Mohs micrographic surgery, or Mohs surgery, is a precise surgical technique in which the complete excision of skin cancer is checked by microscopic margin control . The principles behind it were developed by Dr Frederic Mohs in the 1930s. It offers the highest cure rates while maximizing preservation of healthy skin tissue. Mohs’ procedure is performed by dermatologists or dermatological surgeons who are specially trained in Mohs’ micrographic surgery.

Mohs surgery is recognized as the treatment of choice for high risk basal cell carcinoma and squamous cell carcinoma. The skin cancer is progressively removed in stages with local anesthesia. After each stage, the excision margins are microscopically examined for remaining cancer cells and this process is repeated until all cancer has been removed and the wound is only closed after it has been confirmed that the entire cancer has been removed.

Mohs surgery yields higher clearance rates than standard excision, and smaller wounds — therefore better cosmetic results.

Mohs surgery is widely accepted as treatment of first choice for high risk basal cell carcinoma  and squamous cell carcinoma

Mohs’ micrographic surgery is particularly useful in the following circumstances:

  • Recurrent or previously incompletely removed basal cell carcinomas.
  • Certain subtypes of basal cell cancers that are at a higher risk of recurrence.
  • Basal cell carcinomas in areas where it is cosmetically better to remove as little healthy skin as possible eg eyelids, nose, ears and lips.
  • Basal cell carcinoma at the site of previous surgery or radiotherapy.
  • Very large tumours where removing as little healthy skin as possible can help minimise the size of the wound.
  • Squamous cell carcinoma at higher risk of metastasis (eg, located on ear, lip; with perineural   invasion; or in a patient who is on immunosuppressive treatment.

The cure rate for Mohs’ micrographic surgery is high for both primary (new) basal cell cancers and recurrent tumors .

We offer this gold-standard technique for the treatment of skin cancer.

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