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Clinical application of dynamic telepathology in Mohs surgery
Sean A Sukal1, Klaus J Busam, Kishwer S Nehal
1Department of Dermatology, New York Presbyterian Weill Cornell Medical Center, New York, NY 10022, USA.
Background:
Telepathology is an expanding technology in multiple fields for remote pathology diagnosis and consultation. The use of telepathology in Mohs surgery has been very limited.
Objective:
To describe the clinical experience of using a telepathology system for intraoperative consultations on difficult frozen sections during Mohs surgery.
Materials And Methods:
Intraoperative consultation with a dermatopathologist was obtained using a dynamic telepathology system for all questions arising on frozen sections during Mohs surgery for nonmelanoma skin cancers during a 2-year period.
Results:
The most common reason for consultation was to distinguish basal cell carcinoma from a benign histologic simulant on Mohs frozen sections. Other uses included determining tumor histology and distinguishing inflammation from residual tumor.
Conclusion:
Dynamic telepathology is a useful and convenient adjunct in the Mohs surgery practice for intraoperative consultations on difficult frozen sections.
