Mohs Surgery, also known as Mohs Micrographic Surgery, removes skin cancers from body areas with limited amount of tissue, for instance, the ears, nose, lips and around the eyes. This technique minimizes scarring, allowing for better aesthetic results.
In 1935, Dr. Frederick Mohs developed a technique for cancer removal known as Mohs Micrographic Surgery. After the removal of the visible portion of the cancer tumor by excision, there are two basic steps to each Mohs surgery stage. First, a thin layer of tissue is surgically excised from the base of the site. This layer is generally only 1 to 2 mm larger than the clinical tumor. Next, this tissue is mapped and processed in a unique manner and examined under a microscope. Dr. Finzi then examines the entire bottom surface and outside edges of the tissue on the microscopic slides. This tissue has been marked to orient top to bottom and left to right. If any tumor is seen during the microscopic examination, its location is established, and a thin layer of additional tissue is excised from the involved area. The microscopic examination is then repeated until no tumor is found.
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The Benefits of Mohs Micrographic Surgery
Mohs Micrographic Surgery allows for the selective, precise removal of the skin cancer cells with the preservation of as much of the surrounding normal tissue as is possible. Because of this complete systematic microscopic search for the “roots” of the skin cancer, Mohs surgery offers the highest chance for complete removal of the cancer while sparing the normal tissue. The cure rate for new basal cell and squamous cell carcinomas exceeds 98%. As a result, Mohs surgery is very useful for large tumors, tumors with indistinct borders, tumors near vital functional or cosmetic structures, and tumors for which other forms of treatment have failed. No surgeon or technique can guarantee 100% cure rate for skin cancer.
About the Dermasurgeon, Dr. Eric Finzi
Following his studies at Mount Sinai School of Medicine in New York where he earned his MD and PhD in biochemistry, Dr. Eric Finzi spent two years as a Medical Fellow researching causes and treatments for skin cancers at the National Cancer Institute, part of the world-renowned National Institutes of Health in Bethesda, Maryland. Dr. Finzi specializes in Mohs Micrographic Surgery for the removal of skin cancer and with his artistic eye, is known for his aesthetically pleasing cosmetic repairs to the skin.