*All authors are affiliated with the Department of Dermatology, University of Minnesota, Minneapolis, Minnesota.
All authors are affiliated with the Department of Dermatology, University of Minnesota, Minneapolis, Minnesota.
Dermatol Surg. 2019 Dec;45 Suppl 2:S142-S154. doi: 10.1097/DSS.0000000000002255.
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.
Mohs 显微外科手术（MMS）通常是皮肤癌切除的首选治疗方法，因为它最大限度地保留了正常组织，并可以与重建方法相结合，从而优化功能和美容效果。眼睑、鼻子、耳朵和生殖器上的许多肿瘤特别适合 MMS，但对皮肤科医生来说具有挑战性。
回顾在这些解剖部位执行和解释 Mohs 层的复杂解剖结构以及作者的方法。
使用 PubMed 数据库和相关搜索词对眼睑、鼻子、耳朵和生殖器的 MMS 文献进行综述。
这些部位在肿瘤切除和重建方面存在潜在的陷阱，但通过正确的技术，皮肤科医生可以最大限度地减少肿瘤复发和 MMS 并发症。潜在困难的肿瘤切除的警告信号表明何时需要采用多学科方法。
