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Doctor insights on: Mohs Surgery Scalp

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What kind of doctor performs Mohs surgery?

What kind of doctor performs Mohs surgery?

Dermatologist: Mohs paste is a form of topical therapy used in treating more advanced forms of skin tumors such as basal and squamous Ca's. If the lesion is spread out and difficult to resect or not responsive to Efudex
Mohs, an arsenical paste is applied with margins then biopsied to assure inclusion in resection sitr ...Read more

Scalp (Definition)

Scalp is the part of the skin on the skull, deeply attached to the skull and has the hair shafts from it. Rest of the skin in the head like facial skin (beard) has only 2 layers -epidermis and dermis. Scalp has 5 different layers unlike facial skin/rest of skin all over body. Scalp-s-epidermis, c-conn. Tissue, a-aponeurosis, l-loose areolar conn. Tissue and p- pericranium attached ...Read more


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What is Mohs surgery?

What is Mohs surgery?

SurgeryForSkinCancer: It is a special and precise surgical technique in which layers of skin cancer tissues are removed and examined under magnification and usually continued until the entire cancer tissues are removed. ...Read more

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What is the definition or description of: mohs surgery?

What is the definition or description of: mohs surgery?

100% Margin Examined: Mohs surgery is a skin cancer surgery technique that allows 100% evaluation of the tumor margins (edges & depth). It involves 3 steps: 1. Tumor removal 2. Pathological evaluation 3. Reconstructive surgery. The three steps are often done by one physician who can do all three steps in the office on the same day (most of the time). It is done almost exclusively by dermatologists. ...Read more

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How effective is Mohs surgery for treating melanoma?

How effective is Mohs surgery for treating melanoma?

Fair: Mohs surgery has been used successfully int treating cutaeous basal cell and squamous Ca. The treatment of melanoma is best handled by wide resection with at least 1 cm. Margin to guarantee no recurrence. If nodular the lesion may also require node dissection. Arsenical paste applied to melanoma has been occasionally used by not all agree it is the best approach, no more than fulguration was. ...Read more

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Need tips on recovery after mohs surgery and nose reconstruction?

Need tips on recovery after mohs surgery and nose reconstruction?

Depends: On the amount of tissue needed to get clean margins, but on average a pretty smooth recovery with easily controlled pain. Many times can be done with local anesthesia so talk to your doctor about their surgical plan and expectations. ...Read more

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Myxofibrosarcoma, is mohs surgery recomended for this type of cancer and what else is usually recommended in these cases.?

Myxofibrosarcoma, is mohs surgery recomended for this type of cancer and what else is usually recommended in these cases.?

Not usually: Myofibrosarcoma are usually removed in the operating room, with frozen and permanent sections checked. This is not usually done via the mohs technique. ...Read more

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How long does it take to recover from Mohs surgery?

How long does it take to recover from Mohs surgery?

Mohs Recovery: Mohs is a specific way to remove skin cancer. Recovery depends on the size of the tumor, and how the area is closed. If the area is small, direct closure heals the fastest, followed by flaps, grafts and allowing the area to heal with sound care. Be certain to ask your dermatologist about the options, and if a plastic surgeon should get involved for your closure. Good luck and don't delay, ...Read more

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What risks and complications are associated with Mohs surgery?

What risks and complications are associated with Mohs surgery?

Minimal: The Mohs procedure itself has few complications. Occasionally a wound infection and rarely, significant bleeding. But the procedure often takes a while (local anesthesia) and may leave a cosmetic defect that requires a complicated procedure to reconstruct. (But it has a very HIGH rate of total removal of the skin cancer) ...Read more

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Why is mohs surgery the gold standard for treating skin cancers?

Why is mohs surgery the gold standard for treating skin cancers?

I disagree: It is appropriate for squamous and basal cell carcinomas. But I would never advise a patient with melanoma to undergo moh's surgery. Melanoma patients should be referred to a surgical oncologist trained in treatment melanoma. ...Read more

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What is a ballpark figure for mohs surgery on eyelid?

Variable: This procedure can be very small or end up being quite extensive. You will need some type of reconstructive surgery and that cost is separate and variable depending on what is necessary. ...Read more

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Is cica care silicone bandage effective for mohs surgery scar?

Is cica care silicone bandage effective for mohs surgery scar?

Cica-care: Cica-care◊ is a self-adhesive gel sheet that is medically proven to be up to 90% effective in the improvement of red, dark or raised scars. It can also be used on closed wounds to prevent hypertrophic scar or keloid formation. ...Read more

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Which is more effective: basal cell carcinoma excision or mohs surgery?

Which is more effective: basal cell carcinoma excision or mohs surgery?

Margins control: Mohs micrographic surgery is the gold standard for the treatment of squamous cell and basal cell carcinoma. This is because of how the tissue is processed so that nearly 100% of the margin is sampled. The process continues until clear margins are obtained during the procedure and only then is they wound repaired. It offers the smallest scar with the highest "cure rate.". ...Read more

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Had MOHs surgery Dec 1 I see a scab forming and is sore is it coming back?

Had MOHs surgery Dec 1 I see a scab forming and is sore is it coming back?

Possible: Hard to know, but it is possible. Best to have your Moh's surgeon take a look at it. They should see you back if there's a potential problem. Hope this helps! ...Read more

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How much is the cost of mohs surgery? Patient has squamos cell carcinoma and is uninsured. What kind of costs can I expect? I can't really get a straight answer out of anyone.

How much is the cost of mohs surgery? Patient has squamos cell carcinoma and is uninsured. What kind of costs can I expect? I can't really get a straight answer out of anyone.

Variable: Your dermatologist / mohs surgeon should be able to give you an estimate. Is will be a range because it is based on the number of stages required to clear the cancer as well as the type of repair required to reconstruct the surgical defect.
Many may offer payment plans, or even courtesy fee reduction if you have a financial hardship. ...Read more

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Should I have nose reconstruction after mohs surgery done by the moh's surgeon or a facial plastic surgeon?

Should I have nose reconstruction after mohs surgery done by the moh's surgeon or a facial plastic surgeon?

ENT or plastics: A moh's surgeon is a dermatologist and they specialize in only moh's surgery. An ENT or plastic surgeon is your best bet for reconstructive cosmetic surgery. Good luck. ...Read more

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99 year old has stage 0 melanoma on head. Suffering from extreme anxiety over upcoming mohs surgery. Consequences of not doing surgery?

99 year old has stage 0 melanoma on head. Suffering from extreme anxiety over upcoming mohs surgery. Consequences of not doing surgery?

Best answer: Moh's surgery is a walk in the park, even easier with a little premedication, but the best way to encourage compliance is to point out how horrible the melanoma is going to look in a few months if it's neglected. Click http://www. Tti. Library. Tcu. Edu. Tw/dermatology/mm/img0027.Jpg. ...Read more

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As I wait for appointment for the MOHs surgery my ear is scanning up and very itchy and burnt at times is there anything I can put on it??

As I wait for appointment for the MOHs surgery my ear is scanning up and very itchy and burnt at times is there anything I can put on it??

Ointment to the area: Your itching comes from the superficial irritation from the skin cancer on the surface of the ear... (I presume that is why you are having the MOHs procedure)...Bacitraacin os Neopsporin ointment may help you until you have the sugrey performed... t ...Read more

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Can Mohs surgery in sternum area, cause what feels like intermittent bone pain in sternum 5 years later? The growth was the size of a 50 cent coin.

Can Mohs surgery in sternum area, cause what feels like intermittent bone pain in sternum 5 years later? The growth was the size of a 50 cent coin.

Not the Surgery: You need medical evaluation to rule out a number of possibilities. Expect a Chest X-Ray, possibly a CT of your chest, EKG, other Cardiac testing and lab work. ...Read more

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Mohs surgery is the best way to treat skin cancers. What qualifies a doctor to be a mohs surgeon?

Mohs surgery is the best way to treat skin cancers. What qualifies a doctor to be a mohs surgeon?

ACMS members: It is important that you verify that your mohs surgeon is recognized as a fellowship-trained surgeon. Only members of the american college of mohs surgery (acms) are fellowship trained to perform mohs surgery. All members and fellows of the acms are listed on their website directory. The link to the acms website: http://www. Mohscollege. Org/. ...Read more

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So I am going for MOHs surgery tomorrow on my ear the top of my ear it's pretty big. .. Am I going to be in a lot of pain afterwards?? How am I going

Post Mohs Pain: Pain is Usually less than expected and often managed without narcotics especially if you keep your head elevated after surgery. ...Read more

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I had a basal cell cancer removed at side of my nose. Have to have mohs surgery. Will I b disgured?

I had a basal cell cancer removed at side of my nose. Have to have mohs surgery. Will I b disgured?

Hopefully Not: Mohs surgeons can do an amazing job but sometimes complex reconstructive surgery is needed. It is important to discuss the cosmetic outcome with your surgeon before the operation and to talk to a plastic surgeon if necessary. Also ask if radiation therapy is an alternative option. It is usually equally effective as surgery, requires no cutting and can leave an excellent cosmetic result. ...Read more

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I have a bcc on my nose/eye. My dr suggests mohs surgery. What is it likely to cost without insurance?

I have a bcc on my nose/eye. My dr suggests mohs surgery. What is it likely to cost without insurance?

Varies: With insurance, there is a fee for the first layer, and each subsequent stage. There is an additional cost for the reconstruction. Many practices, including those affiliated with academic centers can discuss cost and payment options. The range may be $650- $1550 or greater depending on layers and reconstruction. ...Read more

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If you have previously been diagnosed and treated for Squamous Cell Cancer (MOHS surgery), is it recommended to undergo Photodynamic Therapy?

If you have previously been diagnosed and treated for Squamous Cell Cancer (MOHS surgery), is it recommended to undergo Photodynamic Therapy?

Depends: On whether there has been a complete response to initial therapy and how deep the original lesions were. I can't give you a definite answer. You need to ask your treating physician. ...Read more

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Had a skin cancer biopsy. Told it was basal, had Mohs surgery, but doctor found no cancer! Lab was wrong, or failed to note it was all removed, no?

Had a skin cancer biopsy. Told it was basal, had Mohs surgery, but doctor found no cancer! Lab was wrong, or failed to note it was all removed, no?

Not uncommon: When a suspicious mole is removed, many times it removes all the cancer. On pathology, they may not see clear or negative margins, so they report that the edges are not clear. That means it needs to be re-excised to be sure the margins are clear. Many time on re-excision, there is no further evidence of cancer. Now you know the margins of excision are clear and therefore less likely for recurrence ...Read more

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Can you remove warts from the scalp without surgery?

Can you remove warts from the scalp without surgery?

A few options...: 65% of warts resolve on their own within 2yrs without treatment. If you like, you can try home remedies such duct tape (hair is a problem), rubbing raw garlic over then cover, tea-tree oil application etc...Have been reported with success. Otc med such as compound -w etc. If severe or persistent, consult your doc as there many treatment options. Topicals vs freezing/electrodesication etc. Good luck. ...Read more

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How much would it cost to get surgery for scalp cyst?

How much would it cost to get surgery for scalp cyst?

Scalp Cyst: Scalp cysts can cost from $150.00 to $350.00 to have surgically removed. Dermatologists remove these types of cysts all the time. Call your local dermatologist for a price. ...Read more

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After scalp removal or surgery can still work hard after a week of surgery and can I have bike, jogging, badminton, can I travel and flight. Tanx?

After scalp removal or surgery can still work hard after a week of surgery and can I have bike, jogging, badminton, can I travel and flight. Tanx?

Be kind to yourself!: After having scalp removed, you need to let your body heal from major surgery, not stress it further! Also, depending if they removed part of your skull, you may need to wear protective head gear, so nothing happens if you fall hard. Speak to your doctor or surgeon about this. I would do simple, easy things like walking versus jogging or biking or jumping around in badminton. ...Read more

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How long is it supposed to it take for face edema to go away after a minor surgery on the scalp?

How long is it supposed to it take for face edema to go away after a minor surgery on the scalp?

Depends: It would depend on the type of surgery you had done. Most edema usually resolves within the first 2-6 weeks. ...Read more

Dr. M. Christine Lee
60 Doctors shared insights

Mohs Surgery (Definition)

Mohs surgery is a skin cancer surgery technique that allows 100% evaluation of the tumor margins (edges & depth). It involves 3 steps: 1. Tumor removal 2. Pathological evaluation 3. Reconstructive surgery. The three steps are often done by one physician who can do all three steps in the office on the same day (most of the time). It is done ...Read more