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Introduction

Charlene Lam and Allison T. Vidimos Mohs Micrographic Surgery

Chapter Contents

Synonyms: Mohs surgery  Chemosurgery  Mohs chemosurgery (fresh tissue technique and fixed tissue technique)

Key features

„Based upon the concept of contiguous spread of a tumor from a single focus

„100% microscopic tissue margin examination

„Highest evidence-based cure rate for cutaneous malignancies, but success is dependent on resources and skills of the surgeon and histotechnician

„Same physician serves as both surgeon and pathologist

„Precise excision of cancerous tissue

„Preservation of the maximum amount of non-cancerous tissue

„Total tissue control and precise mapping

„Immediate re-excision of residual cancerous tissue as indicated

„Reconstruction typically performed by Mohs surgeon

„Exceedingly low complication rate