Mohs Micrographic Surgery is a state-of-the-art treatment for skin cancer in which the physician serves as the surgeon, pathologis
tand reconstructive surgeon. Mohs Micrographic Surgery is an advanced technique and should be performed by a highly trained and experienced physician. The American College of Mohs Surgery is the only organization that requires physicians to be Fellowship trained to be a member.
Dr. Dang is both a Mohs Fellowship trained surgeon, and a member of the American College of Mohs Surgery. She has extensive training on all three sections of the Mohs Micrographic Surgery procedure, and has performed over 13,000 Mohs Micrographic Surgery cases.
To understand the benefits of Mohs Micrographic Surgery patients should understand that:
- Not all cancer cells can be seen by the naked eye
- Many “invisible” cells may form ‘roots’ or ‘fingers’ of diseased tissue that can extend beyond the boundaries of a visible cancer
- If all cancer cells are not completely removed, the cancer can re-grow, making it necessary to have it removed again
Some of the most common types of skin cancers that require Mohs Micrographic Surgery are:
- Cancers located in cosmetically sensitive or functionally critical areas around the eyes, nose, lips, scalp, ears, fingers, toes, or genitals.
- Cancers that have aggressive pathological patterns
- Cancers that are large, or rapidly growing
- Cancers that are recurrent
- Cancers that have poorly defined borders
Mohs Micrographic Surgery Procedure
Mohs Micrographic Surgery is performed on an outpatient basis in our office under local anesthesia. During the first stage Dr. Dang surgically removes the visible tumor. She then cuts a small section of skin all the way around the border of where the tumor was. This tissue is then removed, divided into sections, and color coded. The undersurface and edges of this section are microscopically examined for any evidence of remaining cancer. If cancer cells are found then Dr. Dang returns to the patient to remove another section of skin, but only from the area where the cancer cells still remain. This process is repeated until all cancer has been removed.
Recovery & Results from Mohs Micrographic Surgery
Once the microscopic analysis confirms that all cancer has been removed, Dr. Dang can immediately perform reconstructive surgery to close the wound. Mohs Micrographic Surgery helps to minimize scarring by allowing Dr. Dang to leave the maximum amount of healthy tissue intact. Dr. Dang has extensive knowledge of the skin and its healing properties, and she can produce the best cosmetic result possible. The healing process following Mohs Micrographic Surgery is similar to that of most surgical procedures. Of all treatments for skin cancer, Mohs Micrographic Surgery offers the highest cure rate. Clearance rates for Basal Cell Carcinoma and Squamous Cell Carcinoma are up to 99%.