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1. Indication guidelines for Mohs micrographic surgery in skin tumors

Author

Selma Schuartz Cernea, Gabriel Gontijo, Eugenio Raul de Almeida Pimentel, Roberto Gomes Tarlé, Glaysson Tassara, Juliana Areas de Souza Lima Beltrame Ferreira, Victor Miguel Coutinho Fernandes, and Wanderley Marques Bernardo

Subjects
Carcinoma, basal cell, Carcinoma, squamous cell, Dermatofibrosarcoma, Mohs surgery, Dermatology, RL1-803
Abstract

Abstract: Mohs micrographic surgery is a technique used to excise skin tumors based on comprehensive surgical mapping, in which the surgeon removes the tumor, followed by a complete histological evaluation of the tumor's margins. The correlation of the presence of a tumor in histological examinations and its precise location on the surgical map result in a complete removal of the tumor with maximum normal tissue preservation. The present article seeks to provide general practitioners and healthcare specialists with guidelines regarding recommendations for Mohs micrographic surgery to treat skin tumors, based on the most reliable evidence available in medical literature on the subject. This bibliographic review of scientific articles in this line of research was conducted based on data collected from MEDLINE/PubMed. The search strategy used in this study was based on structured questions in the Patient, Intervention, Control, and Outcome (PICO) format. MeSH terms were used as descriptors. The indications of this technique are related to recurrence, histology, size, definition of tumor margins, and location of tumors. These guidelines attempt to establish the indications of Mohs surgery for different types of skin tumors.

Published
2016
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2. Brazilian guidelines for diagnosis, treatment and follow-up of primary cutaneous melanoma - Part II

Author

Luiz Guilherme Martins Castro, Renato Marchiori Bakos, João Pedreira Duprat Neto, Flávia Vasques Bittencourt, Thais Helena Bello Di Giacomo, Sérgio Schrader Serpa, Maria Cristina de Lorenzo Messina, Walter Refkalefsky Loureiro, Ricardo Silvestre e Silva Macarenco, Hamilton Ometto Stolf, and Gabriel Gontijo

Subjects
Melanoma, Guideline, Diagnostic imaging, Diagnostic techniques and procedures, Sentinel lymph node biopsy, Dermoscopy, Histology, Dermatology, RL1-803
Abstract

Abstract The last Brazilian guidelines on melanoma were published in 2002. Development in diagnosis and treatment made updating necessary. The coordinators elaborated ten clinical questions, based on PICO system. A Medline search, according to specific MeSH terms for each of the 10 questions was performed and articles selected were classified from A to D according to level of scientific evidence. Based on the results, recommendations were defined and classified according to scientific strength. The present Guidelines were divided in two parts for editorial and publication reasons. In this second part, the following clinical questions were answered: 1) which patients with primary cutaneous melanoma benefit from sentinel lymph node biopsy? 2) Follow-up with body mapping is indicated for which patients? 3) Is preventive excision of acral nevi beneficious to patients? 4) Is preventive excision of giant congenital nevi beneficious to patients? 5) How should stages 0 and I primary cutaneous melanoma patients be followed?

Published
2016
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3. Guidelines of the Brazilian Dermatology Society for diagnosis, treatment and follow up of primary cutaneous melanoma - Part I

Author

Luiz Guilherme Martins Castro, Maria Cristina Messina, Walter Loureiro, Ricardo Silvestre Macarenco, João Pedreira Duprat Neto, Thais Helena Bello Di Giacomo, Flávia Vasques Bittencourt, Renato Marchiori Bakos, Sérgio Schrader Serpa, Hamilton Ometto Stolf, and Gabriel Gontijo

Subjects
Dermoscopy, Diagnostic imaging, Diagnostic techniques and procedures, Guideline, Histology, Melanoma, Practice guideline, Sentinel lymph node biopsy, Therapeutics, Dermatology, RL1-803
Abstract

Abstract: The last Brazilian guidelines on melanoma were published in 2002. Development in diagnosis and treatment made updating necessary. The coordinators elaborated ten clinical questions, based on PICO system. A Medline search, according to specific MeSH terms for each of the 10 questions was performed and articles selected were classified from A to D according to level of scientific evidence. Based on the results, recommendations were defined and classified according to scientific strength. The present Guidelines were divided in two parts for editorial and publication reasons. In the first part, the following clinical questions were answered: 1) The use of dermoscopy for diagnosis of primary cutaneous melanoma brings benefits for patients when compared with clinical examination? 2) Does dermoscopy favor diagnosis of nail apparatus melanoma? 3) Is there a prognostic difference when incisional or excisional biopsies are used? 4) Does revision by a pathologist trained in melanoma contribute to diagnosis and treatment of primary cutaneous melanoma? What margins should be used to treat lentigo maligna melanoma and melanoma in situ?

Published
2015
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4. Tratamento de carcinoma basocelular com associação de terapia fotodinâmica e cirurgia micrográfica de Mohs

Author

Rodrigo Negri Pereira, Erica Ligório Fialho, and Gabriel Gontijo

Subjects
CARCINOMA BASOCELULAR, FOTOQUIMIOTERAPIA, CIRURGIA DE MOHS, RETALHOS CIRÚRGICOS, Dermatology, RL1-803
Abstract

tratamento de carcinomas basocelulares mal delimitados, recidivados, extensos, localizados em áreas de risco, em pacientes com várias comorbidades representa sempre umdesafio para o cirurgião dermatológico.A cirurgia micrográfica de Mohs, geralmente utilizada nesses casos, apresenta riscos inerentes a uma cirurgia extensa, além da dificuldade no fechamento da ferida operatória, que muitas vezes se estende além dos limites clínicos da lesão. Demonstra-se, em paciente com 90 anos, diabética e hipertensa, a utilização da terapia fotodinâmica anterior à cirurgia micrográfica de Mohs, visando à diminuição emelhor delimitação da lesão para posterior exérese.

Published
2010

5. Cirurgia dermatológica e procedimentos cosmiátricos na gestação – Revisão sistemática

Author

Gabriel Gontijo, Gustavo Vieira Gualberto, and Natália Augusta Brito Madureira

Subjects
GRAVIDEZ, PROCEDIMENTOS CIRÚRGICOS AMBULATÓRIOS, TOXICIDADE DE DROGAS, GESTANTES, Dermatology, RL1-803
Abstract

Considerações especiais são necessárias antes de qualquer procedimento cirúrgico durante a gravidez. Os cirurgiões dermatológicos devem considerar a melhor abordagem paraminimizar os riscos e prestar o cuidado ideal para mãe e feto.Tratamentos não emergenciais devem ser adiados até o término da gestação. Quando a cirurgia for necessária, é prudente a utilização de drogas e técnicas bem documentadas na literatura especializada.

Published
2010

6. Non-cultured melanocyte/keratinocyte transplantation for the treatment of stable vitiligo on the face: report of two cases

Author

Mariana Gontijo Ramos, Daniel Gontijo Ramos, Gabriel Gontijo, Camila Gontijo Ramos, Tania Nely Rocha, and Rafael Henrique Rocha

Subjects
Melanocytes, Transplantation, Vitiligo, Dermatology, RL1-803
Abstract

There are many alternatives to treat vitiligo, including surgical procedures, which are recommended for patients resistant to other therapies. The melanocyte/keratinocyte transplantation consists in the separation of epidermal cells obtained from a donor site and spreading these cells on the depigmented and dermabraded recipient area. Two patients were submitted to transplantation, showing more than 70% repigmentation in the treated areas after four months, both with excellent degree of satisfaction. The method requires some laboratory skills, but represents a simple and safe procedure.

Published
2013
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8. FUNDAMENTOS E PRÁTICAS PEDIÁTRICAS E NEONATAIS

Author

Rafael, Ana Luísa Bonfim, primary, Pontes, Nayanne Hardy Lima, additional, Chaves, Melissa Magalhães Rodrigues, additional, Ferreira, Nathalya Menezes de Menezes, additional, Martins, Juliana Bezerra, additional, Landim, Sâmia Marques Lourenço, additional, Vasconcelos, Izabella Tamira Galdino Farias, additional, SILVA, MARIANA PEREIRA BARBOSA, additional, Loures, Leandro Luiz da Silva, additional, Moura, Layanne Cavalcante de, additional, Santos, Jéssika Roberta Firme de Moura, additional, Fonseca, Natana Maranhão Noleto da, additional, Fonseca, Vanessa Maranhão Noleto da, additional, Santos, Beatriz Sousa, additional, Moura, Viviane Silva de, additional, Gomes, Yulle Morais, additional, Apolinário, Joelma Maria dos Santos da Silva, additional, Ferreira, Barbara Rodrigues, additional, Dias, Nathália M, additional, Sousa, Samilly Lorâna Farias de, additional, Rocha, Samara Atanielly, additional, Bastos, Melissa Cavalcante, additional, Sousa, Maria do Livramento Siqueira, additional, Silva, Manoel Leonardo Tavares da, additional, Nascimento, Cidianna Emanuelly Melo do, additional, Souza, Vitória Caroline dos Santos de, additional, Souta, Elaine Soares, additional, Lopes, Layane Sampaio, additional, Lobato, Merivalda Vasconcelos, additional, Santos, Mirlena Letícia Souza dos, additional, Sanches, Raiane Pereira, additional, Morais, Raquel Pereira, additional, Vieira, Rosiene Rodrigues, additional, Almeida, Silmara Nayra Silva, additional, Silva, Thais de Melo da, additional, Souza, Vitória Caroline dos Santos, additional, Dias, Nathália Menezes, additional, Ferreira, Nathálya M de M, additional, Rafael, Ana Luisa B, additional, Martins, Juliana B, additional, Chaves, Melissa M R, additional, Vasconcelos, Izabella Tamira G F, additional, Feitosa, Maria Clara Duarte, additional, Nunes, Camila da Silva Lopes, additional, Viana, Carine Cristina Oliveira, additional, Santos, Zaira Antônia Sousa Dos, additional, Frota, Maria Madalena Cardoso Da, additional, Silva, Letícia Alves Rodrigues, additional, Torres, Samir Da Rocha Fernandes, additional, Rocha, Maria Izabel Felix, additional, Barros, Ingrid Cristina Rêgo, additional, Barros, Cassandra M A R, additional, Almeida, Joelson dos Santos, additional, Desto, Nádia Beatriz, additional, Santos, Teresa Cristina Maia dos, additional, Borges, Bruna da Cruz Beyruth, additional, Silva, Ana Flávia Lima, additional, Cardoso, Gabriela Alexandra Amaral, additional, Leal, Gabriely do Nascimento, additional, Raposo, Júlia Cordeiro Brandão, additional, Borges, Lara Freitas, additional, Ferreira, Rayne Curto do Nascimento, additional, Machado, Renata Leão, additional, Barros, Thiago Botelho de, additional, Couto, Amanda Vieira, additional, Saldanha, Janaína Cláudia da Silva, additional, Aguiar, Alessandra N de, additional, Lopes, Ana Luísa Junho, additional, Tsutsumi, Ariane Abreu, additional, Mendes, Emanuelle Xavier Martins, additional, Ferreira, Karina Fernandes Ruiz, additional, Castro, Pedro Keese de, additional, Marco, Valentina Maria Fernandes de, additional, Menezes, João Daniel de Souza, additional, Rosário, Jéssica Reis Do, additional, Alves, Nágila Silva, additional, Soares, Rosana Maria Nogueira Gonçalves, additional, Gonçalves, Fernanda de Sousa, additional, Oliveira, Luinê Ferreira de, additional, Silva, Aline Alves da, additional, Homem, Dayla Soeiro, additional, Silva, Keulle Mayara Barros do Nascimento, additional, Oliveira, Naynne Fernanda Galvão de, additional, Silva, Emylla De Sousa, additional, Oliveira, Brian Araujo, additional, Cunha, Victória da Silva da, additional, Leandro, Andressa Muniz, additional, Alves, Adriely Martins da Conceição, additional, Almeida, Rayane Oliveira, additional, Carneiro, Ana Luiza, additional, Faria, Kathleen Emerick Paiva, additional, Lima, Aleksander Luís, additional, Silva, Bruna Gonçalves da, additional, Soares, Carolina Rocha, additional, Costa, Cynthya Magalhães, additional, Miareli, Felipe, additional, Moscardini, Ighor Monteiro, additional, Carvalho, Isadora Saddi de, additional, Pastro, João Félix de Mattos, additional, Bueno, João Victor de Moraes, additional, Vieira, Júlia Marques, additional, Costa, Letícia, additional, Meira, Melissa Andrade, additional, Guimarães, Rodrigo Quinte, additional, Matos, Romulo Vasconcellos Ribeiro, additional, Alves, Allana Victória Pereira, additional, Cavalcante, Alícia Tenório, additional, Fechine, Amanda Macêdo, additional, Almeida, Ana Beatriz Dantas de, additional, Cruz, Elizabeth Fechine, additional, Rocha, Fernanda Sampaio Feitosa, additional, Silva, Islânia Pacheco da, additional, Macedo, Julia Tenório Lossio de, additional, Lima, Laura de Souza, additional, Pereira, Maria Eduarda Coutinho da Franca, additional, Matias, Maria Inês de Araújo Sousa, additional, Roque, Maria Luiza Teixeira de Carvalho, additional, Moraes, Sabryna Meira Carvalho de, additional, Pereira, Sibely Coelho Urbano, additional, Santos, Taynara Souza, additional, Said, Beatriz Rigoli, additional, Abreu, Barbara Seffair de Castro de, additional, Moraes, Bruna Maria Pedrosa, additional, Leão, Nayara Paloma Carvalho de Oliveira, additional, Paiva, Maria Noel Rigoli, additional, Pereira, Andrea Ferreira, additional, Santos, Francy Hadarssa Albuquerque dos, additional, Resende, Giovanna Medeiros, additional, Lima, Gyovanna Braz Porto de Queiroz Ribeiro, additional, Campos, Joanny Elizabeth Maria Pimentel, additional, Lima, Leticia Britto Gama de, additional, Jesus, Maisa Mendonça de, additional, Teixeira, Maria Eduarda Montenegro Damaso, additional, Maciel, Maria Izadora Sena, additional, Lima, Letícia Britto Gama de, additional, Jesus, Maísa Mendonça de, additional, Vilefort, Laís Assunção, additional, Lopes, Amanda Brandão, additional, Vidal, Laura de Oliveira Veloso, additional, Pereira, Sofia Lúcia El Hauche, additional, Campos, Isadora Assunção Vaz Porto, additional, Lobato, Júlia Lacerda, additional, Silva, Isadora Faria, additional, Campos, Laura Assunção Vaz Porto, additional, Pinto, Letícia Maria Barbosa, additional, Silva, Juliana Cardoso da, additional, Oliveira, Bianca Veloso Vidal de, additional, Oliveira, Juliana Karine de, additional, Brito, Warlon Jorge, additional, Silva, Rachel Macêdo Souza Pedro da, additional, Jardim, Paula Fulgêncio Tanure, additional, França, Gabriel Eugênio Esteves Rocha, additional, Nunes, Beatriz Carnevalli, additional, Lobato, Gustavo de Freitas, additional, Oliveira, Andressa Pâmela de, additional, Costa, Rayssa Mara Ferreira, additional, Gonçalves, Ana Luiza Lima, additional, Pereira, André Luís Campos Louredo, additional, Sabino, Izadora Marina de Oliveira, additional, Ribeiro, Ayla Silva Sygilião, additional, Gomes, João Adriel Rodrigues, additional, Cardoso, Bruna do Nascimento, additional, Magalhães, Felipe Pueyo, additional, Figueiredo, Anna Luísa Rodrigues Soares Silva, additional, Oliveira, Julia de Paula, additional, silva, Haroldo Souza e, additional, Pinto, Andressa Leodorico, additional, Frade, Laura Vitória de Oliveira, additional, Vieira, Júlia Diniz Marra, additional, Viana, Maria Elisa Latini, additional, Cunha, Jorge Romel, additional, Guedes, Mayco Oliveira, additional, Pinheiro, Fernanda Dias, additional, Silveira, Rachel Pimentel Romano, additional, Trindade, Ana Vivian de Miranda, additional, Martins, Marinna Avatar, additional, andrade, Lorenzo brezinski bellinazzi de, additional, Faria, Moisés Lopes Cançado de, additional, Guimarães, Camila Campos Avelar, additional, Nunes, Patricia Pimenta, additional, Carmo, Leticia Saad do, additional, Magalhães, Pedro Antônio Ribeiro Dayrell, additional, Leal, Ana Luiza Alvim, additional, Guedes, Denis da Silva, additional, Souza, Clara Martins Resende de, additional, Possa, Dalila Percilia Siqueira, additional, Cerbarro, Gabrielle Fernanda, additional, Costa, João Pedro Souza Ferreira, additional, Oliveira, Bárbara Martins Mello de, additional, Oliveira, Dara Campos de, additional, Costa, Henrique Brandião, additional, Magalhães, Ícaro Silva, additional, Silva, Ingrid Duarte da, additional, Costa, Ivy Letícia Brandião, additional, Martins, Mariah Prado, additional, Lisboa, Victória Sardinha de, additional, Cacau, Leandro Gervasio Antunes, additional, Oliveira, Victória Martins Mello de, additional, Rocha, Anderson de Almeida, additional, Junqueira, Camila Fonseca Silva, additional, Andrade, Kayan Felipe de Oliveira, additional, Gomes, Matheus Esquerdo, additional, Parma, Isabela Teixeira, additional, Souza, Gustavo Meirelles, additional, Freguglia, Philippe Guedes, additional, Melo, Júlia Carvalho de, additional, Antunes, Victor Rocha Moreira, additional, Soares, Pedro Veiga de Paula, additional, Pompei, Vinícius Abritta, additional, Junqueira, Laís Silveira, additional, Delphino, Anna Laura Lima, additional, Oliveira, Luciano José Fontes de, additional, Oliveira, Lucas Avinner Afonso de, additional, Ferreira, Nathalia de Araújo, additional, Pires, Victoria Cristina Lodron, additional, Pereira, Luis Fernando Mendes, additional, Pires, Paulo Henrique Lobato, additional, mesquita, Gabriel Albuquerque, additional, Vieira, João Pedro Santana, additional, Almeida, Beatriz Martins Guerra Pantuza, additional, Avelar, João Victor de Miranda, additional, Brandão, Renata Alvares, additional, Morais, Mariana Melo de, additional, Barbosa, Mário Henrique Araújo, additional, Oliveira, Fernanda Silva de, additional, Siqueira, Ana Luiza Faria e, additional, Fonseca, Camilla Gonçalves Corradi, additional, Barcelos, Rafaella Viana Ferreira, additional, Pouza, Matheus Henrique Campos, additional, Coutinho, Thais Dias, additional, Fiorilo, Luciana Calderano, additional, Sidrim, Gustavo Henrique Silva, additional, Santos, Camila Aparecida Campos, additional, Neves, Flavia Bedeti, additional, Pimenta, Aline Vilela, additional, Jabour, Matheus Silva Cordeiro, additional, Barreto, João Murta, additional, Barreto, Pedro Murta, additional, Hostt, Luísa Pettz Oliveira, additional, Ferreira, Tulio Coura Moreira dos Santos, additional, Vieira, Pedro Henrique Gomes, additional, Graça, Gabriela Arantes da Cunha, additional, Alves, Vinícius Tadeu Silveira, additional, Goulart, Jéssica, additional, Parisi, Mariana Migliorini, additional, Cattaneo, Roberta, additional, Martins, Rebeca da Gama Cerqueira Ferraz, additional, Rachid, Marina de Moura, additional, Santana, Mariana Briglia de, additional, Rachid, Clara de Moura, additional, Santos, Emília Oliveira, additional, Mendonça, Larissa Lima Pessoa de, additional, Nascimento, Isabella Lima, additional, Sapori, Angélica Navarro, additional, Moraes, Liliane Regina de Souza, additional, Costa, Danielle Lima da, additional, Pissolatto, Gabrielle Grecov, additional, Carvalho, Marianne Rocha Duarte de, additional, Rocha, Silvana Santiago da, additional, Sales, Isabela Maria Magalhães, additional, Figueiredo, Emmanoel Martins, additional, Araújo, Vitória Jannyne Guimarães de Sousa, additional, Sales, Pedro Henrique Barbosa, additional, Ferrer, Iago Araújo, additional, Marinho, Denis Pontes, additional, Lima, Marcos Roberto de Oliveira, additional, Bezerra, Maria Victoria Hiluy Habibe, additional, Mota, Antônio Alberto Bastos, additional, Vidal, Brayon Freire Blanquett, additional, Cavalcante, Ana Carolina Pinheiro Frota, additional, Paula, Rebeka Ventura Pessôa de, additional, Aguiar, Aryane Cruz, additional, Sampaio, Rafaela Montenegro Aires, additional, Holanda, Abner Pedrosa, additional, Rodrigues, Marina Machado, additional, Lisboa, Débora D'Agostini Jorge, additional, Amarante, Michael Vieira do, additional, Rezende, Ana Cristina Arruda, additional, Rabelo, Ana Luiza Andrade, additional, Oliveira, Bianca Nascimento, additional, Batista, Fernanda Ribeiro Gonçalves Bolina, additional, Passos, Giovana Lemos, additional, Souza, Ingra Kozlovwsky, additional, Barros, Isabella de Caux Saez Bragança, additional, Lima, Lavínia Nobre Moraes, additional, Costa, Mariana Isabel Alvim, additional, Nadais, Giovana Lopes, additional, LUSTOSA, CARLA RODRIGUES, additional, Freitas, Gabriela Moura, additional, Oliveira, Juliana Barros Vianna de, additional, CARDOSO, LUÍSA RODRIGUES, additional, Leal, Miriam Martins, additional, Pereira, Ana Luíza Oliveira, additional, Porto, Anna Clara Colen, additional, Carvalho, Anna Luiza Homan Araújo, additional, Melo, Bruna Portela Costa Ferreira de, additional, Teatini, Clarissa Moreira, additional, Souza, Helanny Dutra de, additional, Melo, Arthur Lira de, additional, Andrade, Camilla Katarine Delgado, additional, Sobral, Ellen Beatriz, additional, Santos, Isabelle Thaís da Silva, additional, Macedo, João Victor Tenório Lossio de, additional, Menezes, Marcelo Diniz de, additional, Gomes, Maria Clara Cirilo, additional, Matias, Maria Eduarda Borges, additional, Ferreira, Maria Eduarda Rodrigues, additional, Ramos, Mônica Moura, additional, Oliveira, Osman Lucena Félix de, additional, Moreira, Cibely Souza Ribeiro, additional, Madeira, Fernanda Orlando Pompeu, additional, Gaia, Gabriel Gontijo Guimarães, additional, Wulf, Isabela Gondim, additional, Feijóo, Isabella Cheremetta, additional, Anacleto, José Hyde Augusto Zschaber, additional, Cabral, Julia Alice Borges, additional, Caetano, Juliana Dias Moreira, additional, Araújo, Juliana Maria Mendes de, additional, Pereira, Lêda Mendes, additional, Sousa, Virgínia Araújo de, additional, Lage, Yasmin Souza, additional, Uggioni, Natália Custódio, additional, Zanatta, Luiza Mazzucco, additional, Santos, Gabriela Nuernberg dos, additional, Tonial, Julia Sgarbossa, additional, Reichert, Júlia Turra, additional, Bazotti, Lara Xavier, additional, Duarte, Gabriela Ugioni, additional, Teixeira, Letícia Maffioletti, additional, Dalponte, Letícia de Stefani, additional, Teixeira, Maria Julia Lindermann Peressoni, additional, Colombo, Cecília Colonetti, additional, Santos, Ana Carolina Bezerra Chagas, additional, Teixeira, Beatriz Sotéro Oliveira, additional, Sales, Renata Vitoria de Fraça, additional, Guimarães, Laura Amédée Péret, additional, Vieira, Lara Silveira, additional, Pena, Lavínia Vasconcellos Patrus, additional, Nepomuceno, Lara Reggiani, additional, Moreira, Luiz Felipe Guimarães Gualberto, additional, Rangel, Laura Kapp, additional, Ramalho, Lívia Corrêa, additional, Queiroz, Isabella Timbó, additional, Andrade, Maria Denise Fernandes Carvalho de, additional, Carvalho, Ellaine Dóris Fernandes, additional, Paiva, Viviane Nogueira de, additional, Rocha, Nadiny Francis Silveira, additional, Souza, Maria Carolina Sticanele de, additional, Vieira, Nelmara Alvarenga, additional, Lages, Laryssa Guimarães, additional, Mata, Luísa Oliveira Santos Da, additional, Lembrance, Lara Macedo, additional, Roque, Natália Lages, additional, Faria, Ana Luísa Braga Abalen, additional, Maia, Maria Eduarda De Lima, additional, Fernandes, Thiago Barbosa, additional, Mendonça, Stephany Brini de, additional, Duarte, Melissa Nadal, additional, PESSANHA, DAYANE JARDIM, additional, Marques, Larissa de Oliverira Cassini, additional, Pereira, Laura Costa, additional, Camargo, Anna Cláudia Domínguez Alves Bohn de, additional, Carvalho, Luma Alves Fonseca, additional, Fujimoto, Ruth Helena Pimenta, additional, Cordeiro, Aline Araújo, additional, Carvalho, Victoria Cristina de Jesus, additional, Lima, Vitória Emily Amorim, additional, Cabral, Luana Guimarães Lima, additional, Cavalcanti, Amanda Vanessa Bandeira de Araújo, additional, Fireman, Gabriela Holanda Carvalho, additional, Lima, Maria Carolina Oliveira, additional, Farias, Vandriely Marie de Albuquerque, additional, Oliveira, Letícia Brandão Barbosa de, additional, Ferreira, Maria Eduarda Rech, additional, Sirqueira, Sarah Valões Tenorio, additional, Cardoso, Paula Thaís Sousa de Oliveira, additional, Cavalcanti, Isabela de Farias, additional, Monteiro, Marcos Brunno Aguiar, additional, Perezini, Renato de Paula, additional, Costa, Víctor de Oliveira, additional, Rosa, Marlon José dos Santos, additional, Lima, Hugo Tomé de Souza, additional, Freitas, Pedro Carvalho, additional, Adriano, Ana Paula dos Santos, additional, Pereira, Maria Eduarda Ribeiro Coutinho da Franca, additional, Nunes, Beatriz Carnevalli Motta, additional, Costa, João Lucas Santiago Angelos, additional, Rocha, Raphael Alves, additional, Goulart, Jessica dos Santos, additional, and Siqueira, Maria Luiza Andrade, additional

Published
2021
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9. Indication guidelines for Mohs micrographic surgery in skin tumors

Author

Wanderley Marques Bernardo, Gabriel Gontijo, Eugênio Raul de Almeida Pimentel, Selma Schuartz Cernea, Glaysson Tassara, Juliana Areas de Souza Lima Beltrame Ferreira, Roberto Gomes Tarlé, and Victor Miguel Coutinho Fernandes

Subjects
medicine.medical_specialty, Skin Neoplasms, medicine.medical_treatment, Mohs surgery, Carcinoma, squamous cell, Normal tissue, MEDLINE, Review, Dermatology, Micrographic surgery, 030207 dermatology & venereal diseases, 03 medical and health sciences, 0302 clinical medicine, Neoplasm Recurrence, Humans, Medicine, business.industry, Mesh term, Dermatofibrosarcoma, Margins of Excision, Surgery, 030220 oncology & carcinogenesis, RL1-803, Practice Guidelines as Topic, Carcinoma, basal cell, Radiology, Neoplasm Recurrence, Local, business, Medical literature
Abstract

Mohs micrographic surgery is a technique used to excise skin tumors based on comprehensive surgical mapping, in which the surgeon removes the tumor, followed by a complete histological evaluation of the tumor's margins. The correlation of the presence of a tumor in histological examinations and its precise location on the surgical map result in a complete removal of the tumor with maximum normal tissue preservation. The present article seeks to provide general practitioners and healthcare specialists with guidelines regarding recommendations for Mohs micrographic surgery to treat skin tumors, based on the most reliable evidence available in medical literature on the subject. This bibliographic review of scientific articles in this line of research was conducted based on data collected from MEDLINE/PubMed. The search strategy used in this study was based on structured questions in the Patient, Intervention, Control, and Outcome (PICO) format. MeSH terms were used as descriptors. The indications of this technique are related to recurrence, histology, size, definition of tumor margins, and location of tumors. These guidelines attempt to establish the indications of Mohs surgery for different types of skin tumors.

Published
2016

10. Brazilian guidelines for diagnosis, treatment and follow-up of primary cutaneous melanoma - Part II*

Author

Renato Marchiori Bakos, Sérgio Schrader Serpa, Thais Helena Bello Di Giacomo, Hamilton Ometto Stolf, Walter Refkalefsky Loureiro, João Pedreira Duprat Neto, Luiz Guilherme Martins Castro, Flávia Vasques Bittencourt, Gabriel Gontijo, Maria Cristina de Lorenzo Messina, Ricardo Silvestre e Silva Macarenco, Hospital Israelita Albert Einstein, Hospital Alemão Oswaldo Cruz-São Paulo, Oncoderma-São Paulo, Hospital de Clínicas de Porto Alegre, A. C. Camargo Cancer Center, Universidade Federal de Minas Gerais (UFMG), Universidade Estácio de Sá (UNESA), Hospital Ipiranga, Universidade Estadual do Pará (UEPA), Instituto do Câncer do Estado de São Paulo (ICESP), and Universidade Estadual Paulista (Unesp)

Subjects
medicine.medical_specialty, Histology, Skin Neoplasms, Sentinel lymph node, MEDLINE, Dermoscopy, Dermatology, Guideline, 030207 dermatology & venereal diseases, 03 medical and health sciences, Special Article, 0302 clinical medicine, Sentinel lymph node biopsy, Risk Factors, Biopsy, Diagnostic techniques and procedures, medicine, Nevus, Humans, Melanoma, Neoplasm Staging, Guia de prática clínica, medicine.diagnostic_test, business.industry, Sentinel Lymph Node Biopsy, medicine.disease, Diagnosis treatment, 030220 oncology & carcinogenesis, RL1-803, Cutaneous melanoma, Diagnostic imaging, Técnicas e procedimentos diagnósticos, business, Brazil
Abstract

Made available in DSpace on 2018-12-11T17:27:33Z (GMT). No. of bitstreams: 0 Previous issue date: 2016-01-01. Added 1 bitstream(s) on 2021-07-15T15:03:57Z : No. of bitstreams: 1 S0365-05962016000100049.pdf: 319668 bytes, checksum: 5210661e92fd56dd2bdededc908c4a4f (MD5) The last Brazilian guidelines on melanoma were published in 2002. Development in diagnosis and treatment made updating necessary. The coordinators elaborated ten clinical questions, based on PICO system. A Medline search, according to specific MeSH terms for each of the 10 questions was performed and articles selected were classified from A to D according to level of scientific evidence. Based on the results, recommendations were defined and classified according to scientific strength. The present Guidelines were divided in two parts for editorial and publication reasons. In this second part, the following clinical questions were answered: 1) which patients with primary cutaneous melanoma benefit from sentinel lymph node biopsy? 2) Follow-up with body mapping is indicated for which patients? 3) Is preventive excision of acral nevi beneficious to patients? 4) Is preventive excision of giant congenital nevi beneficious to patients? 5) How should stages 0 and I primary cutaneous melanoma patients be followed?. Hospital Israelita Albert Einstein Hospital Alemão Oswaldo Cruz-São Paulo Oncoderma-São Paulo Universidade Federal do Rio Grande do Sul (UFRGS) Hospital de Clínicas de Porto Alegre Departamento de Câncer de Pele A. C. Camargo Cancer Center Universidade Federal de Minas Gerais (UFMG) Universidade Estácio de Sá (UNESA) Hospital Ipiranga Universidade Estadual do Pará (UEPA) Instituto do Câncer do Estado de São Paulo (ICESP) Universidade Estadual Paulista “Júlio de Mesquita Filho”(UNESP) Universidade Estadual Paulista “Júlio de Mesquita Filho”(UNESP)

Published
2016

11. Anestésicos tópicos

Author

Giselle Carvalho Froes, Fernanda de Assis Ottoni, and Gabriel Gontijo

Subjects
ANESTÉSICOS, LIDOCAÍNA, ANALGESIA, lcsh:Dermatology, PRILOCAÍNA, lcsh:RL1-803, TETRACAÍNA
Abstract

Introdução: Os anestésicos tópicos, de indiscutível utilidade na rotina do dermatologista, têm sidocada vez mais utilizados pela população, nem sempre com prescrição e supervisão médica. Seu uso pode envolver complicações ligadas, principalmente,à aplicação inadequada, seja em pele lesada ou inflamada, em grandes áreas corporais, em mucosas ou em pacientes de risco. As reações adversas podem variar desde efeitos locais transitórios, reações alérgicas e/ou irritativas, até quadros mais graves, embora raros, como metemoglobinemia, arritmias e insuficiência cardiorrespiratória.Este artigo visa discutir as preparações comerciais de anestésicos tópicos hoje disponíveis, seu histórico, farmacologia, aplicação clínica e complicações.

Published
2010

12. Guidelines of the Brazilian Dermatology Society for diagnosis, treatment and follow up of primary cutaneous melanoma - Part I

Author

Ricardo Silvestre e Silva Macarenco, Maria Cristina Messina, Renato Marchiori Bakos, Hamilton Ometto Stolf, Thais Helena Bello Di Giacomo, Sérgio Schrader Serpa, Luiz Guilherme Martins Castro, Walter Refkalefsky Loureiro, João Pedreira Duprat Neto, Flávia Vasques Bittencourt, Gabriel Gontijo, Hospital Israelita Albert Einstein, Hospital Alemão Oswaldo Cruz, Oncoderma, Hospital Ipiranga, Universidade Estadual do Pará (UEPA), Instituto do Câncer do Estado de São Paulo (ICESP), Universidade Federal de Minas Gerais (UFMG), Hospital de Clínicas de Porto Alegre, Universidade Estácio de Sá (UNESA), and Universidade Estadual Paulista (Unesp)

Subjects
medicine.medical_specialty, Practice guideline, Skin Neoplasms, Histology, Biopsy, MEDLINE, Physical examination, Dermoscopy, Dermatology, Therapeutics, Guideline, Special Article, Sentinel lymph node biopsy, Diagnostic techniques and procedures, medicine, Humans, Lentigo maligna melanoma, Melanoma, medicine.diagnostic_test, Guia de prática clínica, business.industry, Prognosis, medicine.disease, Diagnosis treatment, RL1-803, Cutaneous melanoma, Diagnostic imaging, business, Técnicas e procedimentos diagnósticos, Brazil
Abstract

Made available in DSpace on 2018-12-11T17:26:43Z (GMT). No. of bitstreams: 0 Previous issue date: 2015-11-01. Added 1 bitstream(s) on 2019-10-09T18:32:22Z : No. of bitstreams: 1 S0365-05962015000600851.pdf: 302041 bytes, checksum: d128a7372fef4f69a247300d50e4671a (MD5) The last Brazilian guidelines on melanoma were published in 2002. Development in diagnosis and treatment made updating necessary. The coordinators elaborated ten clinical questions, based on PICO system. A Medline search, according to specific MeSH terms for each of the 10 questions was performed and articles selected were classified from A to D according to level of scientific evidence. Based on the results, recommendations were defined and classified according to scientific strength. The present Guidelines were divided in two parts for editorial and publication reasons. In the first part, the following clinical questions were answered: 1) The use of dermoscopy for diagnosis of primary cutaneous melanoma brings benefits for patients when compared with clinical examination? 2) Does dermoscopy favor diagnosis of nail apparatus melanoma? 3) Is there a prognostic difference when incisional or excisional biopsies are used? 4) Does revision by a pathologist trained in melanoma contribute to diagnosis and treatment of primary cutaneous melanoma? What margins should be used to treat lentigo maligna melanoma and melanoma in situ?. Hospital Israelita Albert Einstein Hospital Alemão Oswaldo Cruz Oncoderma Hospital Ipiranga Universidade Estadual do Pará (UEPA) Instituto do Câncer do Estado de São Paulo (ICESP) Departamento de Câncer de Pele A. C. Camargo Cancer Center Universidade Federal de Minas Gerais (UFMG) Universidade Federal do Rio Grande do Sul (UFRGS) Hospital de Clínicas de Porto Alegre Universidade Estácio de Sá (UNESA) Universidade Estadual Paulista ‘Júlio de Mesquita Filho’ (UNESP) Universidade Estadual Paulista ‘Júlio de Mesquita Filho’ (UNESP)

Published
2015

13. Non-cultured melanocyte/keratinocyte transplantation for the treatment of stable vitiligo on the face: report of two cases

Author

Daniel Ramos, Mariana Gontijo Ramos, Camila Gontijo Ramos, Gabriel Gontijo, Rafael Henrique Rocha, and Tania Nely Rocha

Subjects
Adult, Keratinocytes, Male, medicine.medical_specialty, Vitiligo, Case Report, Dermatology, Melanocyte, medicine, Humans, Transplantation, business.industry, Skin Transplantation, Surgical procedures, Middle Aged, medicine.disease, Surgery, medicine.anatomical_structure, Treatment Outcome, Patient Satisfaction, RL1-803, Melanocytes, business, Keratinocyte, Facial Dermatoses
Abstract

There are many alternatives to treat vitiligo, including surgical procedures, which are recommended for patients resistant to other therapies. The melanocyte/keratinocyte transplantation consists in the separation of epidermal cells obtained from a donor site and spreading these cells on the depigmented and dermabraded recipient area. Two patients were submitted to transplantation, showing more than 70% repigmentation in the treated areas after four months, both with excellent degree of satisfaction. The method requires some laboratory skills, but represents a simple and safe procedure.

Published
2013

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