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Skin Cancer Reconstruction Surgery
Developed by Frederic E. Mohs, M.D. in the 1930s, Mohs Micrographic Surgery for the removal of skin cancer is a highly precise, highly effective treatment that excises not only the visible tumor but also any “roots” that may have extended beneath the skin surface. Five-year cure rates have been demonstrated up to 99 percent for first-treatment cancers and 95 percent for recurring cancers.
Mohs surgery involves the systematic removal and microscopic analysis of thin layers of tissue at the tumor site until we make sure to eliminate the last traces of the cancer. The immediate and complete examination and evaluation of excised tissue is what differentiates this surgery from other cancer removal procedures. The surgeon only removes cancerous cells and makes sure that they are completely removed, minimizing both post-operative wound size and the chance of recurrence.
We commonly use Micrographic surgery for basal and squamous cell carcinomas, although some may recommend it for the eradication of other cancers such as melanoma. Physicians often treat cancers that are likely to recur or even recurring ones using this technique because it is so thorough. High precision makes this surgery ideal for the elimination of cancers in cosmetically and functionally critical areas such as the face (nose, eyelids, lips, hairline), hands, feet and genitals.
Mohs surgeons are highly trained to function as plastic surgeon, pathologist, reconstructive surgeon during the cancer removal process. They work in offices within the appropriate surgical and laboratory facilities, and have the support of Mohs-trained nursing and technical staff.
As with any surgery, there are risks. There may be temporary or permanent numbness or muscle weakness in the area. Other possible complications include tenderness, itching, shooting pains, and need for further surgery if skin flaps or grafts fail.
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Frequently Asked Questions About Mohs Micrographic Surgery
If you live in the states of New York or California, Douglas S. Steinbrech, MD is fellowship trained in Mohs surgery and also performs Mohs surgery among other procedures at his state of the art practice. For a full list of services, please visit our Locations page.
For more information, visit the American Society for Mohs Surgery at http://www.mohssurgery.org
