Mohs micrographic surgery - 09/09/11
Abstract |
Mohs micrographic surgery (MMS) is a specialized type of minimal marginal surgery that offers cure rates superior to other options in the treatment of contiguous skin cancers in selected settings. Developed by Dr. Frederic E. Mohs, the technique originally required in situ tissue fixation before excision. Most Mohs micrographic surgeons now use the fresh tissue technique exclusively. Horizontal frozen histologic sections of the excised tumor permit more complete microscopic examination of the surgical margin than traditional methods. Residual tumor is graphically mapped and malignant extensions are pursued with staged excisions until the tumor is removed. Maximum sparing of tumor-free adjacent tissue is achieved with histologic mapping of the tumor boundaries, thus optimizing subsequent wound reconstruction. The history, techniques, indications, cure rates, and current controversies of MMS are reviewed. (J Am Acad Dermatol 1998;39:79-97.)
Le texte complet de cet article est disponible en PDF.Plan
Used with permission from Lippincott-Raven Publishers, excerpts, figures, and tables are from Shriner DL, Wagner RF, Goldberg DJ: Mohs micrographic surgery. Clinical Dermatology, Unit 37-2, 1995. |
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Reprint requests: Dr. Richard F. Wagner, UTMB Dermatology, Galveston, TX 77555-0783. |
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0190-9622/98/$5.00 + 0 16/1/90021 |
Vol 39 - N° 1
P. 79-97 - juillet 1998 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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