Mohs Micrographic Surgery
The most advanced treatment for skin cancer, Mohs Micrographic Surgery (MMS), was developed by Dr. Frederick Mohs in the 1930s. In the following decades, advances and innovation have led to the current Mohs surgery, allowing the specially trained Mohs surgeon to excise and examine thin layers of fresh tissue immediately, reducing treatment time, and allowing immediate reconstruction of the wound.
Serving as surgeon, pathologist, and reconstructive surgeon, Mohs-trained dermatologists Drs. Brown and Dimitropoulos trace the skin cancer down to its roots, ensuring complete removal. The procedure allows the doctors to see beyond the visible disease, and precisely identify and remove the entire tumor, leaving healthy tissue intact and unharmed.
Advantages of Mohs Micrographic Surgery
Indicators for Mohs Micrographic Surgery
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Mohs Treatment Techniques
What is visible on the surface may be the smallest part of the tumor that exists underneath. The Mohs technique addresses this tissue best.
The Mohs trained surgeon begins by removing the obvious tumor. Once completed, a thin layer of tissue is removed from the tumor site, and a "map" of the removed tissue is created as a guide to the precise location of any cancer cells that may remain.
The removed tissue is then microscopically examined for evidence of remaining cancer cells. If any of the tissue sections examined contain cancer cells, the Mohs surgeon will return to the specific area indicated by the map to remove another thin layer of tissue from the specific area within each section.
The surgeon then microscopically examines the removed tissue thoroughly to check for evidence of remaining cancer cells. This process is repeated until the surgeon is certain all cancer has been removed.
The Mohs surgeon is also trained in reconstructive techniques, and following MMS will perform the best reconstructive procedure necessary to repair the wound.
Common Risk Factors for Skin Cancer
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