Mohs Micrographic Surgery for the Management of Nonmelanoma Skin Cancers

Association Between Mohs Surgery Wait Times and Surgical Defect Size in Patients With Squamous Cell or Basal Cell Carcinoma of the Skin

“…[10][11][12] If the delay to treatment is associated with worse clinical outcomes, the wait could potentially be decreased by increasing the number of Mohs surgeons. Alternatively, simple surgical excision could be used for primary low-risk tumors instead of MMS, 13 although MMS allows increased tissue preservation and smaller defect size.…”

Mohs surgery histopathology concordance in Australia

“…2,3 Mohs surgery is both tissue conserving and achieves a high cure rate. 4 The critical component for MMS is the ability of the Mohs surgeon to correctly interpret and map the location of the tumour and to proceed to excise more tissue if the margins are positive. 5 There has only been one study which has analysed the ability of the Mohs surgeon to correctly read the frozen section histopathology compared to pathologists trained in dermatopathology.…”

Basal Cell Carcinoma

“…BCC lesions in some parts of the body such as eyelids, lips, ears, nose, H-zone, genitalia, fingers and toes are generally treated by Mohs micrographic surgery (Wood & Ammirati, 2011). Aggressive histological subtypes of BCC include metatypical, morpheaform, micronodular, and infiltrative have a higher risk for recurrence, for this reason MMS is recommended in the treatment of these lesions with this certain histology (Cumberland, 2009). The indications for Mohs micrographic surgery are shown in Table 3 ( Telfer et al, 2008).…”

“…The indications for Mohs micrographic surgery are shown in Table 3 ( Telfer et al, 2008). Most of the methods of treatment except MMS do not include microscopic evaluation of tumor margins, such as curettage and desiccation, cryosurgery, radiation therapy and topical chemotherapy (Cumberland, 2009). The advantages over other surgical procedures this surgical procedure enables for greater tissue conservation and margin control (Ceilley Del & Rosso, 2006).…”

“…Also in recent years immunostaining techniques have been used to detect tumor cells when histological features are nonspecific or is masked histologically by dense inflammation. Sometimes immunostaining can increase the efficacy of the margins evaluation but it is very expensive (Cumberland, 2009). Complications of Mohs micrographic surgery include postoperative bleeding, scarring, wound infection, flap or graft necrosis (Samarasinghe et al, 2011).…”