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Mohs micrographic surgery for skin cancers of the neck
1University of Southern California, Los Angeles.
Abstract:
The neck is not a common area for a skin cancer to occur. However, when it does occur and extends deeply, careful extirpation is necessary so that vital structures will be identified and, if possible, preserved. The Mohs surgeon can most accurately determine the true extent of malignancies in this area; the head and neck surgeon can best identify and protect important anatomic structures. Together both physicians can achieve the best chance of cure and lessen the complication rate for patients with selected invasive cutaneous tumors of the neck. Future collaborative efforts will undoubtedly be directed toward complete extirpation of deeper tumors of the neck, especially those of the pharynx, hypopharynx, and trachea.
Insights
Skin cancer on the neck requires careful surgical removal to protect vital structures. Collaboration between Mohs and head and neck surgeons improves outcomes for invasive cutaneous neck tumors.
Area of Science:
- Dermatology
- Surgical Oncology
- Head and Neck Surgery
Background:
- Neck skin cancer is uncommon but poses challenges due to proximity to vital structures.
- Deeply invasive tumors necessitate meticulous surgical planning and execution.
Purpose of the Study:
- To highlight the importance of specialized surgical collaboration for managing invasive cutaneous neck tumors.
- To emphasize the distinct roles of Mohs and head and neck surgeons in optimizing patient outcomes.
Main Methods:
- This study reviews the surgical considerations for invasive skin cancer of the neck.
- It emphasizes the complementary expertise of Mohs surgery for tumor margin assessment and head and neck surgery for anatomical preservation.
Main Results:
- Mohs surgeons accurately define malignancy extent, while head and neck surgeons identify and protect critical anatomical structures.
- Combined surgical approaches enhance the likelihood of complete tumor extirpation and reduce complication rates.
Conclusions:
- Multidisciplinary collaboration between Mohs and head and neck surgeons is crucial for effective treatment of invasive neck skin cancers.
- Future efforts should focus on advanced techniques for deeper neck tumors, including those involving the pharynx, hypopharynx, and trachea.