TY - CHAP M1 - Book, Section TI - The Skin and Subcutaneous Tissue A1 - Khan, Sajid A. A1 - Bank, Jonathan A1 - Song, David H. A1 - Choi, Eugene A. A2 - Brunicardi, F. Charles A2 - Andersen, Dana K. A2 - Billiar, Timothy R. A2 - Dunn, David L. A2 - Hunter, John G. A2 - Matthews, Jeffrey B. A2 - Pollock, Raphael E. PY - 2015 T2 - Schwartz's Principles of Surgery, 10e AB - The epidermis consists of continually regenerating stratified epithelium, and 90% of cells are comprised of ectodermally derived keratinocytes.Dermal fibers are predominantly made of type I and III collagen in a 4:1 ratio. They are responsible for the mechanical resistance of skin.Staphylococcus aureus is the most common isolate of all skin infections. Impetigo, cellulitis, erysipelas, folliculitis, furuncles, and simple abscesses are examples of uncomplicated infections, whereas deep-tissue infections, extensive cellulitis, necrotizing fasciitis, and myonecrosis are examples of complicated infections.Hemangiomas arise from benign proliferation of endothelial cells surrounding blood-filled cavities. They most commonly present after birth, rapidly grow during the first year of life, and gradually involute in most cases.Basal cell carcinoma represents the most common tumor diagnosed in the United States, and the nodular variant is the most common subtype.Squamous cell carcinoma is the second most common skin cancer, and primary treatment modalities are surgical excision and Moh’s microsurgery. Cautery and ablation, cryotherapy, drug therapy, and radiation therapy are alternative treatments.Tumor thickness, ulceration, and mitotic rate are the most important prognostic indicators of survival in melanoma. If a sentinel node contains metastatic cancer, prognosis is determined by the number of positive nodes, the primary tumor thickness, mitotic rate and ulceration, and the age of the patient. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/04/19 UR - accessmedicine.mhmedical.com/content.aspx?aid=1117743615 ER -