Mohs micrographic surgery is a technique used by specially trained dermatologic surgeons to treat high-risk skin cancers. Invented in the 1930s by Dr. Frederic Mohs, it has become the gold standard of treatment for high-risk skin cancers, particularly for those on the head and neck, because of its very high cure rates. While small low-risk basal cell carcinomas and squamous cell carcinomas can be effectively treated with excision or local destruction, Mohs surgery is recommended for skin cancers in critical areas such as the central face and ears, as well as for large or deep tumors, recurrent tumors, and tumors with aggressive features under the microscope.
Mohs surgery is performed on an outpatient basis under local anesthesia. This technique differs from standard excision in that the surgeon is also the pathologist examining the tissue under the microscope. This allows the surgeon to map and evaluate 100% of the peripheral and deep margins of the specimen and precisely pinpoint any areas where cancer cells remain, ensuring that the narrowest possible margin can be removed. A specially trained histology technician prepares the sample while the patient waits, and results are usually ready within several hours. If additional tissue removal is required, that is performed immediately.
Dr. Ratner completed a two-year fellowship training program in Mohs micrographic surgery and reconstruction, and has over 25 years of experience. She has performed over 20,000 Mohs surgery cases over the course of her career, and she and her staff are committed to providing excellent, compassionate care to all of their patients.
Whatever treatment you need, Désirée Ratner, M.D., P.C., can help. Please reach out to us today at (212) 814-5884 to discuss your skin cancer situation and treatment options. We look forward to speaking with you.
