651 Pioneering mohs micrographic surgery in Pakistan: A pilot study in punjab

Mohs micrographic surgery, which yields 100% clear tumor margins and smaller defect sizes compared to excision, has yet be implemented in Pakistan. Spearheading surgery Pakistan can lead lower recurrence rates, sizes, greater precision than excision. We present a clinical-epidemiologic descriptive analysis of the first surgeries conducted Clinical, epidemiologic, surgical data dates from Sept. 2021 Dec. 2022 at Holy Family Hospital (HFH) Rawalpindi, A board certified surgeon workshop on procedural requirements HFH. Four patients with biopsy-proven basal cell carcinoma squamous were selected using Appropriate Use Criteria consented (n=4). Two local city Rawalpindi. One patient was rural Murree (80km HFH) one Hassanabdal (60km HFH). Tumors ranged 8mm 80mm all located head neck. Geographic financial constraints recognized as barriers treatment (100%). All expressed concerns about large size associated traditional excision At year follow-up cases 2021, there no recurrence. Introducing shows potential for improved skin cancer cosmetically sensitive areas, demonstrated by small lack Implementing particularly tertiary hospitals, improve access dermatologic care across entire province, geographic scope this study. Lack physical integration dermatology pathology spaces within healthcare facilities poses barrier implementation substantial transit time is currently required tissue analysis. Resources should allocated develop conducive academic establish fellowship training