BACKGROUND With the continuing increase in the incidence of skin cancer, delivery of cost-efficient skin cancer treatment is a top priority. OBJECTIVE To compare costs associated with removal of skin cancers using Mohs micrographic surgery (MMS) with that using standard surgical excision (SSE) with frozen or permanent margin control in the office or an ambulatory surgery center (ASC). METHO...

A ccurate tissue orientation and precise mapping of tissue specimens are fundamental to the technique of Mohs micrographic surgery. The ideal method for tissuemappingwould allow for precise replication of both the surgical defect and the excised tissue specimens in a reliable, rapid and reproducible manner. The most commonly utilized mapping technique is a hand-drawn sketch of the tissue specim...

UNLABELLED INTRODUCTION Chemotherapy and other systemic therapies are the primary treatments for patients with unresectable, locally advanced breast cancer. The clinical application of supportive care using Mohs paste has become widespread for the purpose of improving patients' quality of life. Here, we report two cases of locally advanced breast cancer, for which the patients underwent radi...

BACKGROUND Wrong-site surgery in dermatology often occurs due to difficulty finding the initial biopsy site prior to Mohs surgery. Patients frequently present for Mohs surgery weeks to months following the initial biopsy site. Visualization of the biopsy site may become difficult at presentation due to healing. OBJECTIVE To investigate the utility of anesthetic blister induction at a su...

OBJECTIVE To learn if treatment of recurrent nonmelanoma skin cancer (NMSC) varied in different practice settings. DESIGN Prospective cohort study of consecutive patients with recurrent NMSC. SETTING A university-based dermatology practice and the dermatology clinic at the affiliated Veterans Affairs Medical Center (VAMC). Conventional therapies for NMSC were available at both sites. Patien...

BACKGROUND Mohs micrographic surgery examines all margins of the resected sample and has a 99% cure rate. However, many nonmelanoma skin cancers (NMSCs) are not readily amenable to Mohs micrographic surgery. This defines an unmet clinical need to assess the completeness of non-Mohs micrographic surgery resections during surgery to prevent re-excision/recurrence. OBJECTIVE We sought to examine...

There is little evidence that supports a high risk for SARS-CoV-2 transmission during Mohs micrographic surgery when proper personal protective equipment and strict infection control protocols are in place.