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Mohs is usually scheduled only on certain days in the doctors office because of the required equipment, tissue stains (dye mohs technologists, and microscopes. Most of these procedures are generally performed with the patient waiting in the office for the tissue to be read or interpreted by the mohs surgeon. Mohs micrographic surgery is usually performed in an outpatient setting like a doctors office and under local anesthetic (lidocaine). Sometimes the procedure may be performed in an outpatient surgical center with the assistance of an anesthesiologist. Rarely, it is performed in an inpatient hospital setting. You are generally in the medical office for several hours( average 2-7 hours) on the day of your Mohs procedure. Depending on how large or difficult your skin cancer is, different numbers of levels may be required to achieve clearance.
The dyed frozen pieces of skin are further examined under the microscope and a tumor map is drawn by the mohs surgeon. The freezing process allows an immediate examination of the entire tumor margin and tissue histology (microscopic examination of cells). If more cancer cells or roots are seen under the microscope, then another skin layer is removed and again examined. Each time that a skin level is removed, it is called a level. If no more cancer roots are seen, then it is called clear (no tools more tumor) and no additional levels are needed. By removing only tissue where cancer is known to be present, the technique combines a very high cure rate with good preservation of normal skin. Once the cancer has been fully removed, the mohs surgeon looks at the wound to determine the way to get the best wound repair and cosmetic result for you. Mohs is special because the entire edge and under-surface of each skin cancer layer is carefully examined under the microscope for the presence of very small cancer cells. With regular or traditional surgery only about 1 to 3 of the tumor margins are actually examined thereby increasing the chances that a small tumor root would be missed and left behind. Mohs allows for examination of 100 of the tumor margins thereby reducing the chance that tumor cells will be left behind.
micrographic surgery is a minor surgical procedure and special method of removing skin cancers using local anesthesia (numbing). The majority of cases are performed right in the physicians office. Mohs is a very precise, highly detailed technique whereby small layers of skin are removed and immediately examined under the microscope to make sure the skin cancer is completely removed. The procedure uses frozen sections of skin which are then stained with special dyes.
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What areas are treatable by mohs Surgery? What are possible complications of Mohs? Is there scarring rosacea from surgery? What are alternatives for Mohs Surgery? What about plastic surgery? What about insurance coverage and costs? how do i prepare for my surgery? can serum I smoke and drink alcohol before surgery? can I return to work or school?
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Mohs Surgery, what is Mohs micrographic Surgery (MMS)? Where can I have mohs Surgery? how long does the surgery take? What kind of physician can perform Mohs Surgery? Where can I find a doctor board certified in Mohs? Is Mohs only for skin cancer? can I remove my moles using Mohs? Am i a good candidate for Mohs Surgery? What if I have artificial joints or reuma other health issues?