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Extracutaneous Merkel cell carcinoma or metastatic Merkel cell carcinoma with an occult primary?

Merkel cell carcinoma (MCC) is a rare and aggressive malignancy arising from dermal neuroendocrine cells, first described by Toker in 1972 [1]. It is predominately seen in the head and neck region of older, white males and risk factors include...

Should Plastic Surgeons 'De-skill'?

For some time now I have been thinking about when a surgeon actually deskills through not doing a particular operation. In particular, this applies to plastic surgeons after completion of NHS type training with no previous exposure to cosmetic patients...

Auricular reconstruction: star-pattern reconstruction

We describe our approach to straightforward reconstruction of the peripheral auricle using the established star-pattern design. Skin malignancies developing on the auricle continue to be regarded as high-risk lesions due to their propensity to recur and for lymphatic spread. Greater...

Edinburgh cosmetic doctor fundraises for local NHS workers

Regular contributor to The PMFA Journal, Dr Nestor Demosthenous, has created a JustGiving page to generate support for Edinburgh and Lothians' healthcare workers currently at the forefront of the COVID-19 response.

Letter from Hong Kong (1 June 2020)

It will be essential for there to be a full and impartial review of the response of each and every country to the global pandemic. That is the nature of science, accountability and responsibility.

An open letter to young plastic surgeons (from an old UK plastic surgeon)

You are in a specialty that is second to none – you can use your skills to improve the quality of life of your patients, whether they have cancer, congenital abnormalities or damage caused by trauma. Most (90%) plastic surgery...

A history of the Asia Pacific Burn Association

To accompany his Newsround report on the 12th APBC meeting in the October/November issue, Editor Andrew Burd shares the story of how the APBA was set up.

From PIP to DC-CIK to the Sorcerer’s Apprentice: a medico-political minefield

Poly Implant Prothese (PIP) was a French company that manufactured silicone breast implants that were surgically implanted mainly for cosmetic breast augmentation. Of note, ‘cosmetic’ is used in the strict sense of the word meaning false and artificial and does...

How I Do It - Surgical skin cancer treatment: non-melanoma skin cancer

The surgical management of skin cancer, particularly extensive lesions, may require a specialist surgeon with a reconstructive repertoire. The management of such lesions should be within the remit of a multidisciplinary team (MDT). Surgery should be carried out with good...

Prostaglandin associated periorbitopathy presenting as unilateral orbital fat prolapse

Case Report A 65-year-old gentleman with bilateral primary open angle glaucoma presented to an oculoplastic surgeon following referral from their glaucoma specialist. Following recent right eye glaucoma surgery, the patient had noticed right under eye swelling and had confronted the...

Perceptions and deceptions: a personal blog by the editor 21 July 2016

It must be bloggers block! The information incoming is just too great to handle. I have cross-posted about this blog in an editorial I have just written for our magazine. I am revisiting the inquest of a girl that died...

Dermoscopy: an update and personal view

With skin cancer now at epidemic levels, early diagnosis is essential. Specialist Stephen Hayes advocates the use of dermoscopy as a triage tool and explains how to interpret the data. Melanoma skin cancer is now the UK’s fifth most common...