Mohs Micrographic Surgery at Challenging Anatomical Sites.
Ear Neoplasms
/ surgery
Ear, External
/ anatomy & histology
Eyelid Neoplasms
/ surgery
Eyelids
/ anatomy & histology
Female
Genital Neoplasms, Female
/ surgery
Genital Neoplasms, Male
/ surgery
Genitalia, Female
/ anatomy & histology
Genitalia, Male
/ anatomy & histology
Humans
Male
Mohs Surgery
/ methods
Nose
/ anatomy & histology
Nose Neoplasms
/ surgery
Skin Neoplasms
/ surgery
Journal
Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.]
ISSN: 1524-4725
Titre abrégé: Dermatol Surg
Pays: United States
ID NLM: 9504371
Informations de publication
Date de publication:
12 2019
12 2019
Historique:
entrez:
26
11
2019
pubmed:
26
11
2019
medline:
1
4
2020
Statut:
ppublish
Résumé
Mohs micrographic surgery (MMS) is often the treatment of choice for skin cancer removal as it maximizes normal tissue sparing and can be paired with a reconstructive approach that optimizes function and cosmesis. Many tumors on the eyelid, nose, ear, and genitals are particularly well suited for MMS but can be challenging for the dermatologic surgeon. To review the complex anatomy, as well as the authors' approach to executing and interpreting Mohs layers, at each of these anatomical sites. A review of the literature on MMS of the eyelid, nose, ear, and genitals was performed using the PubMed database and relevant search terms. These sites present potential pitfalls for tumor resection and reconstruction, but with the proper technique, the dermatologic surgeon can minimize tumor recurrence and MMS complications. Warning signs for potentially difficult tumor resection can signify when an interdisciplinary approach is warranted.
Sections du résumé
BACKGROUND
Mohs micrographic surgery (MMS) is often the treatment of choice for skin cancer removal as it maximizes normal tissue sparing and can be paired with a reconstructive approach that optimizes function and cosmesis. Many tumors on the eyelid, nose, ear, and genitals are particularly well suited for MMS but can be challenging for the dermatologic surgeon.
OBJECTIVE
To review the complex anatomy, as well as the authors' approach to executing and interpreting Mohs layers, at each of these anatomical sites.
METHODS
A review of the literature on MMS of the eyelid, nose, ear, and genitals was performed using the PubMed database and relevant search terms.
CONCLUSION
These sites present potential pitfalls for tumor resection and reconstruction, but with the proper technique, the dermatologic surgeon can minimize tumor recurrence and MMS complications. Warning signs for potentially difficult tumor resection can signify when an interdisciplinary approach is warranted.
Identifiants
pubmed: 31764299
doi: 10.1097/DSS.0000000000002255
pii: 00042728-201912002-00010
doi:
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM