An Introduction to Mohs Micrographic Surgery, by Dr. David Weingold

October 24, 2012

Developed nearly a century ago, Mohs micrographic surgery remains one of the most effective treatments for several forms of skin cancer. The procedure removes the cancerous skin layer by layer. With each layer, the practitioner examines the tissue under a microscope, continuing the procedure until the tissue appears free of cancer. This technique ensures the complete removal of cancer, which minimizes the chances of it growing back. In addition, it requires the removal of very little healthy tissue, resulting in a better cosmetic outcome, considering the practitioner generally repairs the site of tissue removal the same day as the procedure. Whereas other methods rely on estimates of the amount of tissue affected by cancer, Mohs micrographic surgery ensures the excision of the entire cancerous region without excess loss of healthy skin.

About the Author:
Dr. David Weingold diagnoses and treats a full range of skin conditions, including cancers. A graduate of the Yale Medical School, Dr. David Weingold completed a residency in dermatology at Duke Medical Center.


This Summer, Take Care of Your Skin (Part 1 of 2)

August 19, 2012

An Interview with Dr. David Weingold on Preventing Skin Cancer

The Friday before Memorial Day was “No Fry Day,” the day designated by the Environmental Protection Agency and dermatologists across the United States as a day on the brink of summer to raise awareness about skin cancer, sun exposure, and ultraviolet radiation. Dr. David Weingold, an Arkansas dermatologist, answered questions about skin protection, risky behaviors, and cancer screening.

Question: What group of people are at the greatest risk for skin cancer?

Dr. Weingold: While skin cancer can strike anyone, those with the palest skin have the greatest risk of developing it. Other groups with a higher than normal risk of developing cancer include those who work outside, those who receive frequent sunburns, and those who use tanning beds.

Question: Why are tanning beds so risky?

Dr. Weingold: A recent study found that people who use tanning beds before the age of 35 are 75 percent more likely to develop a melanoma, the most dangerous form of skin cancer, than people who do not use tanning beds. A typical session in a tanning bed delivers as much ultraviolet radiation as an entire day at the beach. In 2009, the World Health Organization declared them a carcinogen for that reason.

Dr. David Weingold on Skin Cancer Screening and Self-Examination

August 1, 2012

As a dermatologist in Jonesboro, Arkansas, Dr. David Weingold frequently treats patients with skin cancer. Because early detection of skin cancers can significantly affect one’s prognosis, Dr. Weingold recommends that his patients actively pursue regular skin cancer screenings throughout their lives. Along with annual physician-directed skin examinations, Dr. Weingold recommends performing monthly self-examinations, as well.

When performing self-examination, it is important to note changes in existing spots as soon as they appear. Creating a “mole map” of your body is a good way to keep track of any spots you have on your skin. With your map in hand, you can then examine yourself in a well-lighted room, using a full-length mirror as well as a hand-held mirror, in order to observe every inch of your skin, including under your nails, on your scalp, and behind your ears. If you notice any changes, consult with a doctor right away.