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Mohs surgery is the gold standard method for obtaining complete margin control during removal of a skin cancer (complete circumferential peripheral and deep margin assessment - CCPDMA) using frozen section histology. [1] CCPDMA or Mohs surgery allows for the removal of a skin cancer with very narrow surgical margin and a high cure rate.
During this process, facial muscles might be tightened, while facial fat might be removed or redistributed. Sometimes, a jaw lift is performed in the same surgery by making an incision under the chin and tightening the skin of the jaw and neck. Immediately after the surgery, a drainage tube is used to remove excess fluid from the wound. [23] [24]
Comparing Mohs Surgery Method to smashing an aluminum pie pan How a Mohs Section is flattened with relaxing incisions False negative in standard bread loafing histology: If the pathologist looks only at the margin of the three narrow slices, the many cancerous cells on the discarded margins will be missed.
Surgery (excision, Mohs surgery) Keratoacanthoma ( KA ) is a common low-grade (unlikely to metastasize or invade) rapidly-growing skin tumour that is believed to originate from the hair follicle ( pilosebaceous unit ) and can resemble squamous cell carcinoma .
Eponymous surgical procedures are generally named after the surgeon or surgeons who performed or reported them first. In some instances they are named after the surgeon who popularised them or refined existing procedures, and occasionally are named after the patient who first underwent the procedure.
The American College of Mohs Surgery (abbreviated as ACMS) is a membership-based organization of surgeons who are fellowship-trained (FACMS) in Mohs surgery, a technique that removes skin cancer in stages, one tissue layer at a time. The ACMS is the oldest and largest professional membership organization for Mohs surgeons.
Rather than using the anesthetic Mohs paste, local anesthetic is used. The fresh skin specimen is then mounted on a cryostat, and frozen sections are examined instead of the Mohs paste-fixed sections. This method is now commonly referred to as Mohs surgery, and occasionally chemosurgery, in reference to the Mohs paste initially used.
A medical specialty is a branch of medical practice that is focused on a defined group of patients, diseases, skills, or philosophy.Examples include those branches of medicine that deal exclusively with children (), cancer (), laboratory medicine (), or primary care (family medicine).