Gamret A Caresse, Roberts Jared E, Srivastava Divya, Nijhawan Rajiv I
Department of Dermatology, University of Texas Southwestern Medical Center, Dallas, Texas.
Semin Plast Surg. 2024 Nov 4;38(4):264-267. doi: 10.1055/s-0044-1791563. eCollection 2024 Nov.
Mohs micrographic surgery (MMS) is a tissue-sparing skin cancer resection technique that involves 100% margin analysis. This procedure is performed in the outpatient setting under local anesthesia by dermatologic surgeons who act as both the surgeon and the pathologist. The technique allows for prompt reconstruction immediately after cancer clearance and offers the highest cure rate for many skin malignancies, including basal and squamous cell carcinoma, as well as more rare tumors. Mohs surgery effectively ensures cancer clearance while minimizing defect size and optimizing cosmetic and functional outcomes for patients. Herein we will discuss the evolution, procedure, and indications of MMS.
莫氏显微外科手术(MMS)是一种保留组织的皮肤癌切除技术,涉及100%的切缘分析。该手术在门诊局部麻醉下由皮肤科医生进行,他们同时担任外科医生和病理学家的角色。该技术允许在癌症清除后立即进行快速重建,并为许多皮肤恶性肿瘤提供最高的治愈率,包括基底细胞癌和鳞状细胞癌,以及更罕见的肿瘤。莫氏手术有效地确保了癌症清除,同时将缺损大小降至最低,并为患者优化了美容和功能效果。在此我们将讨论莫氏显微外科手术的发展、手术过程和适应症。