BACKGROUND Full-field optical coherence tomography (FF-OCT) is a new noninvasive imaging technique that can see down to the cellular level without tissue preparation or contrast agents. OBJECTIVE To use FF-OCT to image Mohs micrographic surgery specimens and verify the ability of a dermatopathologist to identify or exclude malignancy. MATERIALS AND METHODS Two Mohs surgeons supplied 18 Mohs...

OBJECTIVE To evaluate and compare Mohs micrographic surgery and traditional excision in terms of cost and outcomes. DESIGN We developed a computer-simulation, probabilistic, decision model to perform a cost-effectiveness analysis, with each patient serving as his or her own control. SETTING University of Connecticut dermatology clinic, a tertiary care referral center. PARTICIPANTS Input d...

Mohs micrographic surgery, which yields 100% clear tumor margins and smaller defect sizes compared to excision, has yet be implemented in Pakistan. Spearheading surgery Pakistan can lead lower recurrence rates, sizes, greater precision than excision. We present a clinical-epidemiologic descriptive analysis of the first surgeries conducted Clinical, epidemiologic, surgical data dates from Sept. ...

Nearly 80 years have passed since Frederic Mohs began to develop the technique that now bears his name. During this period, the use of Mohs micrographic surgery (MMS) has spread and taken firm hold in some countries (especially the United States, where it originated), but has been more unevenly taken up in others, specifically in Europe. Few randomized clinical trials have compared treatment op...

Basal cell carcinoma (BCC) is the most common malignancy worldwide, arising from non-keratinizing cells within the basal layer of the epidermis. The incidence of BCC continues to rise annually, increasing the burden of management of these carcinomas and the morbidity associated with their treatment. While surgical interventions such as Mohs micrographic surgery and surgical excision are the sta...

Bednar tumor is a rare skin neoplasm, considered to be a pigmented variant of dermatofibrosarcoma protuberans. Diagnosis is confirmed through histopathologic examination and immunohistochemical evaluation. Bednar tumor is aggressive locally and recurrences are frequent, but metastases are rare. The most appropriate therapeutic procedure is Mohs' micrographic surgery. The case report presents a ...

A 79-year-old woman underwent Mohs micrographic surgery (MMS) for management of a recurrent basal cell carcinoma on the left neck. The tumor was removed in two layers. Examination of the wound after MMS showed a minimally pulsatile vessel in the center of the defect. The vessel collapsed when the position of the patient was changed from supine to sitting (Figure 1). It was determined that this ...

CONTEXT Skin cancers are the most common malignancies in this country. Treatment of these tumors often involves assessment of margins, which may be performed by frozen section. OBJECTIVE This article discusses indications for frozen section, various approaches to gross examination of specimens, Mohs micrographic surgery, diagnostic pitfalls, methods to improve diagnostic accuracy, and special...

While previous research studies have examined patient-reported comfort, experience, and aesthetic satisfaction after Mohs micrographic surgery (MMS), the effect of MMS on a patient’s activities daily living (ADLs) has not been elucidated. Post-operative guidance for patients may be improved by better understanding relationship between ADLs recovery. Our study aims to measure effects ADLs, speci...