Journal articles: 'After Shave'

1

Weiss, Jayne S. "After-Shave Spray Keratitis." American Journal of Ophthalmology 106, no. 6 (December 1988): 756–57. http://dx.doi.org/10.1016/0002-9394(88)90725-8.

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Jellinek, Nathaniel J., Nicole F. Vélez, and Thomas J. Knackstedt. "Recovery After Matrix Shave Biopsy." Dermatologic Surgery 42, no. 10 (October 2016): 1227–29. http://dx.doi.org/10.1097/dss.0000000000000797.

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Trizna, Zoltan, Stephen K. Tyring, and Richard F. Wagner. "Extraordinary delayed bleeding occurring after shave excision." Journal of the American Academy of Dermatology 44, no. 3 (March 2001): 545. http://dx.doi.org/10.1067/mjd.2001.110807.

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Kenney, J. "Reconstruction of the vermilion after “lip shave.”." Journal of Oral and Maxillofacial Surgery 46, no. 9 (September 1988): 818. http://dx.doi.org/10.1016/0278-2391(88)90205-4.

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Kolhe, Pralhad S., and Alan G. Leonard. "Reconstruction of the vermilion after “lip-shave”." British Journal of Plastic Surgery 41, no. 1 (January 1988): 68–73. http://dx.doi.org/10.1016/0007-1226(88)90147-6.

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Gomaa, Emad, Magdy Khalil, and Ahmed Roshdy Hamed. "Cavity shave margins for breast conservative surgery." International Surgery Journal 4, no. 10 (September 27, 2017): 3228. http://dx.doi.org/10.18203/2349-2902.isj20174200.

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Background: 20-40% of patients have positive margins after partial mastectomy. Taking additional tissue circumferentially around the cavity left by partial mastectomy "cavity shave margins" may reduce the rate of positive margins. This review aims to evaluate the effect of routine excision of circumferential cavity shave margins after breast-conserving surgery.Methods: This randomized controlled trial had been conducted in General Surgery Department, Sohag Faculty of Medicine from January 2015 to April 2017. 40 patients with early breast cancer were candidates for partial mastectomy and randomly assigned in a 1:1 ratio to have either additional circumferential cavity shave margins or not.Results: The mean age of both groups were around 39 years (range 30-50 years). More than half of the cases fell in stage I, with a little more than 20% of them were in stage 0 and the rest in stage II at time of operation. Although cavity shave group had longer operative time, longer hospital stay, and higher amount of blood loss; all these showed non-significant difference between the two groups. The mean amount of resected volume was significantly higher among cavity shave group compared to non-cavity shave group. The percentage of positive margin reduced from 40% before shave to only 10% after shave margin.Conclusions: Cavity shaving resulted in significant reduction of the rates of positive margins and re-operation among patients undergoing breast-conserving surgery.

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HARRISON, P. V. "Good Results after Shave Excision of Benign Moles." Journal of Dermatologic Surgery and Oncology 11, no. 7 (July 1985): 667. http://dx.doi.org/10.1111/j.1524-4725.1985.tb01642.x.

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Rajabi, Fateme, Kambiz Kamyab, and Alireza Firooz. "Cutaneous Lymphadenoma: A Case of Recurrence after Shave Excision." Case Reports in Dermatological Medicine 2021 (March 10, 2021): 1–3. http://dx.doi.org/10.1155/2021/5543404.

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Cutaneous lymphadenoma (CL) is a rare skin tumor supposedly derived from the pilosebaceous unit. Since its description in 1987, fewer than 60 cases have been documented. Herein we report a case of CL presenting as a small nodule on the forehead of a young female. The lesion recurred two years after shave excision of a similar lesion. The histopathological examination revealed interconnected islands, sheets, and trabeculae consisting of two distinct types of cells within a sclerotic stroma, a peripheral rim of palisading basophilic cells, and central epithelial cells with eosinophilic to clear cytoplasm. A dense infiltration with prominent lymphocytes and few plasma cells dominated the stroma and permeated the epithelial nests. This case represents the recurrence of this type of skin tumor after shave excision and thus highlights the importance of complete margin-free excision of such lesions.

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Gurunluoglu, Raffi, Eddie Kubek, Jamie Arton, Adam Olsen, and Michael Bronsert. "Nonpersistence of Basal Cell Carcinoma After Diagnostic Shave Biopsy." Annals of Plastic Surgery 74, no. 6 (June 2015): 695–98. http://dx.doi.org/10.1097/01.sap.0000462324.61391.04.

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Houston, Andrew. "Lyle Victor Albert’s After Shave: Scraping the Surface through Theatre Anthropology." Canadian Theatre Review 122 (March 2005): 34–40. http://dx.doi.org/10.3138/ctr.122.009.

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Lyle Victor Albert is an accomplished playwright and performer who lives with cerebral palsy. It is te stimony to Vic’s wit and wisdom that he describes himself as “jumpy” and that he has created his own style of solo performance from observant prose and his own way of dancing with his disability. In Scrapinq the Suiface, this “dance” takes the form of a good close shave, literally as well as figuratively, and in this private-turned-public act, Vic asks us to consider the life-altering benefits of scraping the surface of our own first impressions of him, of cerebral palsy and of the long-term effects this “shave” may have upon how we define identity in theatre.

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Chagpar, Anees B., Karen Stavris, Brigid K. Killelea, Theodore Tsangaris, and Nina Ruth Horowitz. "SHAVE: A randomized controlled trial of routine shave margins versus standard partial mastectomy." Journal of Clinical Oncology 31, no. 15_suppl (May 20, 2013): TPS1145. http://dx.doi.org/10.1200/jco.2013.31.15_suppl.tps1145.

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TPS1145 Background: It is well known that partial mastectomy for breast cancer is associated with a positive margin rate of 20-40% in most series. This has led some surgeons to advocate for routine cavity shave margins as a means of reducing re-excision rates. Others, however, feel that such a practice may be unwarranted and question the volume of tissue removed, cosmetic outcome and increase in operative time. It is unclear which of these two approaches is optimal; therefore, a prospective randomized controlled trial was proposed. Methods: Given the primary endpoint of positive margin rates (defined as a margin of < 1mm), the study was powered to find a difference between 30% in the standard partial mastectomy group and 15% in the routine shave margin group. To reach a power of 80% with alpha of 5%, 122 patients were required in each arm; we therefore set N=250 with a 1:1 randomization scheme. Patients are evaluated preoperatively and all patients undergoing a partial mastectomy for stage 0-III breast cancer are eligible; including those who have completed neoadjuvant chemotherapy. Patients are stratified according to stage and randomized within strata. After informed consent, patients undergo a standard partial mastectomy (including specimen radiography as needed). Surgeons may resect additional tissue at that time according to their standard practice. At the completion of this procedure, the randomization envelope is opened in the operating room and surgeons are instructed to either shave (ie., take additional circumferential margins) or close (no shave). Patients will be followed for five years. Outcome measures include: positive margin/re-excision rate, local recurrence, volume of tissue resected, cosmetic outcome, and intraoperative time. To date, over 130 patients have accrued to this trial. Initial results are expected to be reported in 2014. Clinicaltrials.gov identifier: NCT01452399

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Vanni, Gianluca, Marco Pellicciaro, Giulia Renelli, Marco Materazzo, Amir Sadri, Valentina Enrica Marsella, Federico Tacconi, et al. "Cavity Shave Margins in Breast Conservative Surgery a Strategy to Reduce Positive Margins and Surgical Time." Current Oncology 31, no. 1 (January 16, 2024): 511–20. http://dx.doi.org/10.3390/curroncol31010035.

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Background: Resection of additional tissue circumferentially around the cavity left by lumpectomy (cavity shave) was suggested to reduce rates of positive margins and re-excision. Methods: A single center retrospective study which analyzed margins status, re-excision, and surgical time in patients who underwent breast conserving surgery and cavity shave or intraoperative evaluation of resection margins. Results: Between 2021 and 2023, 594 patients were enrolled in the study. In patients subjected to cavity shave, a significant reduction in positive, focally positive, or closer margins was reported 8.9% vs. 18.5% (p = 0.003). No difference was reported in terms of surgical re-excision (p < 0.846) (5% vs. 5.5%). Surgical time was lower in patients subjected to cavity shave (<0.001). The multivariate analysis intraoperative evaluation of sentinel lymph node OR 1.816 and cavity shave OR 2.909 were predictive factors for a shorter surgical time. Excluding patients subjected to intraoperative evaluation of sentinel lymph node and patients with ductal carcinoma in situ, patients that underwent the cavity shave presented a reduced surgical time (67.9 + 3.8 min vs. 81.6 + 2.8 min) (p = 0.006). Conclusions: Cavity shaving after lumpectomy reduced the rate of positive margins and it was associated with a significant reduction in surgical time compared to intraoperative evaluation of resection margins.

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Grelck, Kurt, Sean Sukal, Les Rosen, and Gabriel P. Suciu. "Incidence of Residual Nonmelanoma Skin Cancer in Excisions After Shave Biopsy." Dermatologic Surgery 39, no. 3pt1 (March 2013): 374–80. http://dx.doi.org/10.1111/dsu.12056.

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STASHOWER, MITCHELL E. "Successful Treatment of Earlobe Keloids with Imiquimod after Tangential Shave Excision." Dermatologic Surgery 32, no. 3 (March 2006): 380–86. http://dx.doi.org/10.1097/00042728-200603000-00008.

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STASHOWER, MITCHELL E. "Successful Treatment of Earlobe Keloids with Imiquimod after Tangential Shave Excision." Dermatologic Surgery 32, no. 3 (March 31, 2006): 380–86. http://dx.doi.org/10.1111/j.1524-4725.2006.32077.x.

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Cook, J. "Successful Treatment of Earlobe Keloids with Imiquimod after Tangential Shave Excision." Yearbook of Dermatology and Dermatologic Surgery 2007 (January 2007): 406–7. http://dx.doi.org/10.1016/s0093-3619(08)70681-6.

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Hieken, Tina J., Roberto Hernández-Irizarry, Julia M. Boll, and Jamie E. Jones Coleman. "Accuracy of Diagnostic Biopsy for Cutaneous Melanoma: Implications for Surgical Oncologists." International Journal of Surgical Oncology 2013 (2013): 1–7. http://dx.doi.org/10.1155/2013/196493.

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Background and Objectives. While excisional biopsy is recommended to diagnose cutaneous melanoma, various biopsy techniques are used in practice. We undertook this study to identify how frequently final tumor stage and treatment recommendations changed from diagnostic biopsy to final histopathology after wide local excision (WLE).Methods. We compared the histopathology of the dermatopathologist-reviewed diagnostic biopsy and final WLE in 332 cutaneous melanoma patients.Results. Tumor sites were extremity (51%), trunk (33%), and head/neck (16%). Initial biopsy types were excisional (56%), punch (21%), shave (18%), and incisional (5%). Most diagnostic biopsies were margin positive regardless of technique, and 36% of patients had residual melanoma on WLE. T-stage changed in 8% of patients, of whom 59% were diagnosed by punch biopsy, 15% by incisional biopsy, 15% by shave biopsy, and 11% by excisional biopsy (P<0.0001). Treatment recommendations changed in 6%: 2% after excisional biopsy, 5% after shave biopsy, 18% after punch biopsy, and 18% after incisional biopsy (P<0.0001).Conclusions. Although most biopsy margins were positive, T-stage and treatment changed for only a minority of melanoma patients. Our data provide valuable information to inform patient discussion regarding the likelihood of a change in prognosis and the need for secondary procedures after WLE. These data support the superiority of dermatopathologist-reviewed excisional biopsy when feasible.

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Ilyas, Muneeb, Nan Zhang, and Amit Sharma. "Residual Squamous Cell Carcinoma After Shave Biopsy in Solid Organ Transplant Recipients." Dermatologic Surgery 44, no. 3 (March 2018): 370–74. http://dx.doi.org/10.1097/dss.0000000000001340.

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Scherger, Deborah L. "Ethyl Alcohol (Ethanol)–Containing Cologne, Perfume, and After-shave Ingestions in Children." Archives of Pediatrics & Adolescent Medicine 142, no. 6 (June 1, 1988): 630. http://dx.doi.org/10.1001/archpedi.1988.02150060064032.

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Yang, Yul W., and David J. DiCaudo. "Effects of curettage after shave biopsy of unexpected melanoma: A retrospective review." Journal of the American Academy of Dermatology 78, no. 5 (May 2018): 1000–1002. http://dx.doi.org/10.1016/j.jaad.2017.12.043.

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Schwahn-Schreiber, C. "Surgery of ulcus cruris venosum." Phlebologie 39, no. 03 (2010): 156–62. http://dx.doi.org/10.1055/s-0037-1622306.

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SummaryAdvanced chronic venous stasis syndrome is characterized by irreversible and self-perpetuating morphological alterations in the lower leg. A chronic inflammatory process results in sclerosis, which progresses from the skin to the subcutaneous tissue and ultimately the fascia, sometimes including muscle and ankle joint and leading to chronic compartment syndrome. To cure these severe alterations with non healing ulcers decompression of the compartments like paratibial fasciotomy with SEPS and crural fasciectomy or removal of sclerosis like shave therapy are successful surgical procedures. Indication should be adapted to the extension of ulcer. Indications of the operations and the techniques are described, complications and results are discussed. Due to ulcer extension especially shave therapy (removal of the sclerotic tissue epifascial) and crural fasciectomy (removal of sclerosis including fascia) are very successful with up to 80% healing rate, even in severe cases and even after long term (up to 8 years). Since shave therapy is easy, short and simple with short healing time, few complications and good aesthetical result it is the first choice of treatment for non healing leg ulcers. Fasci ectomy is reserved for special indications such as deep transfascial necrosis or failure of shave therapy.

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Lee, Jong Mi, Hwa Lee, Tae Eun Lee, Minsoo Park, and Sehyun Baek. "Second Intention Healing after Shave Excision of Benign Tumors on the Lid Margin." Annals of Dermatology 23, no. 4 (2011): 463. http://dx.doi.org/10.5021/ad.2011.23.4.463.

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Zaiem, Fadi, Anna Numi, Mira Kheil, Asem AbuJamea, Deepti Jain, Omar Abbas, Lauren Larson, et al. "Abstract PO2-03-03: The Significance of Cavity Shave Margins in Breast Carcinoma on Margin Status and Re-excision Rates." Cancer Research 84, no. 9_Supplement (May 2, 2024): PO2–03–03—PO2–03–03. http://dx.doi.org/10.1158/1538-7445.sabcs23-po2-03-03.

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Abstract Context: The comparative outcomes of breast conserving surgery (BCS) with and without cavity shave margins are not well established. We aim to evaluate the impact of each procedure on final margin status and rate of re-excision. Design: A total of 529 breast cancer cases from our institution between 2013-2015 were included. Demographic and clinicopathological data including procedure type, tumor type, grade, margins status, and re-excision rates were collected. H&E slides of positive margins (tumor on ink) were reviewed by two pathologists. Appropriate statistical analysis was performed. Results: Out of 529 breast cancer cases, 125 were Ductal Carcinoma in situ (DCIS), 152 were Invasive Ductal Carcinoma (IDC) and 252 had both pathologies. The median age of patients was 59 years (range: 24-90). Patients who underwent excision with shave margins were 162 (35 DCIS, 56 IDC, 71 both) while excision without shave margins were 367 (90 DCIS, 96 IDC, 181 both). Re-excision rates were significantly lower 1) in patients who underwent BCS with cavity shave margins compared to those without (OR 0.32, p< 0.001) and 2) in patients who did not require lymph node excision compared to those who did (OR 4.26, p< 0.001). Additionally, patients who had DCIS had a higher rate of re-excision than those with invasive cancer only (OR 5.17, P< .001). After adjusting for type of tumor, patients who underwent cavity shaving compared to those who did not, no significant difference was seen in tumor at margins (OR 0.73, p=0.282) or tumor within 2mm (OR 1.14, p=0.512) from margins. However, patients with IDC who underwent cavity shave had a higher proportion of negative tumor at the margins (76.5% vs. 67.0%; p=0.051). We found that patients who had an invasive carcinoma (IC) had a lower risk of having tumor at the margin or within 2 mm from the margin than those with DCIS or DCIS+IC, (p< .05). Conclusions: Our data shows that BCS with cavity shave margins is superior with regards to negative margin and re-excision rates when compared to without cavity shave margins. Citation Format: Fadi Zaiem, Anna Numi, Mira Kheil, Asem AbuJamea, Deepti Jain, Omar Abbas, Lauren Larson, Noor Suleiman, Saleh Al-Juburi, Sanaa Awada, Ragad Almsaddi, Hyejeong Jang, Seongho Kim, Nagla Salem, Lydia Choi, Sudeshna Bandyopadhyay, Sunil Jaiman, Rouba Ali-Fehmi. The Significance of Cavity Shave Margins in Breast Carcinoma on Margin Status and Re-excision Rates [abstract]. In: Proceedings of the 2023 San Antonio Breast Cancer Symposium; 2023 Dec 5-9; San Antonio, TX. Philadelphia (PA): AACR; Cancer Res 2024;84(9 Suppl):Abstract nr PO2-03-03.

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Gaber, Gehl, and Schmeller. "Veränderungen von Faszie und Muskulatur vor und 12 Monate nach erfolgreicher Shave-Therapie des therapieresistenten Ulcus cruris venosum." Vasa 32, no. 4 (November 1, 2003): 205–8. http://dx.doi.org/10.1024/0301-1526.32.4.205.

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Background: In chronic venous insufficiency (CVI) III typical changes of skin, subcutaneous tissue, fascia and muscle can be found. It was believed, that the thickening of the fascia is irreversible and it has been postulated that the degeneration of muscles is causative for the persistence of recalcitrant leg ulcers. Patients and methods: By computed tomography (CT) and magnetic resonance imaging (MRI) 8 patients with therapy resistant venous ulcers were examined. Changes of fascia and muscles were determined preoperatively and 12 months after successful shave therapy. Results: By CT a thinning of the preoperatively thickened fascia could be demonstrated in all patients one year after surgery. Before shave therapy MRI showed that the fascia was not only thickend and blurred, but also had fluid accumulations perifascial. 12 months after therapy the fascia was thinner and sharply demarcated. The fluid was either absent or distinctively reduced. Refering to the thickness of fascia an average decrease of 0.084 cm (0.03–0.17 cm) was observed. Before surgery the muscles showed a fatty degeneration as a sign of atrophy; with CT and MRI no changes could be demonstrated after one year in all patients. Conlusion: The results after one year demonstrate for the first time, that the changes of the fascia in CVI III are reversible and that there is no direct correlation between the degeneration of muscles and the persistence of venous leg ulcers.

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Namin, Arya W., and Robert P. Zitsch. "Impact of Biopsy Modality on the Management of Cutaneous Melanoma of the Head and Neck." Otolaryngology–Head and Neck Surgery 158, no. 3 (November 7, 2017): 473–78. http://dx.doi.org/10.1177/0194599817740568.

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Objective The purpose of this study was to examine how biopsy modality affects the treatment course and outcomes of patients with cutaneous melanoma of the head and neck. Specifically, we investigated if partial biopsy techniques are associated with positive margins on definitive wide local excision (DWLE), the need for early reoperation to obtain adequate margins or sentinel lymph node biopsy, and survival. Study Design Retrospective case series. Setting Tertiary care academic center. Subjects and Methods Subjects (N = 170) included all patients who were surgically treated for primary cutaneous melanoma of the head and neck at the University of Missouri–Columbia between January 1, 2000, and December 31, 2015. For analysis, patients were divided into 4 groups based on biopsy modality: shave (n = 61), excisional (n = 62), punch (n = 33), and incisional (n = 14). Results The shave biopsy group ( P = .0324) and the punch biopsy group ( P = .0479) were significantly more likely to have positive margins on DWLE. The shave biopsy group ( P = .0042) and the punch biopsy group ( P = .0479) were also significantly more likely to need early reoperation. The mean number of sentinel nodes and incidence of positive sentinel nodes detected on pathologic examination did not differ significantly across biopsy modality ( P = .3600). Overall survival ( P = .4605) and disease-free survival ( P = .5011) did not differ significantly among the groups. Conclusions Patients diagnosed with shave and punch biopsy techniques are significantly more likely to have positive margins after DWLE and more frequently require early reoperation. Biopsy modality does not appear to influence the number of sentinel nodes detected, the incidence of detecting regional metastases in sentinel nodes, the overall survival, or the disease-free survival.

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Richtig, E., V. Ahlgrimm-Siess, S. Koller, A. Gerger, M. Horn, J. Smolle, and R. Hofmann-Wellenhof. "Follow-up of actinic keratoses after shave biopsy byin-vivoreflectance confocal microscopy - a pilot study." Journal of the European Academy of Dermatology and Venereology 24, no. 3 (March 2010): 293–98. http://dx.doi.org/10.1111/j.1468-3083.2009.03410.x.

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Alcalay, J., and R. Alkalay. "Histological evaluation of residual basal cell carcinoma after shave biopsy prior to Mohs micrographic surgery." Journal of the European Academy of Dermatology and Venereology 25, no. 7 (November 4, 2010): 839–41. http://dx.doi.org/10.1111/j.1468-3083.2010.03881.x.

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Phillips, Tania J. "A Randomized Prospective Study of a Hydroactive Dressing vs Conventional Treatment After Shave Biopsy Excision." Archives of Dermatology 129, no. 7 (July 1, 1993): 859. http://dx.doi.org/10.1001/archderm.1993.01680280047008.

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Phillips, T. J. "A randomized prospective study of a hydroactive dressing vs conventional treatment after shave biopsy excision." Archives of Dermatology 129, no. 7 (July 1, 1993): 859–60. http://dx.doi.org/10.1001/archderm.129.7.859.

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Lestari, Hernida Dwi, and Ragil Supriyono. "Nursing Care for Clients with Social Isolation That Experiences A Self -Care Deficit in The Starfruit Room at Duren Sawit Regional Special Hospital, East Jakarta." Journal Of Applied Health Research And Development 6, no. 1 (March 30, 2024): 39–46. http://dx.doi.org/10.58228/jahrd.v6i1.51.

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In Indonesia, the number of people suffering from mental disorders has increased quite a lot. It is estimated that the prevalence of severe mental disorders including psychosis/schizophrenia in Indonesia in 2013 was 1,728 people. The proportion of households that have received ART for serious mental disorders is 1,655 households, of which 14. 3% live in rural areas, while those living in urban areas are 10.7%. In the theoretical assessment of the client's Self Care Deficit in the two respondents, the client said he rarely brushed his teeth, the client said he did not want to shave his mustache and beard, the client said he wanted to grow his beard and moustache, the client said he rarely washed his hair. Based on the results of the assessment, what stands out in client 1 (Mr. M) and client 2 (Mr. R) is Self-Care Deficit: in Client 1, Mr. M The client says he rarely brushes his teeth, the client says he doesn't want to shave his mustache and beard, the client says he wants to grow his beard and mustache, the client says he rarely washes his hair. In client 2 Mr. R The client says he never shaves his mustache and beard, The client says he never combs his hair after showering, The client says he rarely washes his hair, The client says his head itches.

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Page, A., M. C. Lowe, N. Hill, D. R. Murray, G. W. Carlson, P. Bonaccorsi, S. Chen, and K. A. Delman. "Deep margin involvement after shave biopsy for melanoma and requirement for sentinel lymph node biopsy (SLNB)." Journal of Clinical Oncology 28, no. 15_suppl (May 20, 2010): e19029-e19029. http://dx.doi.org/10.1200/jco.2010.28.15_suppl.e19029.

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&NA;. "Topical application of mitomycin after shave-removal is an effective therapy for patients with keloid scars,." Inpharma Weekly &NA;, no. 1587 (May 2007): 16. http://dx.doi.org/10.2165/00128413-200715870-00039.

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Moreno-Arias, Gerardo A., and Juan Ferrando. "Noncoherent-intense-pulsed light for the treatment of relapsing hairy intradermal melanocytic nevus after shave excision." Lasers in Surgery and Medicine 29, no. 2 (2001): 142–44. http://dx.doi.org/10.1002/lsm.1100.

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Mukherjee, Sujoy, Rishi Jindal, CGS Chauhan, and CP Pandey. "Seborrheic Keratosis of Penis." International Journal of Advanced and Integrated Medical Sciences 1, no. 3 (2016): 126–27. http://dx.doi.org/10.5005/jp-journals-10050-10043.

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ABSTRACT Seborrheic keratosis (SK) of the penis is a rare entity. It is usually mistaken as a genital wart. It should be considered in a differential diagnosis of pedunculated lesions of the penis. The histopathology after shave excision will be diagnostic. How to cite this article Mukherjee S, Jindal R, Chauhan CGS, Pandey CP. Seborrheic Keratosis of Penis. Int J Adv Integ Med Sci 2016;1(3):126-127.

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Torres, A. "Follow-up of actinic keratoses after shave biopsy by in-vivo reflectance confocal microscopy – a pilot study." Yearbook of Dermatology and Dermatologic Surgery 2011 (January 2011): 339. http://dx.doi.org/10.1016/j.yder.2011.01.007.

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Chang, Minwook, Minsoo Park, Sehyun Baek, and Jong-Hyun Oh. "The Characteristics and Second Intention Healing After Shave Excision of Nevi on the Lid Margin in East Asians." Journal of Craniofacial Surgery 24, no. 5 (September 2013): e467-e470. http://dx.doi.org/10.1097/scs.0b013e31829030ad.

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Asad, Sukaina, Raafat Gendy, and Raghavan Vidya. "Is there any difference in the rate of re excision after cavity shave margins in breast conserving surgery?" European Journal of Surgical Oncology (EJSO) 39, no. 5 (May 2013): 474. http://dx.doi.org/10.1016/j.ejso.2013.01.082.

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Tran, Jennifer VH, Shantel DJ Lultschik, Jessica SS Ho, Sheetal Sapra, Kevin Dong, and Klaudija Gusic. "Concomitant therapy of surgical shave excision and intralesional injections for ear keloids: Early results from a retrospective cohort study." Scars, Burns & Healing 8 (January 2022): 205951312210985. http://dx.doi.org/10.1177/20595131221098531.

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Introduction Keloids are hypertrophic scars that commonly arise in the ear region. The authors’ objectives were to (1) evaluate effectiveness of surgical shave excision followed by intralesional triamcinolone acetonide and onabotulinumtoxinA injections; and (2) evaluate safety and patient satisfaction. Methods and Materials This study was a retrospective chart review of patients who received treatment of extralesional surgical shave excision followed by intralesional triamcinolone acetonide and onabotulinumtoxinA injections to treat ear keloids at a single outpatient dermatology clinic. A prospective patient questionnaire was administered to the same patient population to collect recurrence and patient satisfaction. Results A total of 45 patients were included, consisting of 84.4% females (n = 38) and 15.6% males (n = 7) with a mean age of 25.5 years. Through retrospective chart review, early recurrence was seen in 6.7% of patients (n = 3), and via the prospective patient questionnaire, 11.1% of patients noted early keloid recurrence (n = 5). Of the patients who expressed their level of satisfaction in-clinic, 96.0% (n = 24) reported being satisfied or very satisfied and 4.0% (n = 1) were dissatisfied. Satisfaction was also assessed through the prospective patient questionnaire; of those who consented to the questionnaire, 100.0% (n = 24) were satisfied or very satisfied. Only 20.0% (n = 9) of all patients reported experiencing side effects, consisting of pruritus (11.1%; n = 5), tenderness (4.4%; n = 2), pain (2.2%; n = 1), and mild atrophy (2.2%; n = 1). Conclusion Extralesional surgical shave excision followed by intralesional triamcinolone acetonide and onabotulinumtoxinA injections may represent a promising treatment option for ear keloids. Evidence Level: 3 retrospective cohort study. Lay Summary Keloids are a type of raised scar, which can be painful and itchy for patients. Keloids can occur on various part of the body, including on the ear. They are challenging to treat and tend to come back. There are many treatment options, however, there is not one universal best treatment for keloids on the ear. We hoped to discover if shave excision followed by intralesional triamcinolone acetonide and onabotulinumtoxinA injections is effective at treating keloids on the ear. In order to answer this we completed a chart review of clinic patients, who have already completed the following combination treatment for keloids on the ear. The keloids were treated first by physically removing the bulk of the keloid with a scalpel, which is called shave excision. After the removal, triamcinolone acetonide and onabotulinumtoxinA were injected directly into the keloid. The rate of patient satisfaction and the rate of the keloid returning were collected during in-clinic visits and an optional post-clinic patient questionnaire. The treatment effectiveness and side effects experienced were reported during in-clinic visits. This indicated that with the low rate of side effects, high patient satisfaction, and low rate of keloid return, this treatment combination should be considered as an option for keloids on the ear. However, since this review was completed at one clinic with a small population of patients, it is not fully known if this treatment combination will work for all patients.

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Irshad, Faiza, Kanwal Saeed, Muhammad Adeel Qama, Jamshad Latif, Zia Ul Mustafa, and Lubaba Mukhtar. "Histological alterations in Rabbit liver after treatment with dexamethasone." Pakistan Journal of Medical and Health Sciences 15, no. 9 (September 30, 2021): 2373–75. http://dx.doi.org/10.53350/pjmhs211592373.

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Background One of the most potent glucocorticoids is known as Dexamethasone. Many metabolic side effect shave been reported on almost every organ after dexamethasone treatment specially its effect on liver. Aim: To investigate harmful side effects of dexamethasone sodium phosphate on rabbit’s liver that serve as human liver model via using light microscope, by administration of two doses (extreme) and two durations in order to depict the duration as well as dosage dependency. Methods: Liver samples were taken via rabbits who were administered dexamethasone sodium phosphate. Then two Stratas were made namely, 1 and 2. The fixations of liver samples were carried out and underwent into evaluation in order to observe any histochemical and histological alterations. Study duration is from February to May 2021 Rabbits were brought from Veterinary Research Institute, Lahore. These Rabbits were kept in cages in the animal house of PGMI, Bird wood road Lahore. Results: The ballooning and vacuolation of hepatic cells were seen in the liver in case of Stratas that were treated along with the degenerative alterations of these cells, congestion and dilatation of central hepatic vein with sinusoidal capillaries, positive periodic acid schiff's stain (PAS) reactions. The severity of all these alterations was dependent upon duration and dosage. Conclusion: Morphological variations induced in the liver by dexamethasone sodium phosphate could be accepted as side effects of these drugs. Keywords: Liver, dexamethasone, histology, glycogen.

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Myshencev, Pavel N., Sergey E. Katorkin, and Leonid A. Lichman. "A case of successful surgical treatment of a patient with lymphedema of lower limbs." I.P. Pavlov Russian Medical Biological Herald 26, no. 2 (July 20, 2018): 288–95. http://dx.doi.org/10.23888/pavlovj20182288-295.

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The importance of treatment of patients with lymphedema of lower limbs arises from difficulties in their medical and social rehabilitation. At the expressed stages of the disease resection surgical operations are indicated which present complicated interventions. In the work clinical observation of a 33 yearold female patient with IV stage of primary lymphedema of the right lower limb is presented. In the course of conservative treatment after a complex examination including volumetry, ultrasound, computed tomography, the patient was made dermalipofascioectomy using method of shave therapy. The operation of modified dermalipofascioectomy of the shin was performed by Karavanov II method under spinal anesthesia with use of mono and bipolar coagulation. At the stage of elimination of fibrotically changed tissue dermatome Acculan 3Ti (GA 670) was used with controlled ranges of thickness within 0.21.2 mm and width within 878 mm. Intraoperative loss of blood and lymph was 800 ml and was compensated for with crystalloid, colloid solutions and fresh frozen plasma in the volume of 600 ml. Active drainage of the region of the postoperative wound was conducted by Redon method within 1012 days. Postoperative period ran without complications, with improvement of the patient’s condition. Clinical observation showed a positive role of application of shave therapy apparatus at the main stage of resection operations.

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Myshencev, Pavel N., Sergey E. Katorkin, and Leonid A. Lichman. "A case of successful surgical treatment of a patient with lymphedema of lower limbs." I.P. Pavlov Russian Medical Biological Herald 26, no. 2 (July 20, 2018): 288–95. http://dx.doi.org/10.23888/pavlovj2018262288-295.

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The importance of treatment of patients with lymphedema of lower limbs arises from difficulties in their medical and social rehabilitation. At the expressed stages of the disease resection surgical operations are indicated which present complicated interventions. In the work clinical observation of a 33 yearold female patient with IV stage of primary lymphedema of the right lower limb is presented. In the course of conservative treatment after a complex examination including volumetry, ultrasound, computed tomography, the patient was made dermalipofascioectomy using method of shave therapy. The operation of modified dermalipofascioectomy of the shin was performed by Karavanov II method under spinal anesthesia with use of mono and bipolar coagulation. At the stage of elimination of fibrotically changed tissue dermatome Acculan 3Ti (GA 670) was used with controlled ranges of thickness within 0.21.2 mm and width within 878 mm. Intraoperative loss of blood and lymph was 800 ml and was compensated for with crystalloid, colloid solutions and fresh frozen plasma in the volume of 600 ml. Active drainage of the region of the postoperative wound was conducted by Redon method within 1012 days. Postoperative period ran without complications, with improvement of the patient’s condition. Clinical observation showed a positive role of application of shave therapy apparatus at the main stage of resection operations.

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Moore, Phillip, Jon Hundley, Jennifer Hundley, Edward A. Levine, Phillip Williford, Omar Sangueza, Thomas Mccoy, and Perry Shen. "Does Shave Biopsy Accurately Predict the Final Breslow Depth of Primary Cutaneous Melanoma?" American Surgeon 75, no. 5 (May 2009): 369–73. http://dx.doi.org/10.1177/000313480907500503.

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Shave biopsy (SB) is used for the diagnosis of suspicious skin lesions, including melanoma. Its accuracy for melanoma has not been confirmed. We examined our experience with SB to determine its ability to predict true Breslow depth (BD). We performed a retrospective review of the tumor registry for all patients diagnosed with melanoma by SB from 1995 to 2004. Site and depth of lesion, tumor stage, correlation of BD between SB and wide local excision (WLE), and changes in surgical management due to discordance were examined. Melanoma-in-situ was defined as a depth of 0 for this analysis. One hundred thirty-nine patients were diagnosed with melanoma by SB. Pathology after WLE were as follows: 54 (39%) patients had no residual disease, 67 (48%) had a BD equal to or less than the SB, and 18 (13%) had a thicker BD compared with the SB. For these 18 patients, the median BD by SB and WLE was 1.1 mm (range 0-6.5) and 3.5 mm (range 0.5-20.5), respectively ( P = 0.0017). Upstaging of final BD from SB to WLE was significantly associated with increasing tumor depth and higher stage of melanoma ( P < 0.0001). Only seven of the 139 patients (5%) required further surgery because of the increased depth of the WLE. SB underestimated the final BD of melanoma in 13 per cent of patients, but changed the management of few patients. SB is a valuable tool for practitioners in the diagnosis of melanoma. Nevertheless, patients diagnosed with melanoma by SB should be counseled about the rare need for additional surgery.

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Namin, Arya W., Georgeanne E. Cornell, Emily H. Smith, and Robert P. Zitsch. "Considerations for Timing of Defect Reconstruction in Cutaneous Melanoma of the Head and Neck." Facial Plastic Surgery 35, no. 04 (July 17, 2019): 404–9. http://dx.doi.org/10.1055/s-0039-1693469.

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AbstractThe objective of this study is to identify the incidence and characteristics of cases with positive margins on wide local excision for cutaneous melanoma of the head and neck (CMHN) and therefore provide a potential basis for selectively delaying reconstruction pending final histological clearance of melanoma. A systematic review of English language articles was performed on studies retrieved from PubMed and Web of Science. Original investigations published between July 1999 and June 2018 reporting on margin status of CMHN wide local excision specimens were included in the review. The incidence of positive margins after definitive resection for cutaneous melanoma in the literature ranges from 6 to 20.9%. The incidence is higher in cases of advanced patient age, diagnosis by shave biopsy, lentigo maligna melanoma subtype, desmoplastic subtype, tumor thickness, and ulceration. Delayed reconstruction remains the most oncologically sound decision, allowing for interpretation of margin status on paraffin-embedded tissue sections. However, resection and the resultant defect closure in a single stage is more expedient and potentially a more efficient use of resources. The risk–benefit ratio of immediate versus delayed reconstruction must be considered for each case. The incidence of positive margins is higher in cases of advanced patient age, diagnosis by shave biopsy, lentigo maligna melanoma subtype, desmoplastic subtype, increasing tumor thickness, and the presence of ulceration; delayed reconstruction should be strongly considered in these cases.

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Johnson, Niel A. "COMPARISON OF A WITCH HAZEL-BASED AFTER SHAVE LOTION TO TRADITIONAL SHAVING PROFILES IN THE TREATMENT OF PSEUDOFOLLICULITIS BARBAE (PFB)." Southern Medical Journal 92, Supplement (November 1999): S32. http://dx.doi.org/10.1097/00007611-199911001-00065.

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Owen, Joshua L., Cory Kosche, and Jennifer N. Choi. "Verrucous Keratoses Associated with Checkpoint Inhibitor Immunotherapy." SKIN The Journal of Cutaneous Medicine 4, no. 1 (January 28, 2020): 64–67. http://dx.doi.org/10.25251/skin.4.1.9.

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Introduction:Checkpoint inhibitor immunotherapy is associated with numerous adverse events, including eruptive keratoacanthomas and squamous cell carcinomas. However, no cases of immunotherapy-associated verrucous keratoses (VKs) have been reported. VKs are proliferative lesions generally considered benign, although they have been suggested to represent premalignant lesions.Cases:We present the first case series of three patients with immunotherapy-associated VKs. The patients were receiving nivolumab for renal cell carcinoma, combination ipilimumab/nivolumab for non-small cell lung carcinoma, and pembrolizumab for malignant melanoma. The VKs appeared 3-7 months after initiation of immunotherapy. Lesions were treated with shave removal or cryosurgery without recurrence. This report adds to the spectrum of cutaneous squamoproliferative lesions induced by checkpoint inhibitor immunotherapy.

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CHI, SEONG GEUN, JUN YOUNG KIM, WEON JU LEE, SEOK-JONG LEE, DO WON KIM, MI YEUNG SOHN, GUN WOOK KIM, MOON BUM KIM, and BYUNG SOO KIM. "Ear Keloids as a Primary Candidate for the Application of Mitomycin C after Shave Excision: In Vivo and In Vitro Study." Dermatologic Surgery 37, no. 2 (February 2011): 168–75. http://dx.doi.org/10.1111/j.1524-4725.2010.01846.x.

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Thomusch, Oliver, and Guenther Ruf. "Manuscript ‘close shave’ margins do not increase rectal cancer recurrence after sphincter-saving surgery without neoadjuvant therapy by Lim et al." International Journal of Colorectal Disease 27, no. 12 (July 21, 2012): 1691–92. http://dx.doi.org/10.1007/s00384-012-1529-0.

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Schwartz, Chelsea, Samuel Lassiter, David Cleaver, and Nathan Cleaver. "A Rare Case of Cutaneous Anaplastic Large Cell Lymphoma in an Adolescent Female." SKIN The Journal of Cutaneous Medicine 7, no. 1 (January 10, 2023): 612–15. http://dx.doi.org/10.25251/skin.7.1.10.

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Primary cutaneous anaplastic large cell lymphoma (C-ALCL) is a CD30 positive lymphoproliferative disorder, which is the second most common group of cutaneous T-cell lymphomas. It is common in adults 50-70 years of age with a male to female ratio 2:1. Here, we report a 14-year-old Caucasian female who presented with a painless, growing, friable, hemorrhagic nodule on her right medial buccal cheek of 2 weeks’ duration. The lesion was traumatized during a basketball game and significant bleeding was noted. A shave biopsy was performed on the 1.7 cm x 1.3 cm lesion. Histopathology demonstrated epidermal necrosis, acanthosis, large atypical lymphocytes with a number mitoses, prominent eosinophils, and smaller lymphocytes. Immunohistochemical staining revealed CD30 positivity of much of the tumor infiltrate, but was not diffusely positive. Rare cells were granzyme positive. ALK-1, TdT, EBER, CD1a were negative. The diagnosis was confirmed by a second dermatopathologist. The patient was referred to oncology. Labs were within normal limits and PET/CT scan was negative for metastasis. The lesion started to spontaneously regress after the shave biopsy. Spontaneous regression of C-ALCL occurs in 20-42% of cases and usually has an indolent course, therefore, aggressive treatment is not appropriate. In most cases, solitary or localized lesions are treated with surgical excision or radiotherapy. Although, about half of cases reoccur, but are not life threatening. This unusual case of C-ALCL provides an additional example of a rare clinical presentation in an adolescent female and reiterates the important histopathological findings for diagnosis.

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Andrew, Kashini, James M. Carr, and Claudia Roberts. "Rare skin appendage tumour on the right leg: a case of primary cutaneous cribriform carcinoma." BMJ Case Reports 16, no. 5 (May 2023): e254781. http://dx.doi.org/10.1136/bcr-2023-254781.

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A woman in her 60s presented with a longstanding history of a purplish, fleshy and pedunculated nodule on the right shin on a background of bilateral lower limb lymphoedema. A shave biopsy with double curettage of the base of the lesion revealed a nodular tumour with hyperchromatic basaloid cells arranged in a cribriform pattern and encircling eosinophilic substance. Immunohistochemistry staining showed cells positive for pancytokeratin, low molecular weight keratin, BerEP4 and negative for cytokeratin 20. There were no clinical or radiological features of primary visceral malignancy. These histological and immunohistochemical features favour a diagnosis of primary cribriform carcinoma of the skin. This is a rare, indolent skin appendage tumour of presumed apocrine origin with no reported cases in the literature of metastasis or local recurrence after excision.

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Schmitz, Lutz, Schapoor Hessam, Lisa Scholl, Sarah Reitenbach, Marc H. Segert, and Falk G. Bechara. "Wound Care With a Porcine Extracellular Matrix After Surgical Treatment of Rhinophyma." Journal of Cutaneous Medicine and Surgery 24, no. 3 (February 25, 2020): 253–58. http://dx.doi.org/10.1177/1203475420906774.

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Background Rhinophyma surgery is commonly associated with prolonged wound healing and the need for multiple wound dressings. Objectives To evaluate clinical outcome with a porcine extracellular matrix (ECM) after shave excision of rhinophyma compared with common wound care procedure. Materials and methods Retrospective analysis of patients with common dressings (CD) compared with patients with additional ECM (OASIS) application. Clinical findings were assessed prior to treatment and at follow-up visit using the Patient and Observer Scar Assessment Scale (POSAS), Vancouver Scar Scale (VSS), and Rhinophyma Severity Index (RHISI). Results Overall, 28 patients (67.5 ±9.0 years) with a mean wound area of 33.9 (±8.5) cm² were included. After a mean follow-up period of 132 (±73) days, scales of POSAS, VSS, and RHISI showed significant ( P< .0001) reductions of 47.0% (±11.1), 56.0% (±12.0), and 62.3% (±14.3), respectively. Subgroup analysis showed no significant differences of aforementioned parameters between the ECM group ( n= 17) and CD group ( n= 11). In contrast, the number of dressing changes were significantly ( P< .006) less in the ECM group (1.4 ±0.8) compared with CD group (4.1 ±2.6). The ECM group showed a significant ( P< .017) shorter time to re-epithelization (10.5 ±1.7 days) than the CD group (13.1 ±2.2 days). Conclusions The application of porcine ECM is practicable and reduces the number of dressing changes and time to re-epithelization clearly. Crusts are scaling off spontaneously without any aggressive action needed. Our findings indicate that ECM application is a promising approach for rhinophyma wound care.

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Journal articles on the topic 'After Shave'

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