[Local Control with At-Home Mohs Paste Treatment for Malignant Tumor Exposed at the Skin]

Malignant tumors exposed at the body surface are often complicated by bleeding, effusion, infection, and offensive odor, which can lead to impairment of patients' QOL. Mohs paste has previously been used in the treatment of cutaneous malignant tumors as a local application for such symptoms during palliative care; some reports indicate that this procedure is effective. However, most of the cases were treated in hospital. We have performed this procedure as a part of home care. From January 2011 to December 2014, we studied Mohs paste treatment at home in 5 patients. In all cases, hemostasis and reduction of effusion were observed. To ensure a safe procedure, the patient is required to maintain the rest position during the treatment. We conclude that Mohs paste treatment is possible at home and that this procedure is an effective means to support the patients hoping for home care.