Commentary (Brown)—Mohs Micrographic Surgery: Established Uses and Emerging Trends

Drs. Pennington and Leffell have provided an excellent overview of the current uses of Mohs micrographic surgery. The procedure has certainly come a long way since the days of Frederic Mohs and the application of zinc chloride paste (chemosurgery). Despite the fact that it has indeed become the “gold standard” for the removal of basal cell carcinoma (BCC) and squamous cell carcinoma (SCC), there remain areas of controversy for its use in melanoma and other less common cutaneous neoplasms. As more dermatologists (and even a few nondermatologists) have become trained and gain experience in this specialized procedure, and as more communities and university teaching centers have established growing Mohs practices, the procedure has become recognized and embraced by health-care professionals and patients alike.