An otherwise healthy, 58-year-old male presented with a long standing morpheaform basal cell carcinoma of the left midface, involving lip, nose and cheek (Figure 1). Pathology was remarkable for a deeply infiltrating tumor including perineural and maxillary bone invasion. Multidisciplinary care was coordinated with facial plastic surgery. Two stages of Mohs micrographic surgery (MMS) were needed ABSTRACT Background. Mohs micrographic surgery (MMS) is an important part of non-melanoma skin cancer (NMSC) management but may even be useful for tumors that cannot be cleared in an office setting. There are sparse reports of MMS for peripheral margin control in the dermatology literature but various techniques have been reported.
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