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Mohs micrographic surgery: How ACMS fellowship directors practice
Angela S Casey1, Caitlin E Kennedy, Glenn D Goldman
1Fletcher Allen Health Care-University of Vermont College of Medicine, Burlington, USA.
Summary
Mohs micrographic surgery (MMS) practice patterns show increasing case volumes and squamous cell carcinoma incidence. Fellowship directors primarily treat facial skin cancers, with decreasing lesion size and stages over time.
Area of Science:
- Dermatology
- Surgical Oncology
Background:
- Mohs micrographic surgery (MMS) is a standard treatment for skin cancer.
- Understanding practice patterns of fellowship directors is crucial as MMS use expands.
Purpose of the Study:
- To analyze American College of Mohs Surgery (ACMS) data on fellowship director practice patterns.
- Identify trends in Mohs micrographic surgery (MMS) over time.
Main Methods:
- Retrospective analysis of case logs from 50 ACMS-approved fellowship directors.
- Data included case volume, cancer type, lesion characteristics, and repair methods.
Main Results:
- Surgeon case volume and squamous cell carcinoma incidence are increasing.
- Treated lesion size and number of MMS stages per lesion have slightly decreased.
- Most MMS procedures target facial skin cancers, with surgeons performing their own reconstructions.
Conclusions:
- Fellowship directors predominantly use MMS for facial skin cancers and perform reconstructions.
- Academic and private fellowship practice patterns are largely consistent.
