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Cutaneous micrographic surgery: Mohs procedure.

P K Miller1, R K Roenigk, D G Brodland

  • 1Department of Dermatology, Mayo Clinic, Rochester, MN 55905.

Mayo Clinic Proceedings
|October 1, 1992
PubMed
Summary
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Cutaneous micrographic surgery, a specialized technique for skin cancer, offers high cure rates and tissue preservation. This Mayo Clinic study reviews 3,355 cases, detailing practical aspects and multidisciplinary management for difficult skin cancers.

Area of Science:

  • Dermatology
  • Surgical Oncology
  • Public Health

Background:

  • Skin cancer is a significant public health concern.
  • Surgical resection is the standard treatment for skin cancer.
  • Difficult skin cancer cases require specialized surgical approaches.

Purpose of the Study:

  • To report the Mayo Clinic's experience with cutaneous micrographic surgery (Mohs surgery).
  • To discuss practical considerations of Mohs surgery, including duration, reconstruction, cure rates, tumor suitability, and cost.
  • To review the multidisciplinary management of challenging skin cancers at Mayo Clinic.

Main Methods:

  • Retrospective review of 3,355 cutaneous micrographic surgery cases from July 29, 1986, to June 30, 1991.
  • Analysis of cases primarily involving basal cell and squamous cell carcinoma.

Related Experiment Videos

  • Discussion of procedural aspects and patient management strategies.

    • Main Results:

    • Cutaneous micrographic surgery demonstrates high oncologic cure rates.
    • The procedure is tissue-sparing, preserving healthy surrounding tissue.
    • Routine methodical accuracy in surgical margin evaluation is a key feature.

    Conclusions:

    • Cutaneous micrographic surgery is a preferred technique for difficult skin cancers.
    • The procedure offers excellent oncologic outcomes and tissue conservation.
    • Multidisciplinary management is crucial for complex skin cancer cases.