If you are awaiting the results of a skin biopsy, your dermatologist might have mentioned Mohs surgery to you. However, they might not have explained what this surgery is. If you want to have your Mohs surgery questions answered, the Dermatology & Cutaneous Surgery Institute (DCSI) is here to do just that.Mohs surgery is a procedure for treating different types of skin cancer, such as basal cell carcinoma or squamous cell carcinoma. The procedure is done when the affected area is in a challenging location, has a high risk of recurrence, or if it is large or aggressive.Below, you will find common questions about this skin cancer surgery and how DCSI can help.
Does Skin Cancer Look Like a Zit?
Skin cancer can sometimes resemble pimples, especially in the early stages. If you wonder, "Can pimples be cancerous?" rest assured that most are harmless. However, some skin cancer lesions can resemble pimples. Basal cell carcinoma may look like a persistent pimple or a small, shiny bump that doesn't heal. Squamous cell carcinoma can also present as rough, raised bumps.If a pimple-like lesion persists, changes appearance, or if it bleeds or develops a crust, it's important to consult a dermatologist. You will want them to provide an evaluation and possibly complete a biopsy to rule out skin cancer.It helps to have any suspicious or non-healing bumps evaluated by a dermatologist. They can confirm or rule out skin cancer while they ensure you receive appropriate treatment. Additionally, they can help you understand how to avoid skin cancer so that, hopefully, you won’t have to go through this procedure again.
How Long Can Skin Cancer Go Undetected?
Depending on its type and location, skin cancer can go undetected for months or even years. Basal cell carcinoma, for example, grows slowly. It might initially be mistaken for benign skin conditions. Regular skin exams and awareness of changes in the skin are crucial for early detection.Prompt medical evaluation of suspicious lesions can help keep the cancer from spreading. Additionally, early diagnosis of skin cancer can improve treatment outcomes.
Can Skin Cancer Heal On Its Own?
Skin cancer does not heal on its own and requires medical intervention. Without treatment, skin cancer can grow, invade surrounding tissues, and potentially metastasize to other parts of the body. Early diagnosis and appropriate treatment are crucial to prevent complications and improve outcomes. Regular skin checks and prompt attention to suspicious lesions are vital for effective skin cancer management.
Who Invented Mohs Surgery?
Mohs micrographic surgery was invented by Dr. Frederic E. Mohs in the 1930s. Dr. Mohs, a general surgeon and professor at the University of Wisconsin, developed the technique to improve the accuracy and effectiveness of skin cancer treatment. His method of removing and examining tissue layer by layer has since become the gold standard for treating certain types of skin cancer, thanks to its high cure rate and tissue-sparing approach.
How Does Mohs Surgery Work?
The Mohs procedure involves removing the visible tumor and examining the surrounding tissue layer by layer under a microscope. This surgery is a precise technique used to treat skin cancer, particularly basal cell carcinoma. This process continues until no cancer cells are detected, ensuring complete removal while preserving as much healthy tissue as possible. This meticulous approach makes Mohs surgery highly effective for treating skin cancer with minimal scarring, especially in areas like the nose, ears, and legs.
When Is Mohs Surgery Necessary?
This type of surgery is preferred for cancers on the face, neck, hands, and other sensitive areas where preserving healthy tissue is crucial. Compared to other cancer removal options, which can leave crater-like scars, Mohs surgery typically results in smoother, less scarred skin. Dermatologists will determine the best removal option based on the cancer's characteristics and patient-specific factors.
Is Mohs Surgery Necessary for Basal Cell Carcinoma?
Have you been wondering, “Is Mohs surgery necessary for basal cell carcinoma?” Mohs surgery is often necessary for basal cell carcinoma, especially for tumors that are large, recurrent, or located in cosmetically sensitive areas. Its high cure rate and tissue-sparing technique make it ideal for treating this common type of skin cancer. While not all cases require Mohs surgery, it is frequently recommended for complex or high-risk basal cell carcinoma to ensure thorough removal and reduce the likelihood of recurrence.
Who Performs Mohs Surgery?
Mohs surgery is performed by specially trained dermatologists who have completed additional fellowship training in this technique. These dermatologists, known as Mohs surgeons, are dermatologic surgery and pathology experts. They are uniquely qualified to perform the procedure and interpret the microscopic analysis, ensuring the precise removal of cancerous tissue while preserving healthy skin.
How Long Does Mohs Surgery Take?
The duration of Mohs surgery varies, but it typically takes a few hours. The procedure involves removing and examining tissue one layer at a time. Once the tissue is removed, it will be biopsied with careful processing and microscopic analysis. If the area shows remaining affected cells, another layer removal will occur. If no additional cancerous cells are found, the area can be closed with sutures or other methods.The process of removing layers and confirming clear margins can take time. For this reason, patients should be prepared for a half-day commitment. This thorough approach ensures the highest cure rate while preserving healthy tissue.
Is Mohs Surgery Used for Melanoma?
While Mohs surgery is primarily used for basal and squamous cell carcinoma, it can sometimes be used for melanoma, particularly in situ (early-stage) melanomas. The technique is less common for invasive melanoma due to the different growth patterns and spread mechanisms. However, for some instances where melanoma is found in sensitive areas, Mohs surgery may be an effective option. A consultation with a dermatologist is essential for determining the best treatment approach.
How to Prepare for Mohs Surgery
Preparing for Mohs surgery involves several steps to ensure a smooth procedure and recovery. Patients should discuss any medications they are taking with their dermatologist, as certain drugs may need to be paused. Frequently, arranging for someone to drive them home after the procedure is advisable.Avoid applying makeup or skincare products. Wear comfortable clothing. As you don't know if the procedure will take one hour or four, bring snacks and beverages for sustenance.If the dermatologist provided any pre-operative instructions, following these directions is essential for a successful surgery.
Is Mohs Surgery Painful?
Mohs surgery is generally well-tolerated and performed under local anesthesia. The anesthetic is applied using a thin needle and numbs the area being treated. Patients may feel some pressure or minor discomfort during the procedure, but significant pain is uncommon.Post-operative discomfort is usually mild and manageable with over-the-counter pain relievers. Discussing pain management options with the dermatologist before the procedure can help address any concerns.
If You Need Mohs, You Need DCSI
At DCSI, Dr. Mounir M. Wassef and the team have years of experience in removing basal cell carcinoma, squamous cell carcinoma, and melanoma skin cancers. This has given them extensive knowledge about the best way to remove different skin cancers, including knowing when to perform Mohs surgery.If you have recently been diagnosed with basal cell carcinoma or another skin cancer, and your doctor recommended Mohs surgery, Contact DCSI online today. We can schedule an appointment for you to have this procedure done so that you can achieve the healthy, glowing skin you’ve always wanted. To learn more about DCSI and what we do, read our dermatologist blog/ There you will find articles with great information about Skin Cancer Awareness Month, Caring for Sensitive Skin, and much more. You can also call our Wellington office or give our Delray office a buzz. Whether you need Mohs surgery or you want to achieve healthy skin, DCSI is here to help you do just that.
