Micrographic Surgery for the Microscopically Controlled Excision of Eyelid Cancers

Mohs, Frederic E.

doi:10.1001/archopht.1986.01050180135046

Cited by 202 publications

(119 citation statements)

References 26 publications

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“…Our recurrence rate can be compared with Mohs (1986), Leib et al (1992) and Monheit et al (1989), with a 2-7% recurrence within five years in similar high-risk tumours treated using Mohs micrographic technique. In comparison Sigurdsson and Agnarsson (1998) reported a 38% risk of recurrence for incompletely excised tumours.…”

Section: Discussionmentioning

confidence: 88%

“…In eyelid BCCs with well-defined borders, cryosurgery is the treatment of choice because of the high success rate, good functional and cosmetic results, and low cost (Gunnarson et al 1990). Tumours with ill-defined extension undoubtedly call for other modes of treatment and excision of the tumours by Mohs' micrographic technique has proved to give a low recurrence rate in these cases (Mohs 1986). Compared to cryosurgery and conventional excision surgery, Mohs' micrographic technique is time-consuming, labour intensive and thus costly.…”

Section: Discussionmentioning

confidence: 99%

“…Mohs' micrographic technique, with careful mapping and microscopical scanning of the entire undersurface of the removed tissue, allows evaluation of the radicality of the tumour excision during surgery (Mohs 1986). The technique is of particular value for tumours affecting the eyelids and the canthi, because optimising the preservation of normal tissue is of great importance for the future function of the eyelids and the lacrimal drainage system.…”

mentioning

confidence: 99%

“…According to Mohs, the defects could be left to heal by granulation with excellent cosmetic results in the eyelid region also (Mohs 1986). However, deformities may develop and reconstruction is therefore advocated in most cases (Anderson 1986).…”

mentioning

confidence: 99%

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Mohs' micrographic surgery for basal cell carcinomas on the eyelids and medial canthal area. II. Reconstruction and follow‐up

Lindgren¹,

Lindblom²,

Larkö

2000

Acta Ophthalmologica Scandinavica

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ABSTRACT.Purpose: To report our experience of reconstruction and follow-up of eyelid basal cell carcinomas treated with Mohs' micrographic technique. Methods: Sixty-four periocular basal cell carcinomas, with a high risk of recurrence in one or more aspects with regard to location, size, morphology or prior treatment, were excised using Mohs' micrographic technique. All ensuing defects were repaired. The cases were followed prospectively for up to ten years. All complications and interventions were documented during the follow-up period. Results: The average size of the defect before repair was 21 mm (range 5-45 mm). The mean follow-up time was 49 months (range 3-120). The recurrence rate was 5% (3 of 64 cases). The three recurrences occurred after one, four and six years, respectively. Conclusions: The recurrence rate of high risk tumours reported in this study was less than reported with other modes of treatment and comparable with that in other studies using Mohs' micrographic technique.

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Section: Discussionmentioning

confidence: 88%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

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Mohs' micrographic surgery for basal cell carcinomas on the eyelids and medial canthal area. II. Reconstruction and follow‐up

Lindgren¹,

Lindblom²,

Larkö

2000

Acta Ophthalmologica Scandinavica

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“…This technique has been successfully applied to the treatment of eyelid BCCs (Mohs 1948). Mohs (1970Mohs ( , 1986 and others (Downes et al 1990;Lang 1989) have continued to develop By tradition, the dermatologist excises, maps and analyses the specimens. Because we have found that experience of surgery in the periocular region is advantageous for the excision, we have left this part of the procedure to the oculoplastic surgeon.…”

mentioning

confidence: 99%