BACKGROUND Dermatologic surgeons rely on several methods to identify surgical sites (patients and their spouses, diagrams of surgical sites, gauze dermabrasion, biopsy-site scars, and referring physician identification), but it is not uncommon for several weeks to pass before surgery, allowing biopsy sites to become inconspicuous with healing. Practicing in a culture in which medical lawsuits c...

Drs. Pennington and Leffell have provided an excellent overview of the current uses of Mohs micrographic surgery. The procedure has certainly come a long way since the days of Frederic Mohs and the application of zinc chloride paste (chemosurgery). Despite the fact that it has indeed become the “gold standard” for the removal of basal cell carcinoma (BCC) and squamous cell carcinoma (SCC), ther...

Second intention may be the best option available to the surgeon for the healing of particular surgical defects after Mohs micrographic surgery. It often provides satisfactory cosmetic and functional outcomes. However, healing takes longer than that for other repair options, and patients may need to endure a prolonged and cumbersome course of postoperative wound care. Some healing defects may d...

Lesions in difficult locations within the auricular pavilion have been a major challenge for dermatologic surgeons, since access to their surgical approach tends to be complicated. In this article, the authors describe a case of basal cell carcinoma affecting the lower part of the left auricular concha that was resected by Mohs micrographic surgery, whose approach proved to be challenging. The ...

OBJECTIVE Mohs micrographic surgery is a specialized surgical procedure used to treat skin cancer. The purpose of this study was to better understand the profile of the patients who underwent the procedure and to determine how histology might be related to complications and the number of stages required for complete removal. METHODS The records of patients who underwent Mohs micrographic surg...