Surgical Dermatology


Mohs

Mohs Micrographic Surgery: Mohs Micrographic Surgery is an excellent tissue preserving treatment performed on skin cancers that involve large areas and cosmetically sensitive areas on the face, such as the nose and around the eyes and ears. It was developed by Dr. Frederic Mohs at the University of Wisconsin in the 1930’s and is now practiced throughout the world.

It differs from other skin cancer treatments in that it permits the immediate and complete microscopic examination of the removed cancer tissue so that all the roots and extensions of the cancer can be found and eliminated. Mohs surgery has the highest reported cure rate of all treatments of skin cancer.

It is not necessary to treat all skin cancers with Mohs surgery. Mohs surgery is reserved for skin cancers that have recurred (grown back again after previous treatment), or at high risk for recurring or which are located in cosmetic areas where preservation of the maximum amount of normal skin is important.


Excisions

Excision refers to removal of a skin lesion by completely cutting it out.

A common reason why skin lesions are excised, is to fully remove skin cancers such as basal cell carcinoma, squamous cell carcinoma or melanoma. If the cancer is not cut out it may spread to the surrounding skin and to other parts of the body (metastasize). Other reasons that skin lesions are excised include cosmetic appearance, to remove an inflamed lesion, or recurrent infection.


ED&C

(ED&C) stands for Electrodessication and Curettage. Electrodessication and curettage is a common procedure most often used to treat basal cell carcinomas and some squamous cell carcinomas. Skin cancer cells are scraped away using a special instrument called a curette and an electric current delivered via a metal tip is used to locally burn away remaining skin cancer cells.