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Doctor insights on: Why Is Mohs Surgery The Gold Standard For Treating Skin Cancers

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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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Dr. Barry Rosen
4,224 doctors shared insights

Cancer (Definition)

Cancer is a group of diseases that is characterized by uncontrolled cell growth leading to invasion of surrounding tissues that spread to other parts of the body. Cancer can begin anywhere in the body and is usually related to one or more genetic mutations that allow normal cells to become malignant by interfering with internal cellular control mechanisms, such as programmed cell death or by preventing ...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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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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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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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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Mohs micrographic surgery is the gold standard for treating skin cancers. What qualifies a doctor to

Mohs micrographic surgery is the gold standard for treating skin cancers. What qualifies a doctor to

Fellowship training : While all dermatologists receive training in their residency in mohs surgery, physicians who are certified by the american colleage of mohs surgery received an additional 1-2 years of post residenct training in which they specialized in this technique. During their fellowship, mohs surgeons perform on average 1000 skin cancer surgery and similar number of complex reconstruction. ...Read more

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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

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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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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

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