BACKGROUND Processing multiple tissue sections in large Mohs cases is time consuming and labor intensive. OBJECTIVE To present innovative laboratory techniques to facilitate processing of large Mohs cases. METHODS A method for processing a large dermatofibrosarcoma protuberans Mohs case is outlined. RESULTS Modifications in tissue processing and equipment employed in a large Mohs case are...

There is an enormous amount of literature pertaining to the subject of Mohs surgery, ranging from its various indications to therapeutic results. One constant limiting factor in this body of knowledge, however, is the scarcity of randomized, controlled studies comparing Mohs surgery with other effective therapeutic modalities. Obviously, it is hard to gather solid scientific evidence in favor o...

Mohs surgery is considered ideal treatment for many types of skin cancers. Developed by Dr Frederic Edward Mohs (1910-2002), Mohs surgery allows all surgical margins to be viewed microscopically, ensuring no cancer cells go unremoved, yet it failed to achieve immediate acceptance when first introduced in the 1940s. A catalyst to the widespread acceptance of Mohs surgery occurred with the work o...

BACKGROUND The conventional technique for cancer resection margin analysis studies only 0.1% of the surgical margins. Complete frozen section margins - also known as Mohs margins - allows for analysis of 100% of the surgical margins. METHODS The objective of our study is to compare oral cavity cancer loco-regional recurrence rates when treated by total frozen sections technique (Total Mohs ma...

BACKGROUND Mohs surgical technique allows a full view of surgical margins and has a reported cure rate approaching 100%. METHOD A survey amongst Mohs surgeons was performed to assess operator technique. In addition, an animated clay model was constructed to identify and quantify tissue movement seen during the processing of Mohs surgical specimens. RESULTS There is variability in technique ...

OBJECTIVE To compare the cost and margin adequacy of Mohs micrographic surgery (Mohs) and traditional surgical excision (TSE) for the treatment of facial and auricular nonmelanoma skin cancer (NMSC). DESIGN Prospective cost analysis with each patient serving as his or her own control. SETTING Study was performed from 1999 to 2001 at the University of Connecticut dermatology clinic, a tertia...

Mohs micrographic surgery is applied as the primary method of treatment for various cutaneous neoplasms. Many other methods that are modified applications of Mohs micrographic surgery have also been suggested. We introduce a technique, which is a modified vertical method of Mohs micrographic surgery using the double-bladed scalpel.

Mohs micrographic surgery is a tissue-sparing technique that allows for excision of cutaneous tumors under complete microscopic margins control. Mohs surgery boasts high cure rates and maximum tissue conservation. We introduce the double-blade scalpel in Mohs surgery as a timesaving and easy way to harvest tissue strips of uniform width and therefore increase the intraoperative efficiency of th...

Mohs chemosurgery, using the fixed-tissue technique, was proposed for the treatment of melanoma by Frederic Mohs in 1950.[1] In numerous publications since, Mohs reported cure rates at least comparable to those obtained with the conventional surgical therapies of the time. Initially, Mohs believed that the in situ tissue fixation with zinc chloride paste inherent in the fixed-tissue technique w...

BACKGROUND Telepathology is an expanding technology in multiple fields for remote pathology diagnosis and consultation. The use of telepathology in Mohs surgery has been very limited. OBJECTIVE To describe the clinical experience of using a telepathology system for intraoperative consultations on difficult frozen sections during Mohs surgery. MATERIALS AND METHODS Intraoperative consultatio...