What is included in the dermatologic preoperative evaluation and management of geriatric patients?

Updated: Mar 16, 2020
  • Author: Robert A Schwartz, MD, MPH; Chief Editor: Dirk M Elston, MD  more...
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Answer

Elderly patients who present for surgery often have a multitude of health problems, including severe cardiovascular-vascular disease, renal insufficiency, and diabetes. [27, 28] Many geriatric patients are on medications that can endanger them if discontinued for surgery. Alternative, nonsurgical treatments for very frail patients include radiation for basal cell carcinoma, squamous cell carcinoma, or Merkel cell tumors. With some neoplasms, particularly of the submandibular glands, ultrasound-guided fine-needle aspiration cytology may be useful in preoperative examination. [28]


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