Mohs Micrographic Surgery
Developed by Frederic E. Mohs, M.D. in the 1930s, Mohs Micrographic Surgery for removing 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 in up to 99 percent for first-treatment cancers and 95 percent for recurring cancers.
Types of Skin Cancer
Skin cancer is one of the most common types of cancer, and it can affect anyone regardless of age, gender, or race. While there are many different types of skin cancer, some are more common than others. Here are the three main types of skin cancer:
1. Basal Cell Carcinoma (BCC): This is the most common type of skin cancer and usually appears as a small, flesh-colored, or pink bump on the face, neck, arms, hands, or legs. It can also appear as a flat area with scaly patches that may bleed easily. BCCs rarely spread to other parts of the body but can cause significant damage if left untreated.
2. Squamous Cell Carcinoma (SCC): This type of skin cancer usually appears as a firm red nodule or a flat lesion with a scaly crust on the face, ears, neck, lips, and backs of hands. SCCs can spread to other parts of the body if not treated early enough.
3. Melanoma: This is the most serious form of skin cancer and often appears as an irregularly shaped mole that changes color over time. It can also appear as a new mole or dark spot on the skin that is larger than normal.
What is Mohs Surgery?
Mohs surgery involves the systematic removal and microscopic analysis of thin layers of tissue at the tumor site until all traces of cancer are eliminated. The immediate and complete examination and evaluation of excised tissue are what differentiates this surgery from other cancer removal procedures or skin cancer treatments. The surgeon only removes cancerous cells and ensures they are completely removed, minimizing 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 to eradicate other cancers such as melanoma. Physicians often treat cancers that are likely to recur or even recurring cancers using this surgical technique because it is so thorough. High precision makes this reconstructive surgery ideal for eliminating 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 surgeons, pathologists, and reconstructive surgeons during the cancer removal process. They work in offices with the appropriate surgical and laboratory facilities and have the support of Mohs-trained nursing and technical staff.
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Why Choose Mohs Surgery?
Mohs surgery is an effective and precise method of removing skin cancer, offering a high success rate for both first-time treatments and recurring cancers. The surgical procedure involves the systematic removal and microscopic analysis of thin layers of skin tissue at the tumor site until all traces of cancer are eliminated. This ensures that only cancerous cells are removed, minimizing both post-operative wound size and the chance of recurrence.
The precision offered by Mohs surgery makes it ideal for treating cancers in cosmetically and functionally critical areas such as the face, hands, feet, and genitals. Additionally, Mohs surgeons are highly trained to function as plastic surgeons, pathologists, and reconstructive surgeons during the cancer removal process. They have access to specialized surgical facilities with support from Mohs-trained nursing staff.
Overall, this reconstructive surgery offers a safe and reliable way to remove skin cancer while preserving healthy tissue surrounding the tumor site. It is an excellent option for those looking for a minimally invasive treatment with a high success rate.
Ideal Candidates for Mohs Surgery
Ideal candidates for Mohs Surgery are those who have been diagnosed with skin cancer and are looking for an effective and minimally invasive treatment to remove the cancerous tissue. This procedure is often recommended for cancers in cosmetically or functionally critical areas such as the face (nose, eyelids, lips, hairline), hands, feet, and genitals due to its precision. The procedure involves the systematic removal and microscopic examination of thin layers of tissue at the tumor site until all traces of cancer are eliminated. This ensures that only cancerous cells are removed while preserving the healthy tissue surrounding it.
The high cure rate of up to 99 percent for first-treatment cancers and 95 percent for recurring cancers makes Mohs Surgery an ideal choice for those looking to remove cancerous cells with minimal scarring. The surgeon only removes cancerous cells and ensures they are completely removed, minimizing post-operative wound size and the chance of recurrence. In addition, Mohs surgeons are highly trained to function as plastic surgeons, pathologists, and reconstructive surgeons during the cancer removal process. With their support and expertise, patients can rest assured that they will receive the best possible care when undergoing this procedure.
Risks of Mohs Surgery
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 the need for further surgery if skin flaps or grafts fail.
Mohs Surgery Aftercare
After Mohs Surgery, it is important to follow your doctor’s instructions for proper aftercare. This includes keeping the wound clean and dry, applying antibiotic ointment as directed, and avoiding strenuous activities that could cause further damage to the area. Your doctor may also recommend covering the wound with a bandage or dressing for several days.
It is also important to monitor the wound for any signs of infection, such as redness, swelling, or discharge. If any of these occur, contact your doctor immediately. Additionally, you should avoid direct sunlight on the treated area until it has fully healed. Sun exposure can increase the risk of scarring and other complications.
Finally, regular follow-up visits with your doctor are essential to ensure that cancer has been completely removed and there are no signs of recurrence. During these visits, your doctor will examine the wound site and take photographs, if necessary, in order to track its progress over time. With proper care and monitoring, patients can rest assured that their Mohs Surgery successfully eliminated skin cancer cells from their bodies.
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
