Mohs surgery, also known as Mohs micrographic surgery, is a meticulous procedure utilized for treating various types of skin cancer. Pioneered by Dr. Frederic E. Mohs in 1938, initially coined as chemosurgery, the procedure has evolved from its humble beginnings using zinc chloride paste to the refined Mohs micrographic surgery (MMS) practiced today. As a fellowship-trained Mohs surgeon and board-certified Micrographic Dermatologic Surgeon, Dr. Krathen understands the importance of educating his patients on the most effective approaches for managing skin cancer. In this blog, we'll delve into the significance of discussing treatment options for skin cancer and provide an overview of Mohs surgery.
Mohs surgery stands out as the most effective method for treating basal cell carcinomas (BCCs) and squamous cell carcinomas (SCCs), the two most prevalent forms of skin cancer. It is an outpatient procedure typically performed using local anesthesia. This micrographic surgery technique involves meticulously removing thin layers of skin affected by cancer. Each layer is carefully examined under a microscope in real time to determine if any cancer cells remain. This process continues until the surgeon confirms that no cancerous cells are present, ensuring comprehensive removal while preserving as much healthy tissue as possible. After the skin cancer has been removed, the wound is most often closed with stitches. This precise approach minimizes scarring and maximizes the likelihood of complete cancer eradication, making it a highly effective treatment for various types of skin cancer.
Ideal candidates for Mohs surgery typically present with skin cancers such as basal cell carcinoma and squamous cell carcinoma, meeting specific tumor characteristics. Basal cell carcinoma originates in the skin's basal cells, often presenting as a translucent bump. Squamous cell carcinoma, though usually non-life-threatening, can lead to complications if left untreated. Melanoma, originating in melanocytes, the pigment-producing cells of the skin, poses a more serious threat and requires specialized treatment. Factors determining candidacy include tumor location and size, as well as the patient’s overall health and medical history. Consultation and evaluation with a dermatologist or Mohs surgeon is crucial to determining suitability for the procedure.
Mohs surgery boasts a high cure-rate by preserving healthy tissue and reducing recurrence rates compared to other methods. Its cosmetic benefits include minimizing scarring and disfigurement through precise tissue removal. As an outpatient procedure, Mohs surgery offers minimal downtime for patients, enhancing convenience and accessibility. While Mohs surgery presents numerous benefits, it's essential to be aware of potential complications such as bleeding, infection, and delayed wound healing. Patient-specific factors like age, underlying health conditions, and lifestyle can impact surgical outcomes. To mitigate potential complications, patients are advised to follow post-operative care instructions diligently, including proper wound care and avoiding activities that may strain the surgical site.
While Mohs surgery is often considered the gold standard for certain types of skin cancer treatment, other treatment options such as excisional surgery, radiation therapy, cryosurgery, and topical treatments may serve as suitable alternatives in specific situations. In most cases, Mohs surgery is the preferred option due to its high cure-rates, cosmetic benefits, and minimal downtime. Consulting with a dermatologist or Mohs surgeon is crucial for receiving personalized advice tailored to individual needs. As is true for many conditions, early detection and frequent screening is critical. Don't hesitate to schedule your consultation or annual skin check today, and take proactive steps towards managing your skin health with confidence. Book Now
