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
Read More at: http://www.thenyac.com/mohs-micrographic-surgery-and-reconstruction/
Moles are common and most everyone has at least one mole.
A common mole can appear:
- Brown or tan, black, reddish, pink or flesh-toned
- Flat or somewhat raised
One person can have a number of moles that all look slightly different. These moles may be found anywhere on the skin, including between the fingers and toes, under the nails, and on the scalp.
Moles are caused when the cells that give skin its pigment or color, melanocytes, grow together. The clumps can appear as bumps or spots.
Atypical moles are characterized as atypical because they:
- Are larger than a pencil eraser
- Are not rounded
- Contain more than 2 colors
Like common moles, atypical moles can appear anywhere on the body but are most frequently found on the trunk. They rarely show up on the face.
Atypical moles can be a cause for concern. While true atypical moles are not cancerous, they can resemble melanoma skin cancers.
Cancerous moles may have one, some or all of the features listed below:
- Asymmetry – If you were to look at each half of the mole, one side would look different from the other side.
- Borders – Are uneven or poorly-defined
- Diameter – Generally, has expanded in size to more than one-fourth of an inch around
- Evolving – Changes in size, shape, color, and depth, and may suddenly feel tender, burn, itch, ooze or bleed
Most people with common moles develop 10 to 40 of these spots over time. These moles are also more common among lighter-skinned people. However, if more than 50 moles have been acquired over time you are generally at greater risk of developing melanoma. It only takes four atypical moles to be considered at increased risk of developing melanoma.
You may also be at greater risk of developing melanoma should a blood relative have this type of cancer. While skin cancer is associated with serious sunburns, especially sun damage suffered before the age of 18, some types of atypical moles are associated with a genetic form of melanoma.
It is critical that you schedule an appointment with Dr. Ron Shelton should you have any suspicious spots. Better yet, Dr. Shelton and his team can provide regular professional skin screenings.
Don’t wait until a spot changes to schedule a screening, especially should you be at greater risk due to the number of common and atypical moles and family history. Dr. Shelton can discuss with you more about atypical moles and preventive measures from his New York office, now located in Midtown Manhattan.
There are many forms of skin cancers and the most dangerous one among them is Melanoma. Melanoma is almost always triggered by skin cells known as melanocytes. Melanocytes are cells in the skin that contain the pigment known as melanin. Melanin is responsible for giving the skin its color as well as protecting the skin and its deeper layers from sun exposure, especially, from the dangerous ultraviolet (UV) radiation.
When the skin is exposed to excessive amounts of sun’s radiation, the melanocytes in the skin start to produce excessive amounts of melanin and as a result the skin becomes tanned. When the skin is exposed to other forms of UV rays such as from tanning booths, this same process takes place. When the skin is exposed to too much of this dangerous radiation, the melanocytes can start to grow in an abnormal fashion and become cancerous. This condition is then known as Melanoma.
The very early signs of melanoma come in the form of changes in the normal properties of a mole. These changes can be with respect to size, shape and/or color. However, sometimes melanomas can appear on the skin where no mole was present. One of the best ways to determine the danger of a mole is to follow the ABCDE rule.
- ASSYMETRY : A mole needs to be regarded as dangerous if it is not symmetrical in shape.
- BORDER : If the edges of a mole are irregular and/or ragged, then it needs to be deemed dangerous.
- COLOR : irregular color and unbalanced shades are also warning signs of a cancerous mole.
- DIAMETER : For any increase in size and diameter of a mole, medical advice needs to be sought.
- EVOLVING : A mole which has been subjected to significant overall changes, such as itching, growing, bleeding or hurting, in the course of weeks or months needs to be checked by a dermatologist as soon as possible.