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Brough, Kevin

Mayo Clinic

Mayo Clinic

Citations 3

The treatment of anogenital extramammary Paget's disease as part of a multidisciplinary approach: The use of Mohs surgery moat method with CK7
Brough, Kevin, Carley, Sama K. , Vidal, Nahid Y.

International Journal of Dermatology | August 26, 2021 | Volume: 61 | Issue: 2 | Pages: 238-245

10.1111/ijd.15847 Get It

Abstract Although most cases of extramammary Paget's disease (EMPD) are localized to the intraepidermal, the extensive subclinical extension can lead to high rates of marginal recurrence with wide local excisions and topically destructive treatments. Recurrence rates of EMPD treated with Mohs micrographic surgery (MMS) without immunohistochemical staining are better but variable. Here, we describe our multidisciplinary approach for treating large EMPD tumors of the anogenital region involving critical anatomy using MMS for peripheral margin clearance (moat method) and intraoperative CK7 immunostaining. Our clinical pearls for the management of anogenital EMPD are based on 53 multidisciplinary cases treated at the author's institution between 2014 and 2020.
Intertriginous ulcers attributable to multidrug‐resistant Candida species
Brough, Kevin, Dykstra, Jordan, Comfere, Nneka I. , Davis, Mark D.P. , Brough, Kevin R

International Journal of Dermatology | March 24, 2021 | Volume: 60 | Issue: 9 | Pages: No page available

10.1111/ijd.15521 Get It