Abstract
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Highlights
I recently incidentally noted a nasal skin lesion when reviewing a postoperative Dupuytren’s patient
I had previously taken an awareness of the role of plastics surgeons in skin cancer management for granted. Could it be that we have, as a craft group, become complacent in promoting the importance of plastic surgery in skin cancer treatment? And could it be that in that state of complacency, we have failed to stay adequately abreast of the revolutionary and rapidly-evolving developments in research and therapeutics in this dynamic field?. This incident prompted me to ponder several key challenges and questions facing plastic surgeons involved in treating skin cancer: 1. Has the role of plastic surgeons diminished in the changing landscape of skin cancer treatment options, and if so, why?
Perhaps a legitimate role for the plastic surgeon in the area of skin cancer in the future incorporates a teaching resource or advisory role for community based practitioners, or treatment of more complicated surgical cases only. In this time of more diverse training and experience backgrounds seen among doctors engaging in skin cancer treatment, it is more important than ever that plastic surgeons are seen to be accessible and available to both patients and other medical colleagues
Summary
Poorlydifferentiated SCCs or lesions in areas that may be high-risk for local invasion or metastasis (such as the scalp, the ears or facial lines of fusion), are often treated in a similar time frame as a lowgrade, well-differentiated lesion should be In any of these patient groups, it is imperative that expertise regarding all grades of disease severity or progression, in all manner of patient cohorts, be available to both the patients and doctors who may not be as used to looking after them, in order to ensure safe and optimal treatment. Perhaps a legitimate role for the plastic surgeon in the area of skin cancer in the future incorporates a teaching resource or advisory role for community based practitioners, or treatment of more complicated surgical cases only Overall, in this time of more diverse training and experience backgrounds seen among doctors engaging in skin cancer treatment, it is more important than ever that plastic surgeons are seen to be accessible and available to both patients and other medical colleagues
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