stephenromagnolo

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What Is Melanoma?

Dr. Stephen Romagnolo is a New Port Richey, Florida-based MD with nearly two decades of experience in dermatology. A board-certified dermatologist, Dr. Stephen Romagnolo is also a trained Mohs surgeon who cares for patients with Advanced Dermatology & Cosmetic Surgery. The clinic treats a range of conditions, including skin cancers such as melanoma. Melanoma occurs in the cells that develop melanin, the pigment that gives your skin its color. It is the most severe form of skin cancer. Melanoma may also develop in the eyes and, in rare cases, within the body, such as the nose or throat. Although the precise cause of all melanomas is unknown, ultraviolet (UV) radiation from the sun, tanning lamps, and tanning beds increase the chances of getting melanoma. Melanoma risk may be reduced by limiting your exposure to UV radiation. If you have a light complexion, you will have less pigment (melanin), and thereby less protection from harmful UV rays. You may get melanoma if you have light-colored eyes, blond or red hair, or sunburn or freckle easily. Melanoma may, however, occur in individuals with darker skin. Melanoma and other skin cancers are more likely to develop in those who have a weakened immune system. If you take medication to suppress the immune system after an organ transplant, or if you have a health condition that affects your immune system, it may put you at increased risk for this disease.

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Importance of Monitoring the Level of Wood Moisture Content

Conversational in Spanish, Dr. Stephen Romagnolo is a skin cancer and cosmetic dermatologist specialist whose experience spans more than a decade. With an MD from Dartmouth Medical School, he worked at Advanced Dermatology & Cosmetic Surgery as a Mohs surgeon specializing in skin surgery and reconstruction. Outside of his professional endeavors, Dr. Stephen Romagnolo enjoys woodworking. Woodworking is exciting but can be challenging especially if you don’t understand what is required to achieve the envisioned results. One of the most important tips of woodworking is understanding the moisture content of your wood. A product made from very dry wood can swell or crack while moist wood ends up warping or shrinking. You should always know wood’s moisture content before you begin working as wood requires time to settle after use in order to adapt to the surrounding environment. Equilibrium moisture content (EMC) is achieved when the moisture content inside wood balances with the temperature of the surrounding environment and relative humidity. Performance and strength of wood can be comprised if the EMC is not achieved as wood RH levels tend to change over time. To make sure that the moisture content is perfect, a wood moisture meter is used to accurately monitor the levels of moisture. Doing this ensures you utilize wood when it’s at the right moisture content level to have an excellent finished product. There are various types of wood moisture meters designed to cater to different skill levels of woodworkers as well as wood flooring experts.

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ACMS Fellow Program - Training Physicians in Mohs Micrographic Surgery

A Mohs and reconstructive surgeon at the Center for Dermatology and Skin Surgery in Tampa, Florida, Dr. Stephen Romagnolo is an MD and a diplomate of the American Board of Dermatology. Dr. Stephen Romagnolo is also a fellow of the American College of Mohs Surgery (ACMS). The Mohs College, as it is known, is a membership organization that offers fellowship training in the Mohs micrographic surgical technique, developed by Dr. Frederic E. Mohs. ACMS has trained over 1,500 fellows in skin cancer and reconstructive surgery. After completing their dermatology residency, any physician can apply to the Mohs micrographic surgery & dermatologic oncology fellowship training program. Once qualified, the participant still needs to go through a review and selection process that will enable them to obtain a program position. The ACMS fellowship training's core curriculum starts with training in cutaneous oncology, epidemiology, and clinical research. In the first module, fellows-in-training study Mohs micrographic surgery and dermal and epidermal wound healing. Mohs micrographic surgery, which is the primary technique learned by ACMS fellows, is considered one of the most effective ways of treating many squamous cell carcinomas and basal cell carcinomas, the most common types of skin cancer. The procedure surgically removes the cancerous cells, and it is performed in a number of stages depending on the tissue's complexity and the depth of the cancer. Mohs surgery is completed in a single visit, with local anesthesia and lab work done on-site. The cure rate is the highest for all skin cancer treatments - 99 percent for patients who have not been treated before, and 94 percent for recurrent cases.

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What to Expect at a Skin Cancer Screening

With an MD from Dartmouth Medical School, Dr. Stephen Romagnolo possesses more than two decades of experience as a dermatologist and surgeon. At Advanced Dermatology & Cosmetic Surgery in New Port Richey, Florida, Dr. Stephen Romagnolo treats nonmelanoma skin cancers. Since more than 90 percent of early-stage nonmelanoma skin cancer cases can be cured, skin screenings are essential for early detection. In addition to routine self-examinations, people with an elevated risk of skin cancer should schedule full-body screenings with their doctor. This includes people with a family history of skin cancer, people with fair skin, or people who are regularly exposed to UV rays due to their occupation. After discussing any prior areas of concern, the doctor looks over the patient from the top of the head to the soles of the feet. The doctor notes any lesion that fits the ABCDE (asymmetry, irregular border, color, diameter, and evolving) criteria for skin cancer symptoms. Scaly patches, poorly healed wounds, and other suspicious-looking spots may need to be further examined with a biopsy.

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Surgical Removal Strategies for Melanoma

Dr. Stephen Romagnolo is a New Port Richey, Florida physician who practices with Advanced Dermatology & Cosmetic Surgery. With a focus on Mohs micrographic surgery, Stephen Romagnolo, MD, maintains a volunteer presence in providing skin cancer screenings and programs on skin cancer awareness. When it comes to treating early stages of melanoma, the most aggressive skin cancer type, there are several approaches. When the cancer is “in situ” and has not spread beyond the epidermis (Stage 0), the typical approach is one of excision. This surgery will take off about 0.5 centimeters of normal, healthy, skin, which is known as the margin. In some cases, a cream containing Aldara (imiquimod) may be prescribed when the excision would cause visible cosmetic issues on the face. With melanoma that has progressed to Stage I, the surgical removal approach involves removal of from one to two centimeters of normal skin surrounding the melanoma. The exact amount depends on the “Breslow thickness,” or the thickness of the melanoma. Beyond this stage, wide excision in tandem with sentinel node lymph biopsy is recommended. The latter provides insight into whether the melanoma has begun spreading to other parts of the body.

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Survey Finds Patient Satisfaction with Mohs Surgery at 95 Percent

Dr. Stephen Romagnolo is an established New Port Richey, Florida, MD who provides patient-centered treatment at Advanced Dermatology & Cosmetic Surgery. A primary area of focus for Dr. Stephen Romagnolo is the use of Mohs micrographic surgery in caring for early melanoma skin cancer patients. An extremely precise method, Mohs surgery involves removing cancer tissue single layer by single layer, in stages. With each layer removed, a microscope is used to determine exactly how much cancer remains and where it is located. The end result is the least scarring possible, and an improved aesthetic outlook. The Mohs surgery caseload has significantly increased in recent years, and a recent University of Texas Southwestern Medical Center (UT Southwestern) survey published in the journal Dermatologic Surgery was the first ever to examine patient satisfaction rates for the procedure. The survey included 42 UT Southwestern patients with an average age of 69, three quarters of whom had tumors on their faces. The results were a satisfaction rating of 95 percent for the surgery, with the long-term benefits of Mohs perceived as far outweighing short-term inconveniences. Mohs surgery was particularly valued for the way it completely excises melanoma that, left untreated, has the potential to metastasize and spread to organs and lymph nodes.

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Mohs Surgery - An Introduction

As a Mohs surgeon at Advanced Dermatology and Cosmetic Surgery in New Port Richey, Florida, Dr. Stephen Romagnolo draws on 15 years of experience with the skin cancer procedure. Stephen Romagnolo, MD, completed a fellowship in Mohs surgery with Benedetto Dermatology and is a fellow of the American College of Mohs and Reconstructive Surgery. Mohs micrographic surgery, also known simply as Mohs surgery, allows a surgeon to remove the maximum number of skin cancer cells by cutting away the cancerous lesion in layers. The procedure consists of a series of steps but takes place over the course of a single visit, in which the surgeon removes and then examines cancerous tissue while the patient is present. After the patient has received a local anesthetic, the physician removes all visible cancerous tissue. He or she then removes a thin layer of skin around the cancerous area and applies a bandage. The patient waits as the physician studies the layer of tissue under a microscope. If any cancer cells are present in the sample, the surgeon removes another thin layer of tissue. He or she looks at this layer under the microscope, and the process is repeated until there are no visible cancer cells anywhere in the most recently removed layer. Because this process requires a physician to serve as both surgeon and pathologist, he or she must receive specialized training in both the delicate operation itself and the examination of cells.

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The Dance Class, Edgar Degas, 1871-74

Happy birthday to Edgar Degas, born on this date in 1834.

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The Seven Works of Mercy (Detail), c. 1607 — Caravaggio

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‘The Inspiration’ - Guillaume Seignac

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By Earl Sniffin

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