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Mohs Micrographic Surgery at Challenging Anatomical Sites.
Westley S Mori1, Addison M Demer, Adam R Mattox
1*All authors are affiliated with the Department of Dermatology, University of Minnesota, Minneapolis, Minnesota.
Summary
Mohs micrographic surgery (MMS) is a precise skin cancer treatment. This review details MMS techniques for challenging anatomical sites like the eyelid, nose, ear, and genitals to improve outcomes.
Area of Science:
- Dermatology
- Surgical Oncology
Background:
- Mohs micrographic surgery (MMS) is a preferred method for skin cancer removal, prioritizing normal tissue preservation and functional/cosmetic reconstruction.
- Certain anatomical locations, including the eyelid, nose, ear, and genitals, present unique challenges for MMS despite being well-suited for the procedure.
Purpose of the Study:
- To review the intricate anatomy associated with challenging sites for Mohs micrographic surgery.
- To outline the authors' methodology for performing and interpreting Mohs layers at these specific anatomical locations.
Main Methods:
- A comprehensive literature review was conducted utilizing the PubMed database.
- Relevant search terms focused on Mohs micrographic surgery of the eyelid, nose, ear, and genitals.
Main Results:
- The literature review identified potential difficulties in tumor resection and reconstruction at these sensitive sites.
- Proper surgical technique is crucial for minimizing tumor recurrence and complications associated with MMS.
Conclusions:
- Mohs micrographic surgery can effectively treat skin cancers at challenging anatomical sites.
- Recognizing warning signs for difficult resections can guide the need for an interdisciplinary surgical approach.
