Abstract
Mohs surgery is a highly specialized procedure used to treat skin cancer, especially basal cell carcinoma and squamous cell carcinoma. This technique is known for its high cure rate and preservation of healthy tissue around the affected area. This study aims to review and address the most recent updates in the Mohs surgery technique, including advances in equipment and instruments, improved treatment protocols and post-surgical reconstruction techniques, while also discussing the growing importance of this procedure in contemporary dermatological practice and its positive impact on patients’ quality of life. Mohs surgery involves the surgical removal of thin layers of cancerous tissue, followed by immediate microscopic analysis of the margins of the removed tissue. This allows precise identification of the tumor margins, ensuring complete removal of the cancer while preserving as much healthy tissue as possible. Recent updates to the technique include the use of advanced imaging techniques, such as dermoscopy and confocal microscopy, to aid in the precise identification of tumor margins prior to surgery. In addition, the development of more effective surgical reconstruction methods has improved aesthetic and functional results for patients. It is therefore concluded that Mohs surgery remains an effective option for the treatment of skin cancer, offering high cure rates and preservation of healthy tissue. Updates to the technique, including improvements in diagnostic accuracy and reconstruction options, have contributed to increasingly better results for patients undergoing this procedure.
References
BOLOGNIA, J. L., et al. (2019). Dermatology. Philadelphia, PA: Elsevier.
ELDER, D. E., & BASTIAN, B. C. (2020). Melanocytic Tumors of the Skin. Philadelphia, PA: Wolters Kluwer.
GOLDMAN, G. D., & AUSUBEL, L. M. (2018). Skin Cancer Diagnosis and Management. London, UK: CRC Press.
KITTLER, H., et al. (2016). Dermatoscopy: An Illustrated Self-Assessment Guide. New York, NY: McGraw-Hill Education.
MENZIES, S. W., & EMERY, J. (2018). Melanoma: Diagnosis and Management. Hoboken, NJ: Wiley-Blackwell.
S.S. CERNEA, G. GONTIJO, E.R. PIMENTEL, R.G. TARLÉ, J.A.S.L. FERREIRA, V.M.C. FERNANDES, et al. Indication guidelines for Mohs micrographic surgery in skin tumors. An Bras Dermatol., 91 (2016), pp. 621-627
T.J. STEWART, G. MORENO BONILLA, V.L. VENNING, S. LEE, P. FERNANDEZ-PENAS. Mohs Micrographic Surgery at the Skin and Cancer Foundation Australia, 20 Years Later (1997‐2017). Dermatol Surg., 46 (2020), pp. 165-168
E.C. LEVIN, C. CHOW, Z. MAKHZOUMI, C. JIN, S.C. SHIBOSKI, S.T. ARRON. Association of Postoperative Antibiotics With Surgical Site Infection in Mohs Micrographic Surgery. Dermatol Surg., 45 (2019), pp. 52-57
M.J. HUETHER, R.D. GRIEGO, D.G. BRODLAND, J.A. ZITELLI. Clindamycin for intraincisional antibiotic prophylaxis in dermatologic surgery. Arch Dermatol., 138 (2002), pp. 1145-1148
K.L. KREICHER, J.S. BORDEAUX. Addressing Practice Gaps in Cutaneous Surgery: Advances in Diagnosis and Treatment. JAMA Facial Plast Surg., 19 (2017), pp. 147-154
This work is licensed under a Creative Commons Attribution 4.0 International License.
Copyright (c) 2024 João Pedro do Valle Varela, Lara Gava, Yasmin Oliveira Gol de Almeida, João Pedro Forechi Rodrigues, Verena Cruz Orsi, Juliana Molina Loureiro, Julia Miranda Nobre, Shaira Salvadora Cunha Brito, Júlia Vita de Sá, Fabio Luiz Teixeira Fully