[Micrographic controlled surgery in everyday dermatosurgery]

Area of Science:

• Dermatosurgery
• Surgical Oncology
• Histopathology

Context:

• Micrographic controlled surgery (MCS) is increasingly utilized in dermatosurgery.
• It offers precise tumor resection while maximizing tissue sparing.
• MCS is vital for challenging cutaneous malignancies and aggressive subtypes.

Purpose:

• To detail various Micrographic Controlled Surgery (MCS) methods.
• To highlight the application of MCS in treating diverse skin cancers.
• To elucidate the capabilities and constraints of MCS.

Summary:

• Micrographic controlled surgery (MCS) involves histologically confirmed complete resection of malignant cutaneous tumors.
• It employs specimen marking for topographical orientation to identify residual tumor.
• Techniques like 3D histology, horizontal method, and Mohs surgery are presented.

Impact:

• Enhances treatment outcomes for difficult-to-treat skin cancers.
• Reduces recurrence rates by ensuring complete tumor removal.
• Minimizes cosmetic defects and functional impairment through tissue preservation.