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Indication guidelines for Mohs micrographic surgery in skin tumors
Selma Schuartz Cernea1, Gabriel Gontijo2, Eugenio Raul de Almeida Pimentel3
1Hospital do Servidor Público Municipal de São Paulo (HSPM), São Paulo, SP, Brazil.
Anais Brasileiros De Dermatologia
|November 10, 2016
Summary
Mohs micrographic surgery offers precise skin tumor removal by mapping and evaluating margins. This review provides guidelines for general practitioners on when to use this evidence-based technique for optimal tissue preservation.
Area of Science:
- Dermatology
- Surgical Oncology
Background:
- Mohs micrographic surgery is a specialized technique for skin tumor excision.
- It involves detailed mapping and complete histological margin evaluation.
- This ensures maximum preservation of healthy tissue during tumor removal.
Purpose of the Study:
- To provide general practitioners and healthcare specialists with evidence-based guidelines.
- To outline recommendations for using Mohs micrographic surgery in treating skin tumors.
- To establish clear indications for Mohs surgery based on tumor characteristics.
Main Methods:
- Bibliographic review of scientific articles.
- Data collected from MEDLINE/PubMed.
- Search strategy based on Patient, Intervention, Control, and Outcome (PICO) format and MeSH terms.
Main Results:
- Identified key indications for Mohs surgery.
- Indications include tumor recurrence, histology, size, margin definition, and location.
- Guidelines aim to standardize the application of Mohs surgery.
Conclusions:
- Mohs micrographic surgery is a highly effective technique for skin tumor removal.
- Clear guidelines are essential for appropriate patient selection.
- This approach maximizes cure rates while preserving healthy tissue.
