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Related Experiment Videos

Unplanned incomplete Mohs micrographic surgery.

S Madani1, S C Huilgol, A Carruthers

  • 1Division of Dermatology, University of British Columbia, Vancouver, Canada.

Journal of the American Academy of Dermatology
|April 25, 2000
PubMed
Summary
This summary is machine-generated.

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Incomplete Mohs micrographic surgery (MMS) is rare, occurring in 0.15% of cases due to unresectable tumors or patient intolerance. Preoperative planning and a multispecialty approach can help manage this situation.

Area of Science:

  • Dermatology
  • Surgical Oncology

Background:

  • Incomplete Mohs micrographic surgery (MMS) occurs when the procedure stops with positive tumor margins.
  • This study addresses the factors contributing to unplanned incomplete MMS.

Purpose of the Study:

  • To investigate the causes of unplanned incomplete MMS.
  • To identify strategies for preventing and managing incomplete MMS.

Main Methods:

  • Retrospective case review of clinical presentations.
  • Histologic features and management of incomplete MMS were examined.

Main Results:

  • Fifteen cases (0.15%) of incomplete MMS were identified out of 10,346 procedures.
  • Common reasons included unresectable disease (multifocal positive margins, bony invasion, tumor extension) or patient inability to tolerate surgery.

Related Experiment Videos

  • Tumors treated were primarily basal cell and squamous cell carcinomas.

    • Conclusions:

    • Incomplete MMS is rare, linked to unresectable disease or patient intolerance.
    • Preoperative planning can identify at-risk patients.
    • A multispecialty approach is often required for management.