Basal Cell Carcinoma Overlying a Cardiac Pacemaker Successfully Treated Using Mohs Micrographic Surgery

Herrmann, Jennifer L.; Mishra, Vineet; Greenway, Hubert T.

doi:10.1111/dsu.12436

Cited by 4 publications

(15 citation statements)

References 5 publications

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“…At the same time, the incidence of skin cancer and skin melanoma is increasing, therefore, it is very likely that patients with implanted CIED may require examination with a dermoscope ( 9 ). There are also reports in the literature of malignant skin neoplasms developing around the implanted CIED, including melanoma, basal cell carcinoma, leiomyosarcoma, and atypical fibroxanthoma ( 10 – 12 ).…”

Section: Discussionmentioning

confidence: 99%

“…The distance from the dermoscope faceplate in a vertical plane at which the magnetic flux density of 0.5, 1.0, and 1.5 was measured. melanoma, basal cell carcinoma, leiomyosarcoma, and atypical fibroxanthoma (10)(11)(12). Some dermoscopes have built-in magnets, e.g., to facilitate the process of connecting and disconnecting the contact plate or compatible electronic devices which are required for their use, such as smartphones or tablets.…”

Section: Table 2 |mentioning

confidence: 99%

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Electromagnetic Field Associated With Dermoscope Magnets May Affect the Safety of Cardiac Implanted Electronic Devices Patients

Sławiński

Sławińska

Usarek

et al. 2021

Front. Cardiovasc. Med.

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Dermoscopy is currently used as an auxiliary tool in general dermatology. Since some commercially available dermoscopes have built-in magnets, electromagnetic interference (EMI) may occur when examining cardiac implantable electronic devices (CIED) patients. The aim of the study was to create maps of electromagnetic fields defining a safe distance in terms of EMI. The study was performed in laboratory conditions using measuring equipment specially designed for this purpose. The following dermoscopes have been tested: Illuco IDS-1100, Visiomed Luminis, Visiomed Luminis 2, Heine NC2 with and without a contact plate, DermLite DL4, and DermLite Handyscope. Measurements were made for the following set of lift-off distances: 5, 10, 20, 30, 40, 50, and 150 mm. Each 2D scan consisted of 10-line scans shifted from each other by 10 mm. The strength of the magnetic field decreased with the distance from the faceplate. The distribution of the magnetic field differed depending on the position of the magnets. The highest magnetic field was recorded in the center of the Heine NC2 faceplate (up to 8 mT). In most cases, at a distance of 10 mm, the magnetic field strength was measured below 1 mT, with the exception of Heine NC2 and Heine NC2 with a contact plate. All tested dermoscopes generated a magnetic field of <1 mT at the distance of 20 mm. The use of dermoscopes with built-in magnets may affect the functioning of CIEDs, and the impact may vary depending on the type of dermoscope.

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Section: Discussionmentioning

confidence: 99%

Section: Table 2 |mentioning

confidence: 99%

Electromagnetic Field Associated With Dermoscope Magnets May Affect the Safety of Cardiac Implanted Electronic Devices Patients

Sławiński

Sławińska

Usarek

et al. 2021

Front. Cardiovasc. Med.

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“…Of the 22 selected studies, 6 were carried out in the United States of America (USA): Hamaker et al [24]; Herrmann, Mishra, and Greenway [25]; Magilligan and Isshak [26]; Moseley et al [19]; Reyes [27]; and Zarifi et al [28]. Fourteen were carried out in Europe: 1 in Portugal [29], 2 in Spain [30,31], 2 in the United Kingdom [32,33], 1 in Norway [34], 2 in Italy [35,36], 1 in Germany [37], 1 in Greece [38], 1 in Austria [39], 1 in Slovakia [40], 1 in the Netherlands [41], and 1 in Switzerland [42].…”

Section: Study Featuresmentioning

confidence: 99%

“…Figure 2. Risk of bias among case reports [24][25][26][27][28][29][30][31][32][34][35][36][37][39][40][41][42][43].…”

Section: Risk Of Bias In Studiesmentioning

confidence: 99%

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Malignant Neoplasms Arising in the Cardiac Pacemaker Cavity: A Systematic Review

Moraes,

Dal Moro,

Pessoa

et al. 2023

Cancers

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Cancer is the abnormal proliferation of physiologically inadequate cells. Studies have identified the cardiac pacemaker pocket as a site of rare neoplasms. To evaluate the clinical outcomes, treatment, prognosis, and individualized management of tumors originating in the cardiac pacemaker pocket, a systematic review was conducted using case reports and case series available in the PubMed/Medline, Science Direct, Cochrane Central, LILACS, and Scientific Electronic Library Online (Scielo) databases. Pacemaker pocket tumors affected patients with a mean age of 72.9 years, with a higher incidence in males (76.9%, n = 10). The average time for neoplasm development was 4.4 years (54.07 months). The most prevalent model was Medtronic (38.4%, n = 5), with titanium (83.3%) being the most common metal composition. Chemotherapy was the most performed procedure among patients (38.4%), followed by radiation therapy (38.4%) and surgical tumor resection (30.7%). Six analyzed cases (46.1%) resulted in death, and four patients (30.7%) achieved a cure. Patients with pacemakers should be routinely evaluated for the occurrence of malignant tumors at the site of device implantation.

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Pacemakers, Deep Brain Stimulators, Cochlear Implants, and Nerve Stimulators: A Review of Common Devices Encountered in the Dermatologic Surgery Patient

Tripathi

Hurst

2019

Dermatol Surg

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BACKGROUND In dermatologic and procedural surgery settings, there are commonly encountered devices in patients. Safe surgical planning requires familiarity with these devices. OBJECTIVE To review the current implanted devices in patients and recommendations for surgical planning around these devices. METHODS AND MATERIALS A comprehensive review using PubMed and published device recommendations was performed, searching for those most relevant to dermatologic surgery. RESULTS Devices such as pacemakers and implantable cardiac defibrillators, deep brain stimulators, cochlear implants, and various nerve stimulators are potential devices that may be encountered in patients and specific recommendations exist for each of these devices. CONCLUSION Dermatologic surgeons' knowledge of implanted devices in patients is paramout to safe surgical procedures.

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Basal Cell Carcinoma Overlying a Cardiac Pacemaker Successfully Treated Using Mohs Micrographic Surgery

Cited by 4 publications

References 5 publications

Electromagnetic Field Associated With Dermoscope Magnets May Affect the Safety of Cardiac Implanted Electronic Devices Patients

Electromagnetic Field Associated With Dermoscope Magnets May Affect the Safety of Cardiac Implanted Electronic Devices Patients

Malignant Neoplasms Arising in the Cardiac Pacemaker Cavity: A Systematic Review

Pacemakers, Deep Brain Stimulators, Cochlear Implants, and Nerve Stimulators: A Review of Common Devices Encountered in the Dermatologic Surgery Patient

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