Skin cancer is the most common type of cancer in the United States. Basal cell carcinoma makes up about 80 percent of all skin cancer cases. This type of cancer does not usually spread, but can harm nearby skin if it is not treated. There are many ways to treat it, but Mohs surgery is highly effective because it is very precise.
This article will explore what Mohs surgery for basal cell carcinoma entails and when it can help.
What is Mohs Surgery?
Mohs surgery is a surgical procedure to remove skin cancer, including basal cell carcinoma. It was created by Dr. Frederic E. Mohs in the 1930s. This technique has become one of the most precise methods for removing skin cancer.
During a Mohs surgery procedure, the doctor removes a thin layer of the cancer-infected skin. This layer is then checked under a microscope to see if any cancer cells are still present. If cancer cells are found, the doctor removes another thin layer and checks again. They will repeat this process until there are no more cancer cells remaining. The width of the skin your doctor removes will likely change as the procedure goes on.
This method is very careful and targeted. It removes all of the cancer while saving as much healthy skin as possible. This method limits scarring and ensures the cancer is completely gone.
Why Choose Mohs Surgery?
Mohs surgery for basal cell carcinoma offers several benefits that make it an unparalleled option.
High Cure Rates
Mohs surgery has cure rates as high as 99% for first-time basal cell carcinoma cases. Meanwhile, it has a 94% cure rate for recurrent cases, making it one of the most effective treatment options for skin cancer.
Tissue Preservation
Mohs surgery aims to only remove cancerous tissue and spare healthy tissue. This way, it minimizes cosmetic and functional damage. This is particularly important when treating cancers located on the face or other sensitive areas.
Immediate Results
A Mohs surgery includes real-time histological examination. Surgeons can confirm whether the cancer has been completely removed before concluding the procedure. Generally, total removal of the cancer reduces the need for additional surgeries.
Fewer Recurrences
Precise removal of cancerous cells results in lower recurrence rates compared to other treatment methods.
Key Locations and Situations Requiring Mohs Surgery
There are specific cases when Mohs surgery for basal cell carcinoma is recommended. Below, we outline the key scenarios:
1. Cancers in High-Risk Areas
Basal cell carcinomas on areas such as the face, neck, ears, lips, or around the eyes often require Mohs surgery. These areas have limited skin available for reconstruction, making tissue preservation crucial.
2. Recurrent Basal Cell Carcinomas
When basal cell carcinoma has returned after previous treatment, Mohs surgery is typically recommended. Its precision ensures thorough removal, which minimizes the likelihood of another recurrence.
3. Large or Aggressive Tumors
Basal cell carcinomas that are large, fast-growing, or have poorly defined edges can be challenging to treat. Mohs surgery is effective in completely removing these more aggressive cancers. At the same time, it saves as much healthy skin as possible.
4. Cancers with Poorly Defined Margins
For basal cell carcinomas without clearly visible boundaries, Mohs surgery is uniquely suited. The technique examines all margins microscopically. This ensures no cancerous tissue is left behind.
5. Patients with High Risk of Recurrence
Some people have a weakened immune system or genetic conditions like Gorlin syndrome. They may be at higher risk of developing recurrent basal cell carcinoma. Mohs surgery is often preferred for these patients.
The Mohs Surgery Process
Understanding what happens during Mohs surgery can ease your concerns and help you feel prepared. Here is what to expect:
Consultation and Examination
Your doctor will evaluate the lesion and surrounding area. They will also discuss your medical history and decide if Mohs surgery is appropriate.
Local Anesthesia
The procedure begins with the application of a local anesthetic. This numbs the affected area, ensuring you are comfortable throughout the process.
Layer-by-Layer Removal
The surgeon removes the visible cancer along with a thin layer of surrounding tissue. They will examine each layer under a microscope to check for cancer cells.
Complete Cancer Removal
Additional layers are removed and examined until no cancer remains. This ensures complete excision while sparing as much healthy skin as possible.
Reconstruction (if needed)
Your surgeon will discuss options for wound closure once all the cancer cells are removed. Options may range from letting it heal naturally to reconstructive surgery. The best one depends on the lesion’s size and location.
Why Trust a Board-Certified Mohs Surgeon?
The success of Mohs surgery heavily depends on the expertise of the surgeon. Board-certified Mohs surgeons, such as Dr. T.J. Giuffrida at the Dermatology and Skin Cancer Center, have undergone extensive training. They are uniquely qualified to perform these delicate procedures with precision and care.
Mohs Surgery for Basal Cell Carcinoma in Coral Gables, FL
Have you or someone you care about been given a basal cell carcinoma diagnosis? It is important to look at all the treatment options available. Mohs surgery for basal cell carcinoma is highly effective. This is especially true for skin cancers in areas that are more delicate or noticeable.
At Dermatology and Skin Cancer Center, our board-certified Mohs surgeon, Dr. T.J. Giuffrida, is here to provide expert care tailored to your unique needs. Call us today at (305) 461-2000 or use our online appointment request form to schedule an evaluation. Trust us to help you achieve the best outcome for your skin health.
We look forward to serving you!
