Mohs micrographic surgery is a technique used to excise skin tumors based on
comprehensive surgical mapping, in which the surgeon removes the tumor, followed
by a complete histological evaluation of the tumor's margins. The correlation of
the presence of a tumor in histological examinations and its precise location on
the surgical map result in a complete removal of the tumor with maximum normal
tissue preservation. The present article seeks to provide general practitioners
and healthcare specialists with guidelines regarding recommendations for Mohs
micrographic surgery to treat skin tumors, based on the most reliable evidence
available in medical literature on the subject. This bibliographic review of
scientific articles in this line of research was conducted based on data
collected from MEDLINE/PubMed. The search strategy used in this study was based
on structured questions in the Patient, Intervention, Control, and Outcome
(PICO) format. MeSH terms were used as descriptors. The indications of this
technique are related to recurrence, histology, size, definition of tumor
margins, and location of tumors. These guidelines attempt to establish the
indications of Mohs surgery for different types of skin tumors.
Long-term use of immunosuppressive therapy increases the risk for tumor occurrence. Multiple NMSC tumors can develop in patients in tropical countries, even in patients with a high skin phototype. Therefore, RTRs should understand the high risk for the development of malignant tumors and should be properly informed about the prevention and treatment of NMSC.
Cutaneous leiomyosarcoma is a rare neoplasia, and its periorbital presentation is
rather uncommon. We present a case of a male patient who was surgically treated,
with the reconstruction performed with a frontal myocutaneous flap. The patient
has been followed up for one year with adequate oncologic control and good
aesthetic outcome.
Plyometric training is extensively used by coaches to enhance neuromuscular performance in a wide variety of sports. Due to the high demands of sprint speed and power output in elite sprinters and jumpers, sprint and jump coaches are likely to have great knowledge on this topic. Undoubtedly, this expertise is even more pronounced for Olympic coaches, who work with some of the fastest and most powerful athletes in the world, and who are required to continually maintain these athletes at optimal performance levels. Describing and discussing the practices commonly adopted by these coaches in detail and extrapolating this experience to other sport coaching contexts and disciplines may be extremely relevant. The current article presents, explores, and illustrates the plyometric training practices of Brazilian Olympic sprint and jump coaches, with a special focus on training programming and exercise selection.
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