Rapid immunostaining in Mohs: current applications and attitudes.

Area of Science:

• Dermatology
• Surgical Pathology
• Mohs Micrographic Surgery

Background:

• Recent literature extensively reviews rapid immunostaining in Mohs micrographic surgery (MMS).
• Limited data exists on current utilization and attitudes towards immunohistochemical (IHC) stains in Mohs surgery.
• Understanding the practical application and surgeon perception of IHC stains is crucial.

Purpose of the Study:

• To assess the utilization rates of rapid immunostaining in Mohs surgery.
• To gauge the attitudes of fellowship-trained Mohs surgeons towards immunohistochemical (IHC) stains.
• To identify barriers hindering the adoption of IHC stains in MMS.

Main Methods:

• A 25-question survey was distributed to members of the American College of Mohs Surgery (ACMS).
• Surveys were administered via multiple channels including SurveyMonkey, email, fax, and Metrofax.
• Data was collected from a diverse group of fellowship-trained Mohs surgeons.

Main Results:

• A total of 378 surveys were completed, representing a broad cross-section of ACMS members.
• The majority of respondents believe IHC stains are reliable for use in Mohs surgery.
• Common barriers to IHC stain use include time constraints, lack of education, and costs.

Conclusions:

• Immunohistochemical (IHC) stains are perceived as reliable by most Mohs surgeons.
• Increased literature activity correlates with a rise in immunostain usage over the past decade.
• Potential underutilization of IHC staining in fellowship programs warrants further investigation.