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Mohs Micrographic Surgery |
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Mohs micrographic surgery has the highest cure rate for basal cell and squamous cell carcinomas and is the treatment of choice for locally recurrent skin cancers, offering cure rates of 95 to 97 percent. Use of any other method to treat local recurrences achieves a cure rate of only 50 to 60 percent.
Mohs surgery is unique in its precision. Instead of removing the whole clinically visible tumor and a large area of normal-appearing skin around it, the Mohs surgeon removes the minimum amount of healthy tissue and totally removes the cancer. Thin layers of tissue are systematically excised and examined under a microscope for malignant cells. When all areas of tissue are tumor-free, surgery is complete.
The technique has several major advantages. It preserves more normal tissue than any other method while at the same time allowing the surgeon to trace and eradicate areas of tumor that are invisible to the naked eye. The Mohs surgeon, after examining the tissue under a microscope, knows exactly how far the tumor extends. As a result, Mohs surgery is particularly suitable for the area around the eyes, and the nose, ears and mouth where the preservation of normal tissue is essential. Lastly, when other standard methods have been unsuccessful, Mohs surgery offers another chance for cure.
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Ask the Expert
Q: I have a basal cell cancer on the side of my nose. My plastic surgeon has recommended that I get Mohs surgery to have it removed, and then he would perform the corrective plastic surgery the same day. Doesn't my nose need time to heal first?
Robert H. Gotkin, M.D., F.A.C.S., Director of Plastic Surgery at Cosmetique Dermatology, Laser & Plastic Surgery, LLP answers this question.
Click here to read Dr. Gotkin's answer. |
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