Type of Surgery
Information
Last updated: 11/24/2009
BOOKS
PERIODICALS
Cook, J. L., and J. B. Perone. "A prospective evaluation of the incidence of complications associated with Mohs micrographic surgery."Archives of Dermatology 139 (February 2003):...
143-152.
Jackson, E. M., and J. Cook. "Mohs micrographic surgery of a papillary eccrine adenoma."Dermatologic Surgery 28 (December 2002): 1168-1172.
Smeets, N. W., Stavast-Kooy, A. J., Krekels, G. A., Daemen, M. J., and H. A. Neumann. "Adjuvant Cytokeratin Staining in Mohs Micrographic Surgery for Basal Cell Carcinoma."Dermatologic Surgery 29 (April 2003): 375-377.
ORGANIZATIONS
American Society for Mohs Surgery. Private Mail Box 391, 5901 Warner Avenue, Huntington Beach, CA 92649-4659. (714) 840-3065. (800) 616-ASMS (2767).
OTHER
"About Mohs Micrographic Surgery."Mohs College.
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Other Information
Mohs surgery, also known as "Chemosurgery", was created by a general surgeon, Dr. Fredrick E. Mohs, is microscopically controlled surgery that is highly effective for common types of skin cancer, with a cure rate cited between 97% and 99% for primary basal cell carcinoma, the most common type of skin cancer, and for squamous cell carcinoma. Recurrent basal cell cancer has a lower cure rate with Mohs surgery, more in the range of 94% It has been used in the removal of melanoma-in-situ (cure rate 77%), and certain types of melanoma (cure rate 52%). Other indications for Mohs surgery include dermatofibrosarcoma protuberans, keratoacanthoma' spindle cell tumors, sebaceous carcinomas, microcystic adnexal carcinoma, merkel cell carcinoma, Pagets's disease of the breast, atypical fibroxanthoma, leimyosarcoma, and angiosarcoma. Because the Mohs procedure is micrographically controlled, it provides precise removal of the cancerous tissue, while healthy tissue is spared. Mohs surgery is relatively expensive when compared to other surgical modalities. However, in anatomically important areas (eyelid, nose, lips), tissue sparing and low recurrence rate makes it a procedure of choice by many physicians.
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