Department of Dermatology, University of Pittsburgh; Department of Otolaryngology, University of Pittsburgh; Department of Plastic Surgery, University of Pittsburgh; Z & B Skin Cancer Center, Pittsburgh PA.
Dermatol Clin. 2023 Jan;41(1):79-88. doi: 10.1016/j.det.2022.07.008. Epub 2022 Oct 28.
Evidence supports the safety of Mohs micrographic surgery for melanoma. Because of its potential benefits to the patient in terms of very low-recurrence rates and same-day histologic confirmation of tumor removal with reconstruction of tumor-free margins of potentially smaller wounds, it should be one of the treatment options considered. The informed consent process for the patient should not be complete without a discussion of the attributes of Mohs surgery for melanoma.
有证据支持 Mohs 显微外科手术治疗黑色素瘤的安全性。由于其在低复发率方面为患者带来的潜在益处，以及当天即可对肿瘤切除进行组织学确认，并重建无肿瘤的潜在较小伤口边缘，因此它应该是被考虑的治疗方案之一。如果没有讨论 Mohs 手术治疗黑色素瘤的特点，那么对患者的知情同意过程就是不完整的。
