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MOHS Micrographic Surgery

Mohs micrographic surgery, an advanced treatment procedure for skin cancer, offers the highest cure rate (up to 99%), and highest potential for recovery even if the skin cancer has been previously treated. This procedure is state-of-the-art treatment in which the physician serves as surgeon, pathologist and reconstructive surgeon. This procedure is most often used in treating the most common forms of skin cancer: basal cell carcinoma and squamous cell carcinoma.

The Mohs process includes a specific sequence of surgery and pathological investigation. Mohs surgeons examine the removed tissue for evidence of extended cancer roots.

Once the obvious tumor is removed, Mohs surgeons:

• Remove an additional, thin layer of tissue from the tumor site
• Create a "map" of the removed tissue to be used as a guide to finding remaining cancer cells
• Microscopically examine the tissue thoroughly to check for evidence of remaining cancer cells

If any of the sections contain cancer cells, Mohs surgeons:

• Return to the specific area of the tumor site as indicated by the map
• Remove another thin layer of tissue from within each section where cancer cells were detected
• Microscopically examine the newly removed tissue for additional cancer cells
• If analysis shows evidence of cancer, the process continues until the cancer is completely gone

Cost Effectiveness:
In a study of costs of various types of skin cancer removal, the Mohs process was found to be comparable to the cost of other procedures, such as electrodesiccation, curettage, cryosurgery, excision or radiation therapy. Mohs micrographic surgery preserves the maximum amount of normal skin and results smaller scars.

Procedure Length:
The entire process can often be completed in a single day.



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