scholarly journals Double-Bladed Scalpel in Mohs Micrographic Surgery

2012 ◽  
Vol 2012 ◽  
pp. 1-4
Author(s):  
Ofer Arnon ◽  
Vasileios A. Pagkalos ◽  
Arsinoi A. Xanthinaki ◽  
Eldad Silberstein
Keyword(s):  
Mohs Micrographic Surgery ◽  
Micrographic Surgery ◽  
Mohs Surgery ◽  
High Cure ◽  
Tissue Sparing ◽  
Cure Rates

Mohs micrographic surgery is a tissue-sparing technique that allows for excision of cutaneous tumors under complete microscopic margins control. Mohs surgery boasts high cure rates and maximum tissue conservation. We introduce the double-blade scalpel in Mohs surgery as a timesaving and easy way to harvest tissue strips of uniform width and therefore increase the intraoperative efficiency of the procedure.

scholarly journals Review of Eyelid Reconstruction Techniques after Mohs Surgery

2018 ◽  
Vol 32 (02) ◽  
pp. 095-102 ◽  
Author(s):  
Sagar Patel ◽  
Kamel Itani
Keyword(s):  
Structure And Function ◽  
Mohs Micrographic Surgery ◽  
Micrographic Surgery ◽  
Mohs Surgery ◽  
Eyelid Reconstruction ◽  
Aesthetic Results ◽  
Periocular Region ◽  
And Function ◽  
Cure Rates ◽  
Reconstructive Techniques

AbstractMohs micrographic surgery achieves high cure rates while preserving healthy tissue making it the optimal treatment for skin cancer. The goals of eyelid reconstruction after Mohs surgery include restoring eyelid structure and function while attaining acceptable aesthetic results. Given the variety of eyelid defects encountered after Mohs surgery, a thorough understanding of the complex eyelid anatomy as well as an in-depth knowledge of the numerous reconstructive techniques available are required to accomplish these reconstructive goals. In this article, the authors review eyelid anatomy and discuss a variety of techniques used for the reconstruction of defects involving the periocular region.

scholarly journals Mohs micrographic surgery: a study of 83 cases

2012 ◽  
Vol 87 (2) ◽  
pp. 228-234 ◽  
Author(s):  
Flavianne Sobral Cardoso Chagas ◽  
Bruno de Santana Silva
Keyword(s):  
Cell Carcinoma ◽  
Medical Records ◽  
Cross Sectional Study ◽  
Mohs Micrographic Surgery ◽  
Micrographic Surgery ◽  
Cross Sectional ◽  
The Mean ◽  
Nasal Region ◽  
Cure Rates ◽  
Observation Period

BACKGROUND: Mohs micrographic surgery can achieve high cure rates in the treatment of skin cancer and remove a minimum of healthy tissue. OBJECTIVES: To characterize patients undergoing Mohs micrographic surgery and study issues related to the number of surgical stages. METHODS: A descriptive, retrospective, cross-sectional study was conducted in a micrographic surgery reference center for the period of 2004 to 2010. Data was collected from medical records of 79 patients (83 surgeries). RESULTS: We studied 43 women and 36 men. The mean age was 57.5 ± 14,6 years. Skin types II and III were the most frequent, accounting for 41% and 36.1%, respectively. The most frequent tumor was the basal cell carcinoma (89.1%), and the solid subtype was the most common (44.6%), followed by sclerodermiform histological subtype (32%).The most frequent location was the nasal region (44.6%). The large majority of the operated tumors were recurrent lesions (72.7%). Half of the tumors measured 2 cm or more. In 68.7% of the cases two or more surgical stages were necessary for the removal of the tumors. The observation period was 2 or more years in 75% of the tumors. There was 01 post-Mohs recurrence and 02 patients had metastases during the observation period (both with squamous cell carcinoma). CONCLUSION: The findings coincide with those of the literature, recurrent tumors and tumors larger than 2cm needed more surgical stages for their removal, although there was no statistic difference (p=0,12 and 0,44 respectively).

Histopathologic Concordance of Mohs Micrographic Surgery: A Systematic Review

2019 ◽  
Vol 21 (1) ◽  
pp. 11-18
Author(s):  
James T. Highsmith ◽  
M. Jason Highsmith ◽  
Brandon Brown ◽  
David A. Weinstein ◽  
Jeremy R. Etzkorn ◽  
...  
Keyword(s):  
Frozen Section ◽  
Mohs Micrographic Surgery ◽  
Micrographic Surgery ◽  
Level Of Evidence ◽  
Medical Databases ◽  
Bias Risk ◽  
High Level ◽  
Cure Rates ◽  
Based Medicine ◽  
Level 2

Mohs micrographic surgery is dependent upon accurate interpretation of frozen section slides to ensure complete tumor removal and high cure rates. The objective of this study was to determine an aggregate concordance of histologic frozen section interpretation between the Mohs surgeon and dermatopathologists as available in the literature. The study sought to assess the bias risk, applicability, and level of evidentiary support for studies of histologic accuracy between these two provider groups. A systematic literature review of three medical databases was conducted. The Quality Assessment of Diagnostic Accuracy Studies instrument was used to determine bias risk and applicability. The level of evidence was then determined by using the Center for Evidence-Based Medicine (CEBM) model. According to the literature, the concordance rate for frozen slide interpretation between fellowship-trained Mohs surgeons and dermatopathologists was 99.4% after reviewing 5,566 cases with CEBM Level 2 evidence. This study confirms a high level of correlation of histologic frozen section slide interpretation between fellowship-trained Mohs surgeons and dermatopathologists, which is supported by Level 2 evidence with low bias risk and low applicability concerns.

Dermatofibrosarcoma Protuberans: A Review

1998 ◽  
Vol 6 (3) ◽  
pp. 131-136
Author(s):  
Patrick J Davison ◽  
Carolyn G Rowlands ◽  
Robert C Cartotto
Keyword(s):  
Fibrous Histiocytoma ◽  
Dermatofibrosarcoma Protuberans ◽  
Metastatic Potential ◽  
Soft Tissue Tumour ◽  
Mohs Micrographic Surgery ◽  
Equal Frequency ◽  
Micrographic Surgery ◽  
Tissue Tumour ◽  
Males And Females ◽  
Cure Rates

Dermatofibrosarcoma protuberans (DFSP) is a rare soft tissue tumour of the dermis. Diagnosis may be very difficult from both a clinical and histopathological standpoint. DFSP has a peak incidence in patients between age 10 and 50 years old, occurs with relatively equal frequency in males and females and has a predilection to occur on the trunk or proximal limbs. The tumour has a very low metastatic potential but can be very locally aggressive, requiring wide surgical resection. The possible variants of DFSP may obscure diagnosis especially in the case of fibrohistiocytic lesions such as dermatofibroma, fibromatosis and malignant fibrous histiocytoma. Immunohistological testing, while not completely specific, shows promise in improving diagnostic accuracy. Wide local excision continues to be the mainstay of treatment, although Mohs’ micrographic surgery may ultimately provide superior cure rates.

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