Search

Your search keyword '"Robert S. Tomsick"' showing total 14 results
Start Over Author "Robert S. Tomsick"
14 results on '"Robert S. Tomsick"'

1. Floaters in Mohs Micrographic Surgery

Author

Anne Chapas, Nanette J. Liégeois, Marie Tudisco, Erick A. Mafong, Hayes B. Gladstone, Isaac M. Neuhaus, Summer Youker, Ashish C. Bhatia, Ronald M. Mann, Emily P. Tierney, David A. Cowan, Anjali D. Shah, Natalie Kim, Montgomery Gillard, Nathaniel J. Jellinek, Ryan W. Ahern, Kishwer S. Nehal, Ally Khan Somani, Désirée Ratner, Simon Yoo, Vivek Iyengar, Ravi S. Krishnan, Sumaira Z. Aasi, Ashraf M. Hassanein, Mutahir Rauf, John G. Albertini, Sana Ali, Jillian H. Swary, John D. Kayal, Steven J. Goulder, Omer A. Ibrahim, Jeremy Kampp, Robert S. Tomsick, Emily Poon, Murad Alam, Michael Nodzenski, and Hubert T. Greenway

Subjects
medicine.medical_specialty, Neoplasm, Residual, Skin Neoplasms, Attitude of Health Personnel, business.industry, Consensus conference, Expert consensus, Dermatology, General Medicine, Mohs Surgery, Micrographic surgery, Tumor tissue, Surgery, Interviews as Topic, Neoplasm Recurrence, Surveys and Questionnaires, medicine, Humans, Basal cell, Neoplasm Recurrence, Local, Stage (cooking), business, Retrospective Studies
Abstract

Background Floaters are dislodged pieces of tumor tissue than can obscure Mohs micrographic surgery (MMS) frozen sections and confound their interpretation. Objective To understand the common causes of floaters and identify management strategies. Methods An initial virtual consensus conference of Mohs surgeons based on a 60-item questionnaire. Data were validated in interviews with randomly selected Mohs surgeons. Results Based on retrospective reporting of 230 surgeon-years and 170,404 cases of MMS by 26 surgeons, the mean rate of floaters per tumor treated was 1.8%, and the rate of floaters per tissue block was 0.70%. Not wiping blades between cuts when a stage is separated into subunits can predispose to floaters. There was also strong consensus that basal cell carcinomas, ulcerated tumors, and tissue from the first stage were more likely to yield floaters. There is little consensus on how to manage floaters, with possibilities including taking additional sections, taking an additional stage, or simply noting the floater. Conclusion Floaters are not rare and can complicate MMS margin assessment. There is significant expert consensus regarding the causes of floaters and the tissue features that may predispose to them. Floaters may be prevented by minimizing their likely causes. There is less consensus on what to do with a floater.

Published
2013
Full Text
View/download PDF

2. Contributeurs

Author

Marschall S. Runge, M. Andrew Greganti, Adaora A. Adimora, Maha Alattar, Robert M. Aris, Victoria Lin Bae-Jump, Maria Q. Baggstrom, A. Sidney Barritt, Marc K. Bassim, Toby Bates, Anne W. Beaven, Robert G. Berger, Lee R. Berkowitz, Stephen A. Bernard, William S. Blau, John F. Boggess, Mary C. Bowman, Mark E. Brecher, Philip A. Bromberg, Sue A. Brown, Vickie Brown, Paul C. Bryson, Robert A. Buckmire, Elizabeth Bullitt, Craig Burkhart, M. Janette Busby-Whitehead, John B. Buse, Debra L. Bynum, Lisa A. Carey, Timothy S. Carey, Culley C. Carson, Patricia P. Chang, Sanjay Chaudhary, David R. Clemmons, James M. Coghill, Romulo E. Colindres, AnnaMarie Connolly, Benjamin J. Copeland, Todd Correll, Cynthia J. Denu-Ciocca, Thomas S. Devetski, Darren A. DeWalt, Luis A. Diaz, James F. Donohue, Mary Anne Dooley, Jean M. Dostou, Douglas A. Drossman, Carla Sueta Dupree, Rose J. Eapen, Charles S. Ebert, Nurum F. Erdem, Joseph J. Eron, Ronald J. Falk, Mary Katherine Farmer-Boatwright, Elizabeth A. Fasy, Alan G. Finkel, William F. Finn, David P. Fitzgerald, Carol A. Ford, Catherine A. Forneris, Amy M. Fowler, W. Craig Fowler, Wesley Caswell Fowler, Michael W. Fried, Don A. Gabriel, Shannon Galvin, Lisa M. Gangarosa, James C. Garbutt, Cynthia Gay, Susan A. Gaylord, Leonard S. Gettes, Andrew J. Ghio, John H. Gilmore, Paul A. Godley, Lee R. Goldberg, Richard M. Goldberg, Matthew N. Goldenberg, Brian P. Goldstein, Robert S. Greenwood, Ian S. Grimm, Steven H. Grossman, Robert E. Gwyther, John J. Haggerty, Russell P. Harris, William D. Heizer, Ashley G. Henderson, David C. Henke, Michael A. Hill, Alan L. Hinderliter, Albert R. Hinn, Gerald A. Hladik, Hal M. Hoffman, Mina C. Hosseinipour, James F. Howard, David Y. Huang, Xuemei Huang, Burton R. Hutto, Kim L. Isaacs, Bruce F. Israel, Thomas S. Ivester, Heidi T. Jacobe, Peter Lars Jacobson, Lukas Jantac, Jaspaul S. Jawanda, Sandra M. Johnson, Beth L. Jonas, Joanne M. Jordan, Jonathan J. Juliano, Kevin A. Kahn, Andrew H. Kaplan, Nigel S. Key, William Y. Kim, John S. Kizer, Caroline M. Klein, Philip J. Klemmer, Karen Kölln, Mark J. Koruda, James E. Kurz, Jeffrey LaCour, Alim M. Ladha, W. Derek Leight, Peter A. Leone, B. Anthony Lindsey, Ryan D. Madanick, Lawrence K. Mandelkehr, J. Douglas Mann, Silva Markovic-Plese, Allen F. Marshall, William D. Mattern, Celeste M. Mayer, Travis A. Meredith, William C. Miller, Beverly S. Mitchell, Stephan Moll, Douglas R. Morgan, Dean S. Morrell, M. Cristina Muñoz, Patrick H. Nachman, Kelly C. Nelson, Carla M. Nester, Linda M. Nicholas, E. Magnus Ohman, Bert H. O'Neil, David A. Ontjes, Robert Z. Orlowski, Daniel J. Parsons, Dhavalkumar D. Patel, Cam Patterson, Kristine B. Patterson, Amanda Peppercorn, Harold C. Pillsbury, W. Kimryn Rathmell, Daniel S. Reuland, Yehuda Ringel, M. Patricia Rivera, Craig N. Rosebrock, Pinchas Rosenberg, Robert A.S. Roubey, David S. Rubenstein, Susan Riggs Runge, Mark Russo, William A. Rutala, William E. Sanders, Hanna K. Sanoff, Scott L. Sanoff, Yolanda V. Scarlett, Emily J. Schwarz, Brent A. Senior, Jonathan S. Serody, Nicholas J. Shaheen, Thomas C. Shea, Richard G. Sheahan, William W. Shockley, Roshan Shrestha, Emily E. Sickbert-Bennett, Micah J. Sickel, Linmarie Sikich, Ross J. Simpson, Sidney C. Smith, Mark A. Socinski, P. Frederick Sparling, Thomas E. Stinchcombe, George A. Stouffer, Teresa K. Tarrant, Mark Taylor, Michael J. Thomas, Nancy E. Thomas, John M. Thorpe, Stephen L. Tilley, Jenny P. Ting, Robert S. Tomsick, Charles M. van der Horst, Bradley V. Vaughn, Pamela G. Vick, Robert J. Vissers, Peter M. Voorhees, Tracy Y. Wang, Lea C. Watson, David J. Weber, Robert S. Wehbie, Mark C. Weissler, Ellen C. Wells, Young E. Whang, Park W. Willis, John B. Winfield, Gary S. Winzelberg, David A. Wohl, Leslie P. Wong, Diem N. Wu, and Steven Zacks

Published
2011
Full Text
View/download PDF

5. Contributors

Author

Marschall S. Runge, M. Andrew Greganti, Adaora A. Adimora, Maha Alattar, Robert M. Aris, Victoria Lin Bae-Jump, Maria Q. Baggstrom, A. Sidney Barritt, Marc K. Bassim, Toby Bates, Anne W. Beaven, Robert G. Berger, Lee R. Berkowitz, Stephen A. Bernard, William S. Blau, John F. Boggess, Mary C. Bowman, Mark E. Brecher, Philip A. Bromberg, Sue A. Brown, Vickie Brown, Paul C. Bryson, Robert A. Buckmire, Elizabeth Bullitt, Craig Burkhart, M. Janette Busby-Whitehead, John B. Buse, Debra L. Bynum, Lisa A. Carey, Timothy S. Carey, Culley C. Carson, Patricia P. Chang, Sanjay Chaudhary, David R. Clemmons, James M. Coghill, Romulo E. Colindres, AnnaMarie Connolly, Benjamin J. Copeland, Todd Correll, Cynthia J. Denu-Ciocca, Thomas S. Devetski, Darren A. DeWalt, Luis A. Diaz, James F. Donohue, Mary Anne Dooley, Jean M. Dostou, Douglas A. Drossman, Carla Sueta Dupree, Rose J. Eapen, Charles S. Ebert, Nurum F. Erdem, Joseph J. Eron, Ronald J. Falk, Mary Katherine Farmer-Boatwright, Elizabeth A. Fasy, Alan G. Finkel, William F. Finn, David P. Fitzgerald, Carol A. Ford, Catherine A. Forneris, Amy M. Fowler, W. Craig Fowler, Wesley Caswell Fowler, Michael W. Fried, Don A. Gabriel, Shannon Galvin, Lisa M. Gangarosa, James C. Garbutt, Cynthia Gay, Susan A. Gaylord, Leonard S. Gettes, Andrew J. Ghio, John H. Gilmore, Paul A. Godley, Lee R. Goldberg, Richard M. Goldberg, Matthew N. Goldenberg, Brian P. Goldstein, Robert S. Greenwood, Ian S. Grimm, Steven H. Grossman, Robert E. Gwyther, John J. Haggerty, Russell P. Harris, William D. Heizer, Ashley G. Henderson, David C. Henke, Michael A. Hill, Alan L. Hinderliter, Albert R. Hinn, Gerald A. Hladik, Hal M. Hoffman, Mina C. Hosseinipour, James F. Howard, David Y. Huang, Xuemei Huang, Burton R. Hutto, Kim L. Isaacs, Bruce F. Israel, Thomas S. Ivester, Heidi T. Jacobe, Peter Lars Jacobson, Lukas Jantac, Jaspaul S. Jawanda, Sandra M. Johnson, Beth L. Jonas, Joanne M. Jordan, Jonathan J. Juliano, Kevin A. Kahn, Andrew H. Kaplan, Nigel S. Key, William Y. Kim, John S. Kizer, Caroline M. Klein, Philip J. Klemmer, Karen Kölln, Mark J. Koruda, James E. Kurz, Jeffrey LaCour, Alim M. Ladha, W. Derek Leight, Peter A. Leone, B. Anthony Lindsey, Ryan D. Madanick, Lawrence K. Mandelkehr, J. Douglas Mann, Silva Markovic-Plese, Allen F. Marshall, William D. Mattern, Celeste M. Mayer, Travis A. Meredith, William C. Miller, Beverly S. Mitchell, Stephan Moll, Douglas R. Morgan, Dean S. Morrell, M. Cristina Muñoz, Patrick H. Nachman, Kelly C. Nelson, Carla M. Nester, Linda M. Nicholas, E. Magnus Ohman, Bert H. O'Neil, David A. Ontjes, Robert Z. Orlowski, Daniel J. Parsons, Dhavalkumar D. Patel, Cam Patterson, Kristine B. Patterson, Amanda Peppercorn, Harold C. Pillsbury, W. Kimryn Rathmell, Daniel S. Reuland, Yehuda Ringel, M. Patricia Rivera, Craig N. Rosebrock, Pinchas Rosenberg, Robert A.S. Roubey, David S. Rubenstein, Susan Riggs Runge, Mark Russo, William A. Rutala, William E. Sanders, Hanna K. Sanoff, Scott L. Sanoff, Yolanda V. Scarlett, Emily J. Schwarz, Brent A. Senior, Jonathan S. Serody, Nicholas J. Shaheen, Thomas C. Shea, Richard G. Sheahan, William W. Shockley, Roshan Shrestha, Emily E. Sickbert-Bennett, Micah J. Sickel, Linmarie Sikich, Ross J. Simpson, Sidney C. Smith, Mark A. Socinski, P. Frederick Sparling, Thomas E. Stinchcombe, George A. Stouffer, Teresa K. Tarrant, Mark Taylor, Michael J. Thomas, Nancy E. Thomas, John M. Thorpe, Stephen L. Tilley, Jenny P. Ting, Robert S. Tomsick, Charles M. van der Horst, Bradley V. Vaughn, Pamela G. Vick, Robert J. Vissers, Peter M. Voorhees, Tracy Y. Wang, Lea C. Watson, David J. Weber, Robert S. Wehbie, Mark C. Weissler, Ellen C. Wells, Young E. Whang, Park W. Willis, John B. Winfield, Gary S. Winzelberg, David A. Wohl, Leslie P. Wong, Diem N. Wu, and Steven Zacks

Published
2009
Full Text
View/download PDF

6. Renaut Bodies

Author

John T. Woosley, Robert S. Tomsick, and Robert A. Skidmore

Subjects
Pathology, medicine.medical_specialty, business.industry, Inflammation, Dermatology, General Medicine, medicine.disease, Extracellular matrix, Pathogenesis, medicine.anatomical_structure, Oxytalan, Dermatofibrosarcoma protuberans, Medicine, Surgery, Basal lamina, Nuclear atypia, medicine.symptom, business, Infiltration (medical)
Abstract

Background Mohs micrographic surgery maximizes the potential for complete tumor removal with normal tissue preservation through the histologic examination of all tissue margins. One component of the histologic examination is the evaluation of excised nerves for the presence of tumor infiltration. During such an evaluation, a subperineurial structure was noted. Observation Further investigation displayed a discrete, loosely textured, cell-sparse, whorled, subperineurial structure that invaginated into the peripheral nerve. Inflammation was absent and the nuclei were monomorphous. These findings are those seen with Renaut bodies. Conclusions Renaut bodies are found at sites of nerve compression. Mechanical factors are thought to play a major role in pathogenesis. Cells comprising the Renaut body are fibroblasts of perineurial origin with the extracellular matrix comprised of collagen fibrils, basal lamina material, and oxytalan filaments. Renaut bodies are important insofar as the surgeon must recognize that they are benign. Histologic characteristics that differentiate Renaut bodies from malignant neurotropic infiltration are: (a) a cell-sparse mass, (b) absence of nuclear atypia, (c) less than expected inflammatory infiltrate, and (d) well-defined borders.

Published
1996
Full Text
View/download PDF

7. Local anesthetics

Author

ROBERT A. SKIDMORE, JAMES D. PATTERSON, and ROBERT S. TOMSICK

Subjects
Dose-Response Relationship, Drug, Infant, Newborn, Nociceptors, Dermatology, General Medicine, Skin Diseases, Synaptic Transmission, Drug Hypersensitivity, Structure-Activity Relationship, Pregnancy, Humans, Surgery, Female, Anesthetics, Local, Anesthesia, Local
Abstract

Dermatology is dependent upon the effects of local anesthetics for diagnostic and therapeutic interventions. A working knowledge of the drugs' actions and interactions is necessary for anyone aspiring to optimize the benefits derived from the use of local anesthetic agents.This article reviews nerve physiology, pharmacology, classification of local anesthetics, adverse reactions (toxic, drug, allergic), local anesthetic use in pregnancy, alternatives to the "-caine" anesthetics, methods for reducing the pain of infiltration, and new agents under development.Local anesthetics are safe and effective. With the understanding of the actions and interactions of this class of drugs, maximum patient safety and satisfaction can be achieved.

Published
1996

8. Scaly Atrophic Lesions Both Scattered and in Linear Arrays

Author

Robert S. Tomsick, Steven R. Feldman, and David L. Crosby

Subjects
medicine.medical_specialty, medicine.diagnostic_test, business.industry, Physical examination, Dermatology, General Medicine, Anatomy, Trunk, Asymptomatic, Surgery, Right upper extremity, Linear arrays, medicine, medicine.symptom, business
Abstract

REPORT OF A CASE A 30-year-old woman presented with scattered, subtle red spots on her right upper extremity that had developed over the previous year. These spots were not tender or pruritic and exhibited no tendency for spontaneous resolution. This patient was particularly concerned that these lesions might continue to develop, because she had a far more extensive eruption in linear groups confined to the left side of her body. This latter eruption developed at age 6 months and had remained stable since. It was asymptomatic, except for its cosmetic implications. Besides the eruptions, she was in good health. The physical examination was notable for scattered erythematous, slightly atrophic maculae confined to the sun-exposed right upper extremity (Fig 1). A faint keratotic rim was visible around portions of the lesions. The left side of the trunk and the left upper and lower extremities had far more extensive linear groups of

Published
1991
Full Text
View/download PDF

9. Epidermolysis Bullosa Acquisita Antigen, a Major Cutaneous Basement Membrane Component, Is Synthesized by Human Dermal Fibroblasts and Other Cutaneous Tissues

Author

David T. Woodley, W. Ray Gammon, Robert S. Tomsick, Melinda J. Reese, Robert A. Briggaman, Ronald J. Falk, and Edward J. O'Keefe

Subjects
Epidermolysis bullosa acquisita, Skin Neoplasms, Fluorescent Antibody Technique, Stratified squamous epithelium, Human skin, Dermatology, Biology, Autoantigens, Biochemistry, Basement Membrane, Type IV collagen, Dermis, Laminin, medicine, Chemical Precipitation, Humans, Antigens, Molecular Biology, Skin, Basement membrane, Cell Biology, Fibroblasts, medicine.disease, Molecular biology, medicine.anatomical_structure, Organ Specificity, Immunology, biology.protein, Immunologic Techniques, Electrophoresis, Polyacrylamide Gel, Epidermolysis bullosa
Abstract

The epidermolysis bullosa acquisita (EBA) antigen is identified as 2 chains: a 290,000-dalton protein and a less prominent 145,000-dalton protein. The 290,000-dalton chain is synthesized by human keratinocytes in culture. In this study, we show that the 290,000-dalton chain is synthesized by human skin fibroblasts and cutaneous human tumors. In contrast, HT1080 cells, a human sarcoma cell line known to produce matrix molecules (such as laminin and type IV collagen), does not synthesize the EBA antigen. Further, the EBA antigen is absent from serum and blood components, placenta, amnion, lung, and the EHS tumor, a murine sarcoma that produces large amounts of laminin, type IV collagen, nidogen, entactin, and basement membrane proteoglycan but is present in cutaneous tumors of adnexal and epithelial origin. These data suggest that while the EBA antigen is synthesized by both human skin keratinocytes and fibroblasts and is therefore not specific for a primordial germ layer, it does appear to be specific for tissue containing a stratified squamous epithelium.

Published
1986
Full Text
View/download PDF

10. Basal cell epithelioma. Types, treatment methods, and prognosis

Author

James P. Browder and Robert S. Tomsick

Subjects
Pathology, medicine.medical_specialty, Skin Neoplasms, business.industry, Treatment method, 030209 endocrinology & metabolism, General Medicine, 030204 cardiovascular system & hematology, Malignancy, medicine.disease, Cryosurgery, Basal cell epithelioma, 03 medical and health sciences, 0302 clinical medicine, Carcinoma, Basal Cell, Medicine, Humans, Desiccation, Neoplasm Recurrence, Local, business
Abstract

Basal cell epithelioma (BCE) is the most common cutaneous malignancy. Primary BCE (ie, previously untreated) can be satisfactorily treated by a variety of methods, including curettage with electrodesiccation, scalpel excision, cryosurgery, and radiotherapy. Cure rates approach 98%. Recurrent BCE is much more difficult to treat and deserves particularly aggressive therapy, such as chemosurgery.

Published
1983

11. Squamous cell carcinoma of the fingers treated with chemosurgery

Author

Robert S. Tomsick and H. Menn

Subjects
Adult, Male, medicine.medical_specialty, Skin Neoplasms, medicine.medical_treatment, Cell, Metastasis, Curettage, Fingers, Text mining, Chlorides, Carcinoma, medicine, Methods, Humans, Basal cell, Aged, Dichloroacetic Acid, business.industry, Follow up studies, General Medicine, Middle Aged, medicine.disease, Zinc, medicine.anatomical_structure, Nails, Zinc Compounds, Carcinoma, Squamous Cell, Surgical excision, Female, Radiology, business, Follow-Up Studies
Abstract

Squamous cell carcinomas of the fingers are uncommon tumors. While most of them pose little threat of metastasis, the clinician should know which tumors are likely to metastasize. Conservative surgical excision is the treatment of choice for squamous cell carcinoma of the finger. We present 19 cases treated conservatively with chemosurgery.

Published
1984

12. Ossifying basal cell epithelioma

Author

Robert S. Tomsick and Henry Menn

Subjects
Pathology, medicine.medical_specialty, Skin Neoplasms, business.industry, Ossification, Heterotopic, Nose Neoplasms, Dermatology, Middle Aged, Basal cell epithelioma, Carcinoma, Basal Cell, Medicine, Humans, Female, business
Published
1982

13. Chemosurgical excision of subungual squamous cell carcinoma

Author

Robert S. Tomsick and H. Menn

Subjects
Adult, Male, medicine.medical_specialty, Skin Neoplasms, medicine.medical_treatment, Thumb, Curettage, Nail Diseases, Chlorides, Carcinoma, medicine, Humans, Orthopedics and Sports Medicine, Aged, business.industry, General Medicine, Phalanx, Middle Aged, medicine.disease, Ablation, Surgery, Zinc, medicine.anatomical_structure, Amputation, Zinc Compounds, Carcinoma, Squamous Cell, Female, Range of motion, Interphalangeal Joint, business
Abstract

Chemosurgery and wound healing by secondary intention is an excellent method of treatment for subungual carcinoma. It allows for complete ablation of the tumour with maximal preservation of tissue, eliminating the need for amputation, in the absence of bone involvement. As most nail bed carcinomas occur on the thumb, by avoiding distal phalanx amputation one can prevent considerable disability. Because chemosurgery traces out every infiltrating band of tumour, bone involvement can be accurately detected. Amputation, if necessary, could then be carried out to achieve cure. Despite the age of our patients (average age 64.6 years), all surgical sites healed well with good range of motion at the adjecent interphalangeal joint.

Published
1981

Catalog

Books, media, physical & digital resources
See catalog results