Mohs Micrographic Surgery for Melanoma: Evidence, Controversy, and a Critical Review of Excisional Margin Guidelines
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1Department of Dermatology, University of Pittsburgh; Department of Otolaryngology, University of Pittsburgh; Department of Plastic Surgery, University of Pittsburgh; Z & B Skin Cancer Center, Pittsburgh PA.
Abstract:
Evidence supports the safety of Mohs micrographic surgery for melanoma. Because of its potential benefits to the patient in terms of very low-recurrence rates and same-day histologic confirmation of tumor removal with reconstruction of tumor-free margins of potentially smaller wounds, it should be one of the treatment options considered. The informed consent process for the patient should not be complete without a discussion of the attributes of Mohs surgery for melanoma.

