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Mohs surgery is a highly specialized surgical technique used to treat certain types of skin cancer. Named after Dr. Frederic E. Mohs, this surgery is known for its precision and high success rates. This approach is primarily used for treating basal cell carcinoma and squamous cell carcinoma. Here is more information about Mohs surgery:
What Happens During Mohs Surgery?
During Mohs surgery, the patient undergoes a step-by-step process that meticulously removes cancerous tissue while preserving as much healthy skin as possible. The procedure is typically performed in an outpatient setting under local anesthesia. Here’s an overview of what patients can expect:
- Preparation: The surgeon marks the area of concern to establish clear boundaries for removal.
- Layer-by-Layer Removal: The surgeon excises a thin layer of skin containing the cancerous tissue.
- Microscopic Examination: The surgeon or another qualified medical professional examines each layer immediately under a microscope to check for cancer cells.
- Repeated Process: If cancer cells are detected, the surgeon removes another layer, repeating the process until the margins are clear of cancer.
This methodical approach provides complete cancer removal while minimizing damage to surrounding healthy tissue. These aspects make it ideal for cancers located in sensitive areas such as the face or neck.
Who Should Get Mohs Surgery?
A Mohs procedure is recommended for patients with specific types of skin cancer, particularly cancers with a high risk of recurrence or those located in sensitive areas like the face or neck. Candidates for Mohs may include:
- Individuals with basal cell carcinoma or squamous cell carcinoma
- Patients with skin cancers that have recurred after previous treatment
- Those with cancers located on the face, ears, or around the eyes
- Cases where the cancer has irregular borders or is large in size
Discussing your case with a dermatologist can help determine if Mohs surgery is the appropriate treatment choice based on the specific characteristics of the skin cancer.
What Are the Benefits of Mohs Surgery?
This surgery offers several advantages, including:
- High Cure Rate: Mohs surgery is known for its high success rate, going as high as 99% effective. It is also more effective than traditional skin cancer surgeries.
- Tissue Preservation: By removing only cancerous tissue and sparing healthy skin, the appearance of scarring after the procedure is minimal or barely visible.
- Immediate Results: The immediate microscopic examination of excised tissue allows for quick verification of cancer clearance, which reduces the need for additional treatments.
- Convenient: A Mohs procedure is typically performed in an outpatient setting, allowing patients to return home the same day.
Preparation Tips
Preparing for the surgery may help you feel more comfortable about the procedure. Your dermatologist should go over some ways to prepare, but here are some tips to remember:
- Consultation: Discuss any medications or health conditions with your dermatologist to determine if adjustments are needed before the procedure.
- Comfort: Wear comfortable clothing and bring items to keep you occupied during waiting periods, such as a book or music.
- Support: Arrange for someone to accompany you to the appointment for support and to drive you home afterward.
Post-surgery Recovery Tips
Recovery is generally straightforward, but following proper care instructions may help with the healing process:
- Wound Care: Follow your dermatologist’s instructions for cleaning and dressing the wound to prevent infection. They may give you a specific topical ointment or medication to take.
- Rest: Avoid strenuous activities for a few days to allow the surgical area to heal properly.
- Follow-up: Attend any follow-up appointments to monitor healing and discuss any concerns with your dermatologist.
Talk to a Dermatologist Today
If you suspect you may have skin cancer or have been diagnosed with one of the types commonly treated with Mohs surgery, consult with a dermatologist right away. A dermatologist will examine the area you’re concerned about and do a biopsy if necessary. They can also provide personalized advice and determine if Mohs is the right option for you. Reach out to a dermatology professional to explore your treatment options.
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