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Mohs surgery is not suitable for all skin cancers. [4] Mohs micrographic surgery is the most reliable form of margin control; utilising a unique frozen section histology processing technique – allowing for the complete examination of 100% of the surgical margin. The method is unique in that it is a simple way to handle soft, hard-to-cut tissue.
[1] [2] There are two forms of CCPDMA surgery: Mohs surgery and surgical excision coupled with margin assessment. Other examples of CCPDMA are found in classical pathology textbooks as techniques of cutting surgical specimens to allow the examination of the inferior and lateral margins of typically elliptical surgical specimens.
[4] Members of the American College of Mohs Surgery have completed an extensive fellowship of at least one full year of hands-on training in the Mohs procedure under the supervision of a highly qualified instructor. [5] In 1995, an ancillary group called The American Society for Mohs Histotechnology was founded.
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The disadvantage of the 1 mm punch is that the tissue obtained is almost impossible to see at times due to small size, and the 1.5 mm biopsy is preferred in most cases. The common punch size used to diagnose most inflammatory skin conditions is the 3.5 or 4 mm punch. [citation needed] [2]
[1] A biopsy is a small piece of tissue removed primarily for the purposes of surgical pathology analysis, most often in order to render a definitive diagnosis . Types of biopsies include core biopsies , which are obtained through the use of large-bore needles, sometimes under the guidance of radiological techniques such as ultrasound , CT scan ...
The frozen section procedure as practiced today in medical laboratories is based on the description by Dr Louis B. Wilson in 1905. Wilson developed the technique from earlier reports at the request of Dr William Mayo, surgeon and one of the founders of the Mayo Clinic [3] Earlier reports by Dr Thomas S. Cullen at Johns Hopkins Hospital in Baltimore also involved frozen section, but only after ...
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