Second-intention healing of exposed facial-scalp bone after Mohs surgery for skin cancer: Review of ninety-one cases

Mohs surgery is considered ideal treatment for many types of skin cancers. Developed by Dr Frederic Edward Mohs (1910-2002), Mohs surgery allows all surgical margins to be viewed microscopically, ensuring no cancer cells go unremoved, yet it failed to achieve immediate acceptance when first introduced in the 1940s. A catalyst to the widespread acceptance of Mohs surgery occurred with the work of dermatologic colleagues who reported excellent results without using the paste. It suggested the real innovation of Mohs surgery lay in its microscopic control and not the paste, the discontinuation of which removed all the problems associated with its use.

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Errors in Surgical Site Identification during Cutaneous Surgery for Skin Cancer: Review and Recommendations

Surgical Science ◽

10.4236/ss.2015.67049 ◽

2015 ◽

Vol 06 (07) ◽

pp. 327-335 ◽

Cited By ~ 1

Author(s):

Sharad P. Paul

Keyword(s):

Skin Cancer ◽

Cancer Review ◽

Site Identification

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A Novel Nonparametric Technique for Segmenting Multimode Hyperspectral Images Obtained From Non-Melanoma Skin Cancer Lesions

2020 Design of Medical Devices Conference ◽

10.1115/dmd2020-9045 ◽

2020 ◽

Author(s):

Gamal G. N. Geweid ◽

Fartash Vasefi ◽

Kouhyar Tavakolian

Keyword(s):

Skin Cancer ◽

Cell Carcinoma ◽

Imaging System ◽

Public Awareness ◽

Hyperspectral Images ◽

Mohs Surgery ◽

Non Melanoma Skin Cancer ◽

Potential Applications ◽

Experimental Findings ◽

Melanoma Skin

Abstract Keratinocyte Carcinoma, more traditionally known as Non-melanoma skin cancer (NMSC), is the most common cancer in humans. Incidence continues to increase despite increased public awareness of the harmful effects of solar radiation. In this paper, a non-parametric technique based on image registration will be applied to the multimode hyperspectral imaging system to segment Basal Cell Carcinoma (BCC) and Squamous cell carcinoma lesions (SCC). The aim is to enhance Mohs surgery by determining the actual borderlines of the desired area in the patient’s images, leading to increased efficiency and efficacy of the Mohs surgery. The proposed algorithm was applied to four sets of different Multimode hyperspectral Images with Non-Melanoma Skin. The experimental findings showed that the proposed algorithm is effective in Non-Melanoma skin detection. This could lead to improved image-guided excision of cancerous lesions with potential applications in robotic interventions.

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CD4+/CD8+ T-Cell Ratio Predictive of Surgical Margins in the Treatment of Nonmelanoma Skin Cancer Treated With Mohs Surgery of Patients Infected With the Human Immunodeficiency Virus

Dermatologic Surgery ◽

10.1097/dss.0000000000002702 ◽

2020 ◽

Vol Publish Ahead of Print ◽

Author(s):

Maggie Chow ◽

Adam Miller ◽

Shang I. Brian Jiang

Keyword(s):

Human Immunodeficiency Virus ◽

T Cell ◽

Skin Cancer ◽

Cd8 T Cell ◽

Nonmelanoma Skin Cancer ◽

Surgical Margins ◽

Mohs Surgery ◽

Cell Ratio ◽

Immunodeficiency Virus

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Mohs Surgery versus Standard Local Excision for Basal Cell Carcinoma, Squamous Cell Carcinoma, and Melanoma Skin Cancer

Facial Plastic Surgery ◽

10.1055/s-0040-1709142 ◽

2020 ◽

Vol 36 (02) ◽

pp. 133-140

Author(s):

Timothy M. Johnson ◽

Noah R. Smith

Keyword(s):

Risk Factors ◽

Squamous Cell Carcinoma ◽

Skin Cancer ◽

Cell Carcinoma ◽

Local Excision ◽

Mohs Surgery ◽

Skin Cancers ◽

The Face ◽

Carcinoma Squamous Cell ◽

Melanoma Skin

AbstractBasal cell carcinoma, squamous cell carcinoma, and melanoma represent the three most common skin cancers that occur on the face. The most common surgical treatments for facial skin cancers are Mohs surgery and standard local excision. The effective utilization of either of these techniques is based on tumor and patient risk stratification incorporating known risk factors for occult invasion and local recurrence, combined with patient comorbidities, expectations, and desires. Best available evidence highlights multiple and consistent risk factors for each specific skin cancer type, and dictate local control rates reported in the literature. Recognizing gaps in the literature, we compare and review surgical treatment guidelines and data for standard local excision versus Mohs surgery for cutaneous nonmelanoma and melanoma skin cancer. This article serves as a resource for optimal therapeutic decision making for surgical management of skin cancer on the face.

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