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let me introduce you my friend Cecil
Cecil thanks for being a part of the
show now you're a patient of mine we do
skin procedures on you when you need
them in and this thing came up and it's
been there for how long probably a month
okay
that's rather quick for something to
grow that big it's rather hard and it
grew right in the same spot where we had
frozen off some actinic keratosis we did
the freezing with the liquid nitrogen
that is a cutaneous horn it's a growth
of a lot of keratin keratin being that
protein in the skin that's in nails and
hair and a lot of it grew to form this
we can actually call it a horn because
it's height is greater than one-half of
its diameter that's just the definition
of it they tend to grow where something
is there's always something under them
oftentimes it's just a precancerous spot
like actinic keratosis which we know
you've had but it can be a type of skin
cancer and that's why we need to shave
down get the whole thing out and send it
off and check it but most likely it's
just a precancerous lesion like we you
know off and we'll freeze off when they
come up oh there's one there okay and we
need to get that too so we'll get this
shaved off with a shave biopsy and we
will begin so we get that numbed up and
then I'll get some sterile gloves on
alright sorry this is gonna hurt to get
a shot yeah yeah it hurts in the wrist
this is the worst part of the whole
thing now that should be numbing it up
enough that I can push in here your skin
is already cleansed with some medicines
it's an antiseptic that we use called
hibiclens you got a view there Cecil
yeah you see what's going on there that
we're going where it's numb you're able
to watch that
mm-hmm you're able to watch that yeah
change the angle a little bit there okay
so it's route we'll send that off to the
pathologist to make sure there wasn't a
cancer in it and if there was to see if
we got it all some good old wound seal I
don't know you'd be able to pour for me
just go ahead and dump it on and tell me
when the camera says it's been a minute
so we push on it for a minute and this
will create a scab for you so you don't
have to make your own so once we get
this done I'll grab the crab therapy
spray and we'll spray that lesion there
on your on your right thing are you free
come on already
yeah we're gonna hit it we're gonna hit
another time here you go one more chance
if it doesn't go away then we're gonna
do the same thing to it we're doing here
all right let's see how it looks
wounds heal does its thing so let me
brush some of that off and that's what
it looks like after we're gonna fill up
the cryotherapy thermos
so that liquid nitrogen is just pouring
in there now this here you notice
there's nothing keeping this from rising
up so as the liquid nitrogen evaporates
off it can safely get out if this was
sealed it could cause an explosion so
that's why the liquid nitrogen is stored
so it can get out actually we had a
comment on our last liquid nitrogen to
do by I think the channel is called
liquid nitrogen vs and he shows lots of
objects put in liquid nitrogen if that's
of interest to you
so another channel on YouTube I think
it's liquid nitrogen vs or something
similar that okay season you remember
this right the tiny little nozzle that
sprays so this this is our third time
doing it third time spraying this okay
so this crust this keratin on his finger
correctness lesion keeps coming back
we're going to hit it one more time we
can hit it kind of hard and if it comes
back again we're gonna have to do a
shave biopsy to see if there's any
cancer cells in there and to get rid of
it for good the reason we don't jump to
that this time is because it's right on
the finger there's tendons underneath
there's not a lot of skin that you know
and you're gonna feel it when this cold
stuff gets on yeah sorry about that here
we go
so I like to get the whole thing and a
little color around it and I'm gonna get
this in a little bit better there
actually it does extend up there have it
all stay white here for good
Oh say 10 to 20 seconds and then we hit
it a second time because we have much
better results with two freeze-thaw
cycles and if we just do one we are
indeed causing frostbite there'll be a
blister here that here that will heal up
in the following week or two and then we
just ask the well its moist just try to
keep stuff from getting in that moist
part you can keep some aquaphor or
something like that on it okay here's
the next one
there it is that takes care of that hey
thank you for joining cecil and myself
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until next time this is cecil and dr.
mark van telling you to stay good health
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