Victorian Dermatology & Surgery, Melbourne, Victoria, Australia.
Australas J Dermatol. 2011 May;52(2):98-103. doi: 10.1111/j.1440-0960.2011.00751.x. Epub 2011 May 5.
Mohs micrographic surgery is the preferred treatment for certain skin cancers. It had already been considerably refined prior to its introduction into Australia in 1978, refinement has continued since. Documenting the work practices of Australian Mohs surgeons serves to clarify the current role of Mohs surgery and may help tailor future Mohs fellowship programs.
A survey was conducted to investigate the characteristics and clinical practices of Australian Mohs surgeons, particularly as they relate to skin cancer management and aesthetic dermatology.
The typical Australian Mohs surgeon is male (90%), works in a group private practice (70%), and is aged 40-44 years (37%). Mohs surgery is generally reserved for tumours that are located on the head, neck, digits or genitals (98%), and flap reconstructions are the commonest repair types performed (48%). Laser and cosmetic injectable treatments form part of many Mohs surgeon's repertoires.
Australian Mohs surgeons make an important contribution to the management of skin cancer in Australia and many are skilled in laser and cosmetic procedures. The increasing number of cases performed annually and the familiarity with laser and cosmetic therapies reinforces Australian dermatologists as leaders in these important areas of dermatology.
Mohs 显微外科手术是某些皮肤癌的首选治疗方法。在 1978 年引入澳大利亚之前，它已经得到了相当大的改进，并且自那时以来一直在不断改进。记录澳大利亚 Mohs 外科医生的工作实践有助于阐明 Mohs 手术的当前作用，并可能有助于定制未来的 Mohs 研究员计划。
进行了一项调查，以调查澳大利亚 Mohs 外科医生的特征和临床实践，特别是与皮肤癌管理和美容皮肤科有关的特征和临床实践。
典型的澳大利亚 Mohs 外科医生是男性（90%），在团体私人诊所工作（70%），年龄在 40-44 岁（37%）。Mohs 手术通常保留用于位于头部、颈部、手指或生殖器的肿瘤（98%），并且最常见的修复类型是皮瓣重建（48%）。激光和美容注射治疗是许多 Mohs 外科医生治疗方案的一部分。
澳大利亚 Mohs 外科医生为澳大利亚的皮肤癌管理做出了重要贡献，许多人擅长激光和美容手术。每年进行的病例数量不断增加，以及对激光和美容疗法的熟悉程度，使澳大利亚皮肤科医生成为这些重要皮肤科领域的领导者。
