Coral Dermatology
Mohs surgery, widely recognized as the gold standard for treating variety of skin cancers including basal cell carcinomas (BCCs) and squamous cell carcinomas (SCCs).”
Developed in the 1930s by Dr. Frederic E. Mohs, Mohs Micrographic Surgery is a state-of-the-art treatment in which the physician serves as a dermatologist, pathologist and reconstructive surgeon. Mohs micrographic surgery is widely recognized as the gold standard for treatment for of a variety of skin cancers including basal cell carcinomas (BCCs) and squamous cell carcinomas (SCCs). The cure rate for Mohs Micrographic Surgery is the highest of all treatments for skin cancer.
With its meticulous and precise approach, Mohs surgery achieves optimal results by ensuring the complete removal of cancerous cells while preserving as much healthy tissue as possible, leading to higher cure rates and superior cosmetic outcomes.
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Mohs Surgery is a complex procedure combining surgical excision with immediate microscopic examination of the entire tissue specimen margin by frozen tissue processing techniques right in the office. During Mohs surgery at Coral Dermatology, cancerous tissue is removed layer by layer and examined under a microscope. Layers are removed until all cancerous tissue has been eliminated.
It consists of the following steps:
Surgical removal of a thin layer of skin containing the tumor.
Examination by the Mohs Surgeon of each section under the microscope
If the tumor is removed completely, the skin defect is repaired. If the specimen shows tumor remaining, the above steps are repeated until skin is free of cancer
The Mohs Surgery technique allows us to examine 100% of the surgical margin and, if tumor is still present, pinpoint the precise location of the leftover cancer. This allows us to selectively remove another layer of skin from the area where the cancer remains. This minimizes the amount of normal skin that is removed. Since some skin cancers removed with Mohs Surgery are complicated, multiple stages may be necessary. If multiple stages are taken, the Mohs procedure can take up a good part of the day, so you must reserve the entire day for surgery.
When the final defect is known, management is individualized to achieve the best results and to preserve functional capabilities and maximize aesthetics. The Mohs surgeon is trained in reconstructive procedures and will perform the reconstructive procedure necessary to repair the wound. A small wound may be allowed to heal on its own or may be closed with stitches, a skin graft or a flap. If a tumor is larger than initially anticipated a plastic surgeon may be needed to complete the reconstruction.
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