Understanding Mohs Micrographic Surgery

The Importance of Year-Round Protection from Intense Johnstown Sunshine

The Gold Standard for Skin Cancer Treatment

By
Eric Krinsky, PA-C
July 15, 2024

At Altitude Dermatology, we are dedicated to providing the highest quality care for all your skin health needs. One of the advanced procedures we offer is Mohs Micrographic Surgery, a highly precise technique for treating skin cancer. This blog post will explore the benefits, process, and reasons why Mohs surgery is considered the gold standard for skin cancer treatment.

What is Mohs Micrographic Surgery?

Mohs Micrographic Surgery, developed by Dr. Frederic Mohs, is a specialized surgical technique used to treat various types of skin cancer. This method is renowned for its accuracy in removing cancerous tissues while preserving as much healthy tissue as possible.

How Does Mohs Surgery Work?

Step-by-Step Procedure:

  1. Local Anesthesia: The area around the skin cancer is numbed with local anesthesia to ensure patient comfort.
  2. Initial Removal: The visible portion of the skin cancer, along with a thin layer of surrounding tissue, is carefully removed.
  3. Mapping and Microscopic Examination: The removed tissue is mapped, divided into sections, frozen, sliced into thin layers, and examined under a microscope.
  4. Layer-by-Layer Removal: If cancer cells are detected at the margins, another thin layer of tissue is removed from the specific area where cancer cells remain. This process repeats until no cancer cells are seen.
  5. Wound Repair: Depending on the size and location of the wound, it may be stitched, covered with a skin graft, or left to heal naturally.

Advantages of Mohs Surgery

High Cure Rate

Mohs surgery offers the highest cure rate for many skin cancers, especially those that are large, aggressive, or recurrent. This makes it a preferred treatment option for difficult-to-treat cancers.

Tissue-Sparing Technique

By focusing on removing only the cancerous tissue, Mohs surgery minimizes scarring and preserves the appearance and function of the treated area.

Immediate Microscopic Examination

The immediate examination of the entire surgical margin ensures that all cancer cells are removed during the procedure, reducing the likelihood of needing additional surgeries.

Effective for High-Risk and Recurrent Cancers

Mohs surgery is particularly beneficial for skin cancers located in high-risk areas (such as the face, hands, and feet) or those that have recurred after previous treatments.

Outpatient Procedure

Performed on an outpatient basis under local anesthesia, Mohs surgery is convenient and allows for minimal recovery time.

When is Mohs Surgery Recommended?

Mohs surgery is primarily used to treat:

  • Basal Cell Carcinoma (BCC): Especially large, aggressive, or recurrent BCCs.
  • Squamous Cell Carcinoma (SCC): Effective for SCCs with a high risk of recurrence or those in cosmetically sensitive areas.
  • Melanoma In Situ: Early-stage melanomas confined to the outer layer of the skin.
  • Other Skin Cancers: Including dermatofibrosarcoma protuberans and some rare tumors.

Why Choose Altitude Dermatology for Mohs Surgery?

At Altitude Dermatology, our team of skilled dermatologists and surgeons are dedicated to providing top-notch care using the latest techniques and technology. As an ITUCHEALTH Partner with EPIC & My Health Connection, we ensure seamless integration of your health records and a comprehensive approach to your treatment. We also accept most insurances, making our expert care accessible to all.

Conclusion

Mohs Micrographic Surgery is a precise, effective technique for treating skin cancer with high cure rates and minimal impact on healthy tissue. If you or a loved one has been diagnosed with skin cancer, consult with our specialists at Altitude Dermatology to see if Mohs surgery is the right option for you.

Eric Krinsky, PA-C
Altitude Dermatology
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