Indications for Mohs Micrographic Surgery

McLeod, Michael P.; Choudhary, Sonal; Alqubaisy, Yasser; Nouri, Keyvan

doi:10.1007/978-1-4471-2152-7_2

Cited by 2 publications

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“…The two main tumors treated with MMS are BCC and SCC (Mcleod, 2012). From the period of 1976–1984 to 2000–2010, BCC incidence increased by 145%, and SCC incidence increased by 263% (Muzic et al, 2017; Rogers et al, 2015).…”

Section: Indications and Appropriate Use Criteriamentioning

confidence: 99%

“…Fellowship training programs were instituted in the early 1980s to replace the existing informal preceptors. MMS now serves as the treatment of choice for many forms of primary and recurrent skin cancers and offers some of the highest cure rates compared with other surgical methods (McLeod et al, 2012). Although the field of Mohs surgery continues to evolve, the use of fresh-tissue technique, horizontal tissue sectioning, and total margin control before reconstruction remain the cornerstone of practice (E. Chen et al, 2018).…”

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confidence: 99%

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Mohs Micrographic Surgery

Mastacouris

Mafee

2021

Journal of the Dermatology Nurses' Association

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Mohs micrographic surgery is a specialized surgical technique that involves serial excision of locally invasive, recurrent, or ill-defined skin cancers with complete histological examination of surgical margins. Originally developed by Dr. Frederic E. Mohs in the 1930s, it began as in situ tissue fixation with zinc chloride and healing by secondary intention and has evolved to fresh tissue surgical excision with subsequent reconstruction. Despite continuous advancements made in the field, the underlying principle of Mohs surgery remains the same: one surgeon acting as a pathologist to ensure complete tumor removal while minimizing the resection of healthy tissue. Mohs surgery is considered the gold standard for treatment of various cutaneous tumors and can be performed on an outpatient basis within a single day. The tumor is excised, mapped, and processed with frozen, horizontal sections for immediate histological evaluation and subsequent surgical staging in the location of a positive margin. This article serves as a review of Mohs surgery for dermatology nurses and offers an overview of the history of the procedure, clinical indications, preoperative assessments, surgical technique, reconstructive modalities, and postoperative care.

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Section: Indications and Appropriate Use Criteriamentioning

confidence: 99%

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confidence: 99%