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Semin Plast Surg 2018; 32(02): 060-068
DOI: 10.1055/s-0038-1642057
Review Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Mohs Micrographic Surgery: Development, Technique, and Applications in Cutaneous Malignancies

Eillen Luisa A. Chen
1   Department of Dermatology, University of Texas Southwestern Medical Center, Dallas, Texas
,
Divya Srivastava
1   Department of Dermatology, University of Texas Southwestern Medical Center, Dallas, Texas
,
Rajiv I. Nijhawan
1   Department of Dermatology, University of Texas Southwestern Medical Center, Dallas, Texas
› Author Affiliations
Funding None.
Further Information

Publication History

Publication Date:
14 May 2018 (online)

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Abstract

Mohs micrographic surgery (MMS) is a specialized technique for treating skin malignancies that offers the highest cure rate by allowing histological evaluation of the entire peripheral and deep margins. MMS also maximally preserves as much uninvolved, normal adjacent tissue as possible, allowing for the best cosmetic and functional outcomes. When used for appropriate indications, this technique is also more cost-effective than other treatment modalities. In this article, the authors will discuss the development of MMS, the steps involved in this procedure, and the indications for this technique. They will also review the use of MMS for basal cell carcinoma, squamous cell carcinoma, melanoma in situ, and some less common skin malignancies.

Keywords

Mohs micrographic surgery - Mohs surgery - cutaneous malignancies - skin cancer