Cutaneous Cryosurgery sets out all the necessary basic information for the efficient and effective running of a cryosurgery clinic.

Contents

History, biology, physics

• History
• Biology
• Physics

Equipment, techniques, preparation

• Cold kills
• Reproducibility
• Liquid nitrogen
• Handheld flasks, sprays and probes
• Cotton-bud technique
• Spray technique
• Probe technique
• Multiple freeze-thaw cycles
• Cones and putty, eye protectors
• Other refrigerants
• Monitoring equipment
• Training
• Pathology reports
• Biopsy pack
• Allocation of time and clinic space
• Consent
• Record keeping
• Follow-up policy

Nurse-led cryosurgery

• Why nurse-led?
• Prerequisites for nurse-led cryosurgery
• Which lesions to treat
• Treatment
• Prescribing
• Monitoring, auditing

Benign lesions

• How effective is cryosurgery?
• Principles of treatment
• Patient information
• Consent
• Viral warts
• Treatment of viral warts
• Molluscum contagiosum
• Seborrhoeic warts (keratoses)
• Acne cysts
• Acrochordon (skin tag)
• Adenoma sebaceum
• Angiomas
• Chondrodermatitis nodularis helicis
• Digital myxoid cyst
• Granuloma annulare
• Histiocytoma (dermatofibroma)
• Ingrowing toenail
• Keloid
• Labial mucoid cyst
• Hyperpigmented lesions (benign)
• Prurigo nodularis
• Pyogenic granuloma
• Sebaceous hyperplasia
• Tattoos
• Xanthelassma
• Summary of treatment schedules
• Atlas of clinical practice

Premalignant lesions

• Actinic (solar) keratosis
• Bowen's disease
• Leucoplakia
• Lentigo maligna
• Summary of treatment schedules
• Atlas of clinical practice

Malignant lesions

• Principles of treatment
• Tumor selection
• Patient selection
• Patient information
• Tumor histopathology
• Basal cell carcinoma
• Squamous cell carcinoma
• Lentigo maligna and lentigo maligna melanoma
• Palliation
• Recurrence and follow-up
• Advantages of cryosurgery for skin cancer
• Summary of treatment schedules
• Atlas of clinical practice

Side-effects and complications

• Pain
• Nitrogen gas tissue infufflation
• Oedema
• Haemorrhage and vascular necrosis
• Inhibition of inflammatory complications
• Sensory impairment
• Scarring, including alopecia
• Pigmentary changes
• Rare events
• Contraindications
• Atlas of clinical practice

Index

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