Mohs Micrographic Surgery is an advanced technique for skin cancer removal. In this state-of-the-art-treatment, the physician serves as surgeon, pathologist and reconstructive surgeon. Removal of the skin cancer is confirmed by use of precise microscopic orientation. Mohs Micrographic Surgery has the highest cure rate for the most common forms of skin cancer and minimizes loss of healthy skin. Mohs surgeons have completed a 1 to 2 year certified surgical fellowship of the American College of Mohs Micrographic Surgery and Cutaneous Oncology (ACMMSCO) www.acmmsco.org .
Mohs micrographic surgery is indicated for skin cancers that are large, recurrent or in certain areas of the body where recurrences are likely (i.e. face, ears, lips, nose, scalp). It is also indicated for certain aggressive types of skin cancers.
Mohs surgery is performed on an outpatient basis, under local anesthesia.
The Mohs Process
Rationale: The roots of a skin cancer may extend beyond the visible portion of the tumor. If these roots are not removed, the cancer will recur.
- Step 1: The visible portion of the tumor is surgically removed.
- Step 2: A layer of skin is then removed and divided into sections. The surgeon then color codes each of these sections with dyes and makes reference marks on the skin to show the source of these sections. A map of the surgical site is then drawn.
- Step 3: The undersurface and edges of each section are then microscopically examined for evidence of remaining cancer.
- Step 4: If cancer cells are found under the microscope, the surgeon marks their location on the "map" and returns to the patient to remove another layer of skin - but only precisely where the cancer cells remain.
- Step 5: The removal process stops when there is no longer any evidence of cancer remaining in the surgical site. Because Mohs surgery removes only tissue containing cancer, it ensures that the healthy tissue is kept intact.
After the removal process is complete the Mohs surgeon will discuss the options for repairing of the wound. The most often used are direct closure, skin flaps, skin grafts and second intention. These repairs are usually done on the same day, however, in some cases, the repair may be delayed until the next day. In some instances, you would be referred to a plastic surgeon for repair.
Since all skin cancers do not require Mohs surgery, referral for this procedure through a dermatologist or other physician is encouraged.
Pre-Operative and Post-Operative Instructions
Copies of pre-op and post-op instructions may be downloaded for your information.
Pre-Operative Instructions
Post-Operative Instructions
 |
