a normal LDH; extraordinarily high LDH often indicates metastatic spread of the disease to the liver. It is common for patients diagnosed with melanoma to have chest X-rays and an LDH test, and in some cases CT, MRI, PET or PET/CT scans.

Although controversial, sentinel lymph node biopsies and examination of the lymph nodes are also performed in patients to assess spread to the lymph nodes. Sometimes the skin lesion may bleed, itch, or ulcerate, although this is a very late sign. A slow-healing lesion should be watched closely, as that may be a sign of melanoma. Some patients with metastatic melanoma do not have an obvious detectable primary tumor.

Be aware also that in circumstances that are still poorly understood, melanomas may 'regress' or spontaneously become smaller or invisible; however the malignancy is still present. Amelanotic melanomas do not have pigment and may not even be visible. Lentigo maligna, a superficial melanoma confined to the topmost layers of the skin is often described as a 'stain' on the skin.

The treatment includes surgical removal of the tumor, adjuvant treatment, chemotherapy, immunotherapy, or radiation therapy.

5 Myths About Protecting Yourself from Skin Cancer

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Sara spends much of her summer near the beach. She lives in a mild climate and is very athletic. She loves to swim, bike and play games outdoors. Sara knows the dangers of the sun and so she opts for tanning salons to get her 'golden glow' while being sure to apply sunscreen every day before heading out.

Joseph lives in a cooler, northern climate. The summers can be very humid, but most of the year is mild or even below freezing during the harshest winter months. The beach has never been much of a draw for him and he spends most of his time doing indoor activities or at his job. Joseph doesn't worry about sunscreen and only had one sunburn that he can remember and that was when he was a child.

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Which of these examples do you most associate yourself with? Did you know that Sara and Joseph are both at risk of developing skin cancer? We have all heard the warnings about the dangers of sun exposure. We know all about the importance of wearing sunscreen and hats. But are YOU protected from skin cancer? Consider these myths and facts:

MYTH ONE: Tanning Beds are Safer than the Sun

20 minutes of exposure in a tanning bed is roughly equivalent to four hours in the sun. Although sun beds use UVA rather than UVB rays, 'The Skin Cancer Answer' states that 'UV-A penetrates more deeply into the skin than UV-B, can cause skin cancer, and may suppress the immune system.'

MYTH TWO: Wearing Sunscreen at the Beach is Protection

85 percent of UV rays can even make it through on cloudy days. That means you are equally at risk in the car, walking the dog or letting your children out to play at any time of year - even when you're not at the beach. Of course, you are usually less attired at the beach and so covering up is recommended even when wearing sunscreen. Sunscreen also wears off with sweat and water and should always be applied every two hours or after getting wet.

MYTH THREE: Taking Care Of Your Skin Now Will Protect You

Sadly, skin cancer can take 20 or more years to develop. The Skin Cancer Foundation states that most people receive about 80 percent of their lifetime sun exposure before the age of 18. Just one blistering sunburn in childhood is estimated to double the risk of melanoma later in life. Taking better care now will reduce the risk, but not eliminate the damage already done.

MYTH FOUR: Having a Tan Means You're More Protected

Dark skinned individuals are less likely to develop cancer, but tanned skin is actually damaged skin. Repeated tanning injures the skin and increases the risk of skin cancer.

MYTH FIVE: You Can't get Burned on Overcast Days

Just because the sun is hidden by some cloud does not mean that you don't need protection from the harmful effects of the suns rays.

So how do you plan to protect your family this year? Some suggestions are to limit exposure to the sun - especially for infants. Examine your skin for early signs of damage. Use a sunscreen of SPF 15 or higher and apply it at least 30 minutes before exposure and every two hours after that. Teach your children good safety habits and be sure you and they are covered up when outdoors. Have fun and be safe.

The information contained in this article is for educational purposes only and is not intended to medically diagnose, treat or cure any disease. Consult a health care practitioner before beginning any health care program.