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Mohs Micrographic Surgery.

Emily Wong1, Eileen Axibal1, Mariah Brown1

  • 1Department of Dermatology, University of Colorado Hospital and School of Medicine, Mail Stop F703, 1665 North Aurora Court, Aurora, CO 80045, USA.

Facial Plastic Surgery Clinics of North America
|November 14, 2018
PubMed
Summary

Mohs micrographic surgery (MMS) offers a highly effective, single-day outpatient treatment for skin tumors. This precise technique ensures complete tumor removal with maximal tissue preservation, leading to excellent cure rates.

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Area of Science:

  • Dermatology
  • Surgical Oncology
  • Oncology

Background:

  • Mohs micrographic surgery (MMS) is a specialized surgical technique.
  • It is widely recognized as the gold standard for treating various skin cancers.

Purpose of the Study:

  • To describe the principles and practice of Mohs micrographic surgery.
  • To highlight its effectiveness in treating cutaneous tumors.

Main Methods:

  • Surgical excision of the tumor with immediate, complete margin mapping.
  • Frozen section processing for real-time histologic evaluation.
  • Iterative tumor removal and margin assessment until complete eradication.

Main Results:

  • Maximal conservation of healthy tissue is achieved.
Keywords:
Basal cell carcinomaMargin controlMelanomaMohs micrographic surgeryMohs techniqueSquamous cell carcinomaSurgical excisionTissue sparing

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  • Evaluation of 100% of surgical margins ensures high cure rates.
  • MMS is a single-day, outpatient procedure.

    • Conclusions:

    • Mohs micrographic surgery provides exceptional cure rates for skin tumors.
    • The procedure requires specialized training in surgery, pathology, and reconstruction.
    • It is often integrated into a multidisciplinary approach for comprehensive cancer care.