Mohs surgery, Mohs micrographic surgery (MMS), developed by Dr. Fredrick Mohs in the 1930s, is a technique that uses both pathology and surgery to remove skin cancers in a doctor’s office. During the surgery, the tissue is removed, sparing as much normal skin as possible and while the patient waits, 100% of the surgical margin of the specimen is examined in the laboratory located in the doctor’s office to determine if any more cancer remains. If the margins are involved, the orientation of the residual skin cancer is mapped so the surgeon knows where exactly to trim more around the spot removed in the prior Mohs stage. This continues until all of the skin cancer is removed. Dr. Mohs is credited for inventing this ingenious technique of creating the most minimal size defect while providing the highest cure rate. Reconstruction can then be accomplished the same day immediately after Mohs Micrographic surgery.
Today, Mohs surgery has come to be accepted as the single most effective technique for removing Basal Cell Carcinoma and Squamous Cell Carcinoma, the two most common
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