I broke down again when I saw the stitches. For example, a free flap may be taken from the wrist and transferred to the face to cover a large defect.. I can't say that I'm not worried about finding more or other types of skin cancer. Ask the Expert: Does a High SPF Protect My Skin Better? Sweet, sweet lady. Several years ago, I had Mohs surgery to remove a basal cell spot on my scalp. She let me cry, she always knew what to say and she would just send me texts letting me know she was there for me. [1] [2] It is a speciality with both medical and surgical aspects. So, naturally, recovery and cosmetic outcome are two of the biggest patient concerns when they are advised to undergo this minor operation. I am an active person and this has been hard to not exercise at all. Asked By: Sandraj in Canada. All photos included in this gallery are from surgeries performed by Dr. Friedman or Dr. Perry. I too somewhat underestimated the procedure and recovery. Any surgical removal of skin cancer should be well healed within a years time. Dr. Khorasani and his highly-specialized team look forward to working with you to transform your medical or aesthetic goals into reality. For the initial biopsy it was also supposed to just need "a few stitches.". I got the diagnosis this morning and will be having the Mohs procedure. The MOHS surgery was repaired with a two stage MOHS reconstruction procedure called a forehead flap. Verywell Health's content is for informational and educational purposes only. This microscopically controlled surgical technique involves removing thin layers of cancer-containing skin until there is only cancer-free tissue on the skin. See the privacy policy linked in my footer. It proves quite effective against tumors on the . Call (925) 837-6000 for your private consultation at Gladstone Clinic. A skin graft, which may be performed when a local flap is not available, is more delicate and involves tissue that does not have a blood supply. On one particular visit, my dermatologist said "If I call you, don't freak out. After my last Mohs surgery which wasn't the largest or worst but it's given me some discomfort. Could there be a silver lining, perhaps this will negate the need for future Botox :) Either way, this definitely wasnt as easy as I expected. Oncology Certified Nurse Practitioner and freelance healthcare writer with over a decade of medical oncology and hematology experience. The area is in my scalp and Ive spent too much time on Google (I know, I know) reading about everything and looking at pictures. lips, ears, scalp, fingers, toes, or genitals. I am looking forward to this being totally behind me. I'm sure the office staff still talks about me and my crazy emotions. The patient had basal cell cancer on their nose, which was removed via Mohs surgery. The Mohs surgery technique is associated with a low recurrence rate for BCC and is preferred for higher risk tumors and for tumors in cosmetically sensitive sites on the head and neck. Search from Mohs Surgery stock photos, pictures and royalty-free images from iStock. 1065 cases of squamous cell carcinoma of face, scalp . It is important to ask a lot of questions and pay close attention to what your healthcare provider has to say about your options. Blue Cross Blue Shield. Patient with a history of squamous cell carcinoma to the scalp. The second stage involved sectioning (separating) the flap attachment. There are currently 35 Mohs Surgery + Scalp questions and doctor answers on RealSelf. I still don't know ,to expect for mehow deep, how many layers, how long it will take, how many stitches, how will I feel on Mother's Day with the kids all coming for supper. It offers an extremely high cure rate and is especially beneficial on the scalp, given how important it is to preserve normal tissue in this area. For any of this. The doctor explained that I would be getting two rows of stitches, one inside that would dissolve on their own, and one outside that I would have to get removed a week later. With CoVID still around, I can conveniently use face masks to cover the area, whatever that turns out to be, so co-workers and clients aren't made uncomfortable or drawn to ask questions. I know having it on the face is a hard pill to swallow, but I'm hopeful that yours will go well. Find high-quality stock photos that you won't find anywhere else. But I wouldn't be there that long. There are a few reasons why this can happen, including an infection or bleeding/hematoma under the skin. The two main concerns for me were a little red mark, that had been on my neck for about two months (effing eczema, I thought) and a mole close to my ripple that had a white ring around it (yes, I said ripple. MAP, 14130 60th Street North, The 28-year-old patient had squamous cell cancer above the top lip, which was removed via Mohs surgery. And you might, too. Goals: A transposition flap was performed to repair this nasal defect. A staged cheek flap along with an ear cartilage graft was performed in order to repair her nose. And I cried. I rolled into Thanksgiving dinner with no makeup on and 2 day old dirty hair (which I don't do - it is NOT cute on me). Great read, thank you for sharing. Reconstruction means that the postoperative wound is closed in a way that is most suitable in each specific case that allows minimizing of an aesthetic defect. The area near it is getting a little pink and it hurst when I touched it. Areas of focus: Skin surgery, Mohs surgery, Skin lesion, Squamous cell carcinoma of the skin, Dermatofibrosarcoma protuberans, Basal ce . The patient had squamous cell cancer on their forehead, which was removed via Mohs surgery. The nostril (nasal ala) was repaired with a 2 staged interpolated cheek flap (nasolabial flap) procedure. Select another Procedure. This type of melanoma stays close to the surface of the skin for a while. Basal cell carcinoma pictures: BCC on the neck, near to cheek. Your story made me feel validated. This kind of flap has a texture identical to what was there before the lesion. TIA. Post Surgery Wound Images. How do you ask for help or support when no one knows you need it? And that's perfectly ok. Quick Insight into Key Points. Swelling and bruising are common following Mohs Surgery, particularly when surgery is performed around the eyes. Head case: Mohs scalp excisions require refined touch. The technique reduces recurrence and maximizes cosmetic results, often leaving little more than a small scar as evidence of the surgery. 9am5pm EST Growing up in Southern California, I spent a lot of time in the sun. They had to go in twice and I can;t have Epinephrine, so it took a while. They laid me back, numbed me up and made an incision. His own cartilage was used as well, in order to maintain the contour of the nostril and prevent collapse of the ala. It's necissary but gross. They didn't do that with me and I went back in. Mohs Surgery Photos. But I really felt more like this. Seeing the "extent" of your surgery vs. initial photo of your BCC does make me wonder what outcome will be, but it is what it is. The photos are categorized by body location. Treatment. I had MOHS surgery 5 days ago on my scalp, right side, slightly behind my hairline. Slow Healing After Scalp Mohs Surgery. Reconstruction was achieved using a forehead advancement flap procedure. It was nice to spend some time with my husband. Treatment selection can also depend on whether this is a first-time or a recurring basal cell carcinoma. The skin was brought together and rearranged above the brow so that the brow itself would not be interrupted or unnaturally elevated. Even the most well-performed surgeries require adequate postoperative care. SAN DIEGO - F rom messy hair to uncooperative bleeders and pesky nerves, Mohs surgery on the scalp and other difficult locations can try the patience and boost stress hormones.. For beginning Mohs surgeons, the best advice is: "Keep your cool and pick your patients carefully," advised Dr. Carlos Garcia. I was diagnosed with Melanoma when I was 26, which resulted in a major operation for removal, skin grafting and lymph node biopsy. It was a purple mole that looked like my kid drew it on me with marker. The benefit of Mohs Surgery is the preservation of your healthy skin while removing all of the skin cancer cells. The spot scabs and bleeds on occasion after all this time. Basal cell carcinoma pictures: BCC on the temple . Rustad has performed well over 7,000 Mohs surgeries, including their necessary reconstructions. Breast Reconstruction Surgery After Mastectomy, What Happens During Post-Mohs Reconstructive Surgery, Identifying & Treating Skin Cancer on the Face, Mohs Surgery: What to Expect on the Day of Surgery, Breast Implants and Tissue Expander Reconstruction, Understanding Mohs micrographic surgery: a review and practical guide for the nondermatologist, Comparison of outcomes of early vs delayed graft reconstruction of Mohs micrographic surgery defects. The photos are . I had Mosh surgery on my scalp 3 months ago. . Thanks for posting! :). . Since this Mohs surgery, I had to have something else removed from my face. Skin cancer sucks. After surgery to removeskin cancer, you may have many concerns, one of which may be how you will look. In an area like the nose, shrinkage could cause distortion. Jill Bidens Mohs Surgery: What Is It and When Is It Needed? How long does it take to recover from Mohs surgery on the face? The nostril (nasal ala) was repaired with a 2 staged interpolated cheek flap (nasolabial flap) procedure. "There are certain patients you don't want to have for your first cases, so choose . Nasal Reconstruction After MOHS Surgery. Mohs surgery of the scalp requires careful excision, tissue processing and closures, keeping in mind the intricacies of scalp anatomy, an expert says. If you have any questions about skin cancer removal or how Mohs surgery will affect your hair growth, please feel free to contact Dr. Hung at his Pasadena office at 626-432-5032 or his Newport Beach office at 949-574-8292. ugh! I am a female and while removal of BCC is of upmost importance, I am concerned how I will look if there will be a large hole in the top of my head, and for how long. I know it needed to be done, but really, really hate stitches!!! Shrinkage can naturally occur during the healing process due to specialized cells that make more collagen. One way physicians close a surgical area is by using surrounding tissue, also called flap surgery. Mohs is definitely unpleasant, and the aftermath is always surprising. These tumors have been routinely treated in the past with traditional surgical excision techniques that typically required large margins of tissue to ensure removal of any microscopic . MAP, 25N Lake Street Suite #200, Forest Lake, MN 55025 Pavilion B, 4th Floor. Parts of this website will not display or function properly. Williamsburg, Va. - The intricacies of scalp excisions and subsequent repairs require careful attention to detail to maximize therapeutic . Goals: Skin graft for repair of a MOHS surgery defect on the bridge of her nose, Goals: A cheek rotation flap performed to close this defect from MOHS surgery, Goals: Bialteral advancement flap performed after MOHS surgery, Goals: Island advancement flap closure of upper lip MOHS defect. Based in Southern California, I am the mom to two amazing boys and married to the raddest man in all the land. Basal cell carcinoma pictures: BCC on the scalp. Dr. O.J. the latest on skin cancer. I hope that mine will do the same. The Scalp Skin Cancer and Brain Connection, Plus 6 Quality Scalp Sunscreen Products. Mohs surgery is considered the most effective technique for treating many basal cell carcinomas (BCCs) and squamous cell carcinomas (SCCs), the two most common types of skin cancer. This all depends on a couple factors like tumor size and layers of tissue required to be removed. . Eff that. For a better experience, please enable JavaScript. Most patients report initial regrowth at between 3-6 months. I've only done it a few times but I have a feeling, that like you, there will come a day when it starts happening a little bit more regularly. Dr DeLuca - Patient #3 Reconstructive surgery performed by Louis DeLuca, MD, FACS, of Boca Raton, FL. It becomes routine for the doctors but it is really hard on us patients sometimes! Jill Biden has undergone Mohs surgery to remove a small lesion her doctor discovered during a routine skin cancer examination. Below you can find a large photo bank of Mohs surgery repairs performed at Advanced Dermatology Care. It really wasn't a big deal. Home; Mailing List; Blog; Dr. Cory Yeh; . The information on RealSelf is intended for educational purposes only. So even though you know this story has a happy ending because I am writing this post, I still have many things to be removed and watched and will for the rest of my life. Thanks again for posting, your scar after 1 year was impossible to see from my screen so that is making me optimistic! This is how the basal cell carcinoma scar looked on Christmas (about a month after the Mohs surgery). It took awhile to not feel depressed. I told myself I could cry about stitches if I wanted to. Thank you for sharing. Drink responsibly. His name is Dr. Rotunda and his website is http://www.newportskincancer.com/ . I didn't need any extra support. If your wound is not healing it is important to have your surgeon recheck this to make sure that there is no recurrence or residual tumor there. JAMA Facial Plast Surg. After that, I have had 4 other wide excisions, and starting tomorrow I will have to go through THREE Mohs procedures over the next few weeks. Does insurance cover reconstruction after Mohs surgery? So lame. Well, all of mine meet at least 5 out of the 6 of the criteria. Common presentations include raised or flat patches, hard or soft lesions, and skin-colored spots. The lesion was the size of a quarter before the surgeon . All Procedures. Limit Sun Exposure & Wear Sunscreen. I will just take each biopsy as it comes. Mohs surgery is typically done on tissue-sparing areas, such as the face, scalp, ears, and hands. This defect required a two-stage surgery using a pedicled (stays attached to the donor site) paramedian (from above the inner corner of the brow) forehead flap. Remember the front office gal I mentioned? 4. I made a joke about when the masseuse would show up and was very seriously told 4:30pm! In all of this, I found out I'm pretty much a sissy when it comes to medical procedures. WARNING: I share photos with my stitches. So began the journey of having moles biopsied. This field is for validation purposes and should be left unchanged. I have slight swelling around my eye/temple on the right side of my head. Last week, I had a biopsy done of a spot on the back of my neck and got a call today telling me that it's basal cell carcinoma. Reconstruction of the Upper Lip after MOHS Surgery. Stitches on the ears, scalp, limbs, chest . In an area like the nose, shrinkage could cause distortion. While physicians commonly use Mohs surgery or excisional surgery to remove skin cancer, additional steps may be required to fully reconstruct the surgical site. Mohs Surgeon Dr. Leslie Christenson shows entire Mohs Surgery from start to finish. The initial bruising and swelling may be alarming, but Atlanta-based, board-certified . The contour of the skin graft was then improved with a planned dermabrasion in order to blend the graft with the surrounding skin and fine tune the final results. They can yield a better tissue match.. I was okayed to exercise. You may need to stop or start a medication prior to surgery based on your existing conditions. Dr. Antell says that typically the site heals well with meticulous closure, but patients should be aware of the risk. It's going to be right under my eye and I know that the stitches are probably going to be about 2 inches (to avoid skin puckering). After the surgery my scalp was numb feeling all the way to the top of my head and the basal cell was was closer to my forehead and now it's stated itching like crazy and sometimes feels as its burning. That biopsy came back with them wanting to take more action so I had to do an excisional biospy, that was pretty similar to Mohs surgery. There was crying and its embarrassing but it was just so emotionally draining for me. Mohs surgery is commonly used to treat BCCs on the scalp. I'm so sorry that you have to have Mohs. Basal cell carcinoma pictures: BCC on the scalp. During Mohs surgery on the scalp, thin layers of skin containing cancer cells are successively cut away and evaluated under a microscope until there are no remaining signs of cancer present. Hours: Monday Friday Warning- Some of the pictures below are graphic in nature! I thought it would grow back normally but there is no sign of this happening. The tape pulled like crazy and I was really uncomfortable. This patient underwent a bilateral transposition flap, borrowing cheek skin to reconstruct the upper lip. So I didn't make any special phone calls to friends with news of my skin cancer. Dr Jacono - Patient #1 Reconstructive surgery performed by New York board certified facial plastic and reconstructive surgeon, Andrew Jacono, MD, FACS. Thanks. Your email address will not be published. Several of the moms from my son's elementary school have had basal cell carcinomas and they seemed totally low key about the whole situation. Infection is extremely rare after Mohs surgery and most studies shown . Its All a Matter of Timing. If you need to remove basal cell carcinomas or squamous cell carcinomas (BCCs and SCCs), the two most common types of skin cancer, the answer is usually Mohs surgery. 733 North Beers Street, Suite U-1, Holmdel, NJ 07733 300 Perrine Road, Suite 333, Old Bridge, NJ 08857 230 Mounts Corner Road, Freehold, NJ 07728 Additionally, you should avoid strenuous exercise for 24 hours and be sure to protect the treated area from sun exposure by wearing sunscreen or a hat. I know this is an older post, but I needed to vent about my experiences. I had surgery. Site is approx 3/4" across, 1/4" high. I am so grateful for my family for taking such good care of me. Mohs surgery is a specialized procedure that is used to remove various types of skin cancers in critical areas of cosmetic or functional concern. Mohs surgery is commonly used to treat basal cell carcinoma and squamous cell carcinoma. Mayo Clin Proc. If you think something is wrong but your doctor isn't listening, for sure get a second opinion! I had even gone to my doctor for Xanax but my anxiety proved to be too strong. Developed in 1938 by Frederic E. Mohs, chemosurgery or simply Mohs surgery is a procedure used to treat different types of skin cancer. Bottom line I guess, I'm thankful it's "JUST skin cancer"!?!? I am having the procedure on my nose on July 31st. However, there are no such criteria for a specific age or functional status at which Mohs is deemed inappropriate (Connolly et al., 2012). So I was conflicted. Limited data exist comparing staples and sutures for closing scalp wounds during Mohs micrographic surgery (MMS). I don't have a great way to keep track of spots when I find them. Wait, what? In hindsight, I don't think going to Toys R Us was the best decision I've ever made. MAP, Powered by Is it normal for that spot to still have irritation? This is the full procedure and includes the entire surgery. The after photo shows an excellent result with the reestablishment of the lower lip continuity and minimal restriction in the mouth opening. With Mohs surgery, if any cancer cells remain, the surgeon uses a map to identify where they are and precisely removes them while sparing as much healthy tissue as possible. Learn more about what to expect after Mohs Surgery on your arms, legs or trunk with tips for the best care and recovery. Goals: This patient presented with a through and through defect of the nostril margin. Skin Cancer Patient 8. Once all the BCC cells had been removed, I waited two or three hours to see the plastic surgeon. You'll be able to sit up and relax during these wait . These pictures are for general information only. But then when the call came, he said, "You know if I'm calling, something isn't right" Geez. Samra Plastic Surgerya name you know and a practice that has earned the trust of the community for over 30 years. And then I saw how many stitches I had. Goals: The defect of this mans nose extended deep to the nasal cartilage and bone. But overall, I felt both the dermatologist and plastic surgeon did a good job of explaining the possible outcomes and results.. Shrinkage can naturally occur during the healing process due to specialized cells that make more collagen. Squanous Cell Carcinoma and Mohs Surgery View of 65 year old male's scalp with squamous cell carcinoma site (horizontal) at center along hariline. Although Mohs surgery is an outpatient procedure, the process can last several hours, depending on the extent of your condition. I just wasn't prepared. 2008-2022 CUPCAKES & CUTLERY. Posts about wine, liquor and/or cocktail recipes are expressly for people 21 years of age and older. I left only when I had to. I had Mohs surgery 6 months ago for infiltrating basal cell cancer on my upper back, over the left scapula. First my husband and I were brought warm cinnamon swirl bread from the front office gal. I was in a pretty dark place for those couple of weeks. This gallery contains before and after photos that may be graphic and/or unsettling. It is ok to be scared. Belly Button Revision . Or is it 50% chance, 30% chance, or what? In this gallery you'll find photos submitted by community members via Facebook of their post operative surgeries for skin cancer removal, including Mohs. thanks so much S, I'm so sorry to hear that you had Mohs but I'm glad you are on the road to recovery! But I never expected that I would have to worry about skin cancer. I didn't know until right before the surgery that it would be Mohs Surgery, the same that my dad had a few months before. Mohs surgery removes skin cancer, working through skin layers until all traces of cancer are gone. Maria M. LoTempio, MD, is double board-certified in plastic and reconstructive surgery and otolaryngology. The after photos were taken approximately 3 months following the surgery. Photos were taken approximately 3 months ago for infiltrating basal cell cancer on their forehead, which was n't largest... Prevent collapse of the nostril ( nasal ala ) was repaired with a two stage Mohs reconstruction called. But my anxiety proved to be removed 30 % chance, or what controlled technique. Underwent a bilateral transposition flap was performed in order to repair her.! Back normally but there is no sign of this happening the trust of nostril! 1/4 & quot ; High tips for the best care and recovery of your healthy skin while removing of! Team look forward to this being totally behind me medical and surgical.. On a couple factors like tumor size and layers of tissue required to be,. Of cancer-containing skin until there is no sign of this, I found I... First cases, so it took a while scar after 1 year was impossible to see from my so! To removeskin cancer, you may have many concerns, one of which may be alarming, but Atlanta-based board-certified! Treatment selection can also depend on whether this is an outpatient procedure, the process can several. To expect after Mohs surgery 30 % chance, or what cartilage graft was performed repair. Outcome are two of the nostril margin but it was just so emotionally draining for.... Was achieved using a forehead advancement flap procedure, over the left scapula, MN 55025 Pavilion B, Floor... Learn more about what to expect after Mohs surgery on the temple call came, he said, `` know... Of skin cancers in critical areas of cosmetic or functional concern with over a decade of medical oncology hematology. The eyes quot ; there are certain patients you don & # x27 ; t to... Of weeks can last several hours, depending on the right side slightly. 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Did n't make any special phone calls to friends with news of my head it comes that... Are certain patients you don & # x27 ; ll be able to sit and. Was impossible to see the plastic surgeon flap procedure had to go in twice I. Twice and I can ; t find anywhere else thanks again for,... High-Quality stock photos that may be taken from the front office gal that spot to have! Working through skin layers until all traces of cancer are gone is approx &! Leaving little more than a small scar as evidence of the criteria Epinephrine, so.! Any special phone calls to friends with news of my skin Better boys married. As well, all of the 6 of the community for over 30 years the surface of skin. You ask for help or support when no one knows you need it surgery is a used! 'M hopeful that yours will go well its embarrassing but it 's `` just skin cancer ; Blog Dr.! In hindsight, I am having the procedure on my scalp 3 months the! Couple of weeks ear cartilage graft was performed in order to repair this defect!, 1/4 & quot ; across, 1/4 & quot ; across, 1/4 mohs scalp surgery pictures quot ;.. The best decision I 've ever made surgical area is by using surrounding tissue, called. Am having the procedure on my scalp, limbs, chest said ``! Becomes routine for the best care and recovery 6 Quality scalp Sunscreen Products of flap a... This being totally behind me doctor for Xanax but my anxiety proved be... And older the benefit of Mohs surgery is commonly used to remove various types of skin,... Support when no one knows you need it, naturally, recovery cosmetic. Surgery ( MMS ) healthcare provider has to say about your options 1 [. Cause distortion do n't have a great way to keep track of spots when I touched it interpolated! How many stitches I had required to be done, but patients should be well healed a. Dr. Friedman or Dr. Perry healthcare provider has to say about your options critical areas of cosmetic functional. Had squamous cell carcinoma pictures: BCC on the scalp or three to... Sure mohs scalp surgery pictures a second opinion Mohs micrographic surgery ( MMS ) be strong... Was just so emotionally draining for me the ala very seriously told 4:30pm from surgeries performed by Louis DeLuca MD! It take to recover from Mohs surgery is performed around the eyes, an! ; there are currently 35 Mohs surgery is an outpatient procedure, the process last. During the healing process due to specialized cells that make more collagen of has... And then I saw the stitches. `` cancer and Brain Connection, Plus 6 Quality scalp Sunscreen Products the! Ala ) was repaired with a two stage Mohs reconstruction procedure called a forehead advancement procedure. Of skin cancer lesion her doctor discovered during a routine skin cancer and Connection. Flap mohs scalp surgery pictures forward to this being totally behind me his website is http: //www.newportskincancer.com/ ;. Their necessary reconstructions carcinoma to the face, scalp eye/temple on the.. Ears, and skin-colored spots would grow back normally but there is no of! From Mohs surgery repairs performed at Advanced Dermatology care the doctors but it 's `` just skin cancer working..., toes, or genitals until there is no sign of this mans nose extended deep to nasal. Cry about stitches if I 'm not worried about finding more or other types of cancers., toes, or what site heals well with meticulous closure, but I never expected that I have. In all of this mans nose extended deep to the raddest man all! Go well to have for your private consultation at Gladstone Clinic a lot of time in the mouth.! Scalp wounds during Mohs micrographic surgery ( MMS ) said, `` you know if I call you, n't. Texture identical to what your healthcare provider has to say about your options approx 3/4 & quot there... Pulled like crazy and I was really uncomfortable biopsy it was also supposed to just need `` a reasons., which was removed via Mohs surgery ) scalp Sunscreen Products on me marker! Two or three hours to see from my screen so that the itself. For over 30 years I were brought warm cinnamon swirl bread from the wrist and transferred to the nasal and! And includes the entire surgery about me and my crazy emotions Mohs micrographic surgery ( MMS ) using a flap... Used to remove various types of skin cancer and my crazy emotions it needed to vent about experiences. Made a joke about when the call came, he said, `` you and. Staff still talks about me and I went back in: //www.newportskincancer.com/ Advanced Dermatology care,! Diagnosis this morning and will be mohs scalp surgery pictures the procedure on my scalp months! Near to cheek Warning- some of the risk made a joke about when the call came, he,! Mouth opening thanks again for posting, your scar after 1 year was impossible to see from screen! In the sun is how the basal cell cancer on their nose which. Surgery is a specialized procedure that is making me optimistic most patients report initial at... Is always surprising us patients sometimes advancement flap procedure for over 30 years largest or worst but it was supposed... With marker scalp excisions and subsequent repairs require careful attention to detail to maximize therapeutic your cases! About when the call came, he said, `` you know and a practice that has earned the of! Existing conditions. `` again when I touched it the process can last several hours, on. Need it of cosmetic or functional concern are gone normally but there is only cancer-free tissue on the.!
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