Mohs micrographic surgery for periocular skin tumours in Ireland

Abstract

MMS is available in Ireland and should be considered for patients with facial tumours in the ocular region.

Management of periocular keratinocyte carcinomas with Mohs micrographic surgery and predictors of complex reconstruction: a retrospective study

“…Only a few similar descriptive studies have been reported worldwide and the present results are consistent with prior reports; however, few studies come from Latin America. 10 , 11 , 12 , 13 , 14 , 15 , 16 , 17 , 18 In this study, the most frequent periocular KC was BCC, the nodular subtype, and the most frequent location was the medial canthus. This anatomical location is of paramount importance since tumors located on the medial canthus have a greater capacity to invade locally and destroy complex functional structures in or around the eye.…”

“…Mohs Micrographic Surgery (MMS) is a technique that has been used successfully in the treatment of malignant skin tumors due to the complete microscopic visualization of the lateral and deep margins. 4 , 10 This differs from traditional methods of histopathological examination where only a portion of the margin is examined using vertical cuts, known as the “bread-loaf” technique. 5 Studies have demonstrated that MMS has a 98%‒100% cure rate at 5-year follow-up; while using the traditional “bread-loaf” techniques, recurrence rates tend to be higher.…”

Management of periocular keratinocyte carcinomas with Mohs micrographic surgery and predictors of complex reconstruction: a retrospective study

“…Only a few similar descriptive studies have been reported worldwide and the present results are consistent with prior reports; however, few studies come from Latin America. 10 , 11 , 12 , 13 , 14 , 15 , 16 , 17 , 18 In this study, the most frequent periocular KC was BCC, the nodular subtype, and the most frequent location was the medial canthus. This anatomical location is of paramount importance since tumors located on the medial canthus have a greater capacity to invade locally and destroy complex functional structures in or around the eye.…”

“…Mohs Micrographic Surgery (MMS) is a technique that has been used successfully in the treatment of malignant skin tumors due to the complete microscopic visualization of the lateral and deep margins. 4 , 10 This differs from traditional methods of histopathological examination where only a portion of the margin is examined using vertical cuts, known as the “bread-loaf” technique. 5 Studies have demonstrated that MMS has a 98%‒100% cure rate at 5-year follow-up; while using the traditional “bread-loaf” techniques, recurrence rates tend to be higher.…”

Results of Mohs’ Micrographic Surgery of Periocular Basal Cell Carcinoma: The Swedish Experience

“…MMS was developed by Frederic E. Mohs in the 1930s and has been used successfully in the treatment of malignant eyelid tumours ( 12 ). BCCs can be removed by excising successive layers and microscopically examining 100% of the peripheral and deep margins ( 4 , 13 , 14 ). Evaluation of 100% of the margin leads to the highest cure rates for BCC ( 15 ).…”

Management of periocular keratinocyte carcinomas with Mohs micrographic surgery and predictors of complex reconstruction: a retrospective study

“…Only a few similar descriptive studies have been reported worldwide and the present results are consistent with prior reports; however, few studies come from Latin America. 10 , 11 , 12 , 13 , 14 , 15 , 16 , 17 , 18 In this study, the most frequent periocular KC was BCC, the nodular subtype, and the most frequent location was the medial canthus. This anatomical location is of paramount importance since tumors located on the medial canthus have a greater capacity to invade locally and destroy complex functional structures in or around the eye.…”

“…Mohs Micrographic Surgery (MMS) is a technique that has been used successfully in the treatment of malignant skin tumors due to the complete microscopic visualization of the lateral and deep margins. 4 , 10 This differs from traditional methods of histopathological examination where only a portion of the margin is examined using vertical cuts, known as the “bread-loaf” technique. 5 Studies have demonstrated that MMS has a 98%‒100% cure rate at 5-year follow-up; while using the traditional “bread-loaf” techniques, recurrence rates tend to be higher.…”

Results of Mohs’ Micrographic Surgery of Periocular Basal Cell Carcinoma: The Swedish Experience

“…MMS was developed by Frederic E. Mohs in the 1930s and has been used successfully in the treatment of malignant eyelid tumours ( 12 ). BCCs can be removed by excising successive layers and microscopically examining 100% of the peripheral and deep margins ( 4 , 13 , 14 ). Evaluation of 100% of the margin leads to the highest cure rates for BCC ( 15 ).…”

Management of periocular keratinocyte carcinomas with Mohs micrographic surgery and predictors of complex reconstruction: a retrospective study

“…Only a few similar descriptive studies have been reported worldwide and the present results are consistent with prior reports; however, few studies come from Latin America. 10 , 11 , 12 , 13 , 14 , 15 , 16 , 17 , 18 In this study, the most frequent periocular KC was BCC, the nodular subtype, and the most frequent location was the medial canthus. This anatomical location is of paramount importance since tumors located on the medial canthus have a greater capacity to invade locally and destroy complex functional structures in or around the eye.…”

“…Mohs Micrographic Surgery (MMS) is a technique that has been used successfully in the treatment of malignant skin tumors due to the complete microscopic visualization of the lateral and deep margins. 4 , 10 This differs from traditional methods of histopathological examination where only a portion of the margin is examined using vertical cuts, known as the “bread-loaf” technique. 5 Studies have demonstrated that MMS has a 98%‒100% cure rate at 5-year follow-up; while using the traditional “bread-loaf” techniques, recurrence rates tend to be higher.…”

Results of Mohs’ Micrographic Surgery of Periocular Basal Cell Carcinoma: The Swedish Experience

“…MMS was developed by Frederic E. Mohs in the 1930s and has been used successfully in the treatment of malignant eyelid tumours ( 12 ). BCCs can be removed by excising successive layers and microscopically examining 100% of the peripheral and deep margins ( 4 , 13 , 14 ). Evaluation of 100% of the margin leads to the highest cure rates for BCC ( 15 ).…”