Site-Specific Cancer Series: Skin Cancer

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Preface vii
Chapter 1. Anatomy and Physiology of the Skin 1
Introduction 1
Epidermis 2
The Regulation of Epidermal Proliferation and Differentiation 3
Nonkeratinocyte Cells of the Epidermis 4
The Dermal-Epidermal Junction 5
Epidermal Appendages 5
The Dermis 8
Subcutaneous Fat 10
Summary 10
References 10
Chapter 2. Nonmelanoma Skin Cancer 13
Definition 13
Incidence 13
Pathogenesis 13
Risk Factors 13
Basal Cell Carcinoma 16
Squamous Cell Carcinoma 20
Diagnosis and Workup of Nonmelanoma Skin Cancer 25
Staging 26
Treatment of Nonmelanoma Skin Cancer: Basal Cell Carcinoma and Squamous Cell Carcinoma 26
Prognosis for Nonmelanoma Skin Cancer: Basal Cell Carcinoma and Squamous Cell Carcinoma 33
Merkel Cell Carcinoma 33
Dermatofibrosarcoma Protuberans 39
Kaposi Sarcoma 41
Prevention 43
Research 45
Targeted Therapies 45
Summary 45
References 47
Chapter 3. Melanoma 51
What Is Melanoma? 51
Incidence 51
Classification/Type 51
Melanoma Subtypes 54
Skin Pigmentation Abnormalities 55
Pathophysiology 56
Risk Factors 56
Prevention and Detection 58
Patient Assessment 59
Diagnosis 60
Prognosis 61
Staging 61
Regional Lymph Nodes 63
Distant Metastases 64
Treatment Modalities 65
Patient Follow-Up 70
Patient Education 71
Psychosocial Issues 71
Summary 73
References 73
Chapter 4. Cutaneous T-Cell Lymphoma: Mycosis Fungoides/Sézary Syndrome 81
Introduction 81
Epidemiology 81
Pathophysiology 82
Staging 83
Patient Assessment 83
Treatment Modalities 87
Patient Management and Evaluation 93
Survivor Issues 98
Summary 98
References 99
Index 113
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