Mohs Surgery is a precise surgical technique used to treat skin cancers. This method involves removing cancerous tissue layer by layer while sparing as much healthy tissue as possible. The process includes microscopic examination of each tissue layer to ensure all cancer cells are removed. Initially developed for basal cell carcinoma and squamous cell carcinoma, it has gained popularity for its high cure rates and tissue-sparing capabilities.
The procedure is typically performed in stages, allowing the surgeon to evaluate the margins of the removed tissue in real-time. This ensures that all cancerous cells are excised while minimizing the removal of healthy tissue. Mohs Surgery is particularly beneficial for cancers located in areas where preserving as much tissue as possible is critical, such as the face, ears, and hands. The meticulous nature of this surgery helps in achieving clear margins with the least amount of tissue loss, making it a preferred choice for certain types of skin cancers.
Because Mohs Surgery allows for immediate microscopic examination, it offers a high success rate in treating cancers with a lower recurrence risk. The precision of this technique is especially useful in cosmetically and functionally sensitive areas, ensuring better aesthetic and functional outcomes for patients. It’s an outpatient procedure typically done under local anesthesia, making it convenient and accessible for most patients. Texas Surgical Dermatology, led by Dr. Tri H. Nguyen who is a Mohs fellowship-trained specialist, provides mohs surgery to patients in Houston, Katy, Spring, The Woodlands, Texas, and surrounding locations.
Understanding Melanoma
Melanoma is a serious form of skin cancer originating in melanocytes, the cells that produce melanin, the pigment that gives skin its color. Unlike some other skin cancers, melanoma is notorious for its ability to spread to other parts of the body, including vital organs. Early detection is critical for effective treatment and improved outcomes. Warning signs of melanoma include moles or spots that exhibit asymmetry, uneven borders, multiple colors, and a diameter larger than a pencil eraser. The presence of these characteristics should prompt an immediate consultation with a healthcare provider.
Melanoma can be influenced by a combination of genetic factors and environmental exposures, particularly UV radiation from the sun or tanning beds. Family history also plays a significant role, increasing the risk for those with close relatives who have had melanoma. Individuals with fair skin, numerous moles, or a history of severe sunburns are at higher risk and should be especially vigilant.
Treatment options for melanoma vary depending on the stage at diagnosis. For early-stage melanoma, surgical removal is often the primary treatment. More advanced stages may require additional therapies such as immunotherapy, targeted therapy, radiation, or chemotherapy.
Due to its aggressive nature, regular skin checks and prompt attention to any changes in the skin are essential. Dermatologists may use tools like dermoscopy to closely examine suspicious moles and decide if a biopsy is needed.
Can Mohs Surgery Treat Melanoma?
While primarily known for treating basal cell carcinoma and squamous cell carcinoma, Mohs Surgery is being increasingly explored for specific cases of melanoma, particularly melanoma in situ. This approach is especially useful for lentigo maligna, a subtype of melanoma often found on sun-damaged skin. By examining the margins of the removed tissue during surgery, this technique ensures that all cancer cells are excised, offering a thorough treatment option.
This method is gaining traction because it allows for the complete examination of the surgical margins, significantly lowering the risk of recurrence. For melanomas located in cosmetically and functionally sensitive areas, such as the face, Mohs Surgery offers the advantage of preserving more healthy tissue compared to traditional surgical methods. This tissue-sparing aspect is invaluable for maintaining both appearance and function post-surgery.
However, it’s crucial to consult with a specialist to determine if Mohs Surgery is appropriate for your specific case of melanoma. The expertise of the surgeon plays a pivotal role in the success of this technique, making it essential to seek out a highly qualified and experienced professional.
Advantages of Using Mohs Surgery for Melanoma
Mohs Surgery offers several unique benefits when used for melanoma, especially for cases like melanoma in situ and lentigo maligna. One significant advantage is its ability to thoroughly examine the entire surgical margin during the procedure, significantly lowering the risk of leaving behind cancerous cells. This comprehensive approach enhances the likelihood of complete cancer removal, thereby reducing recurrence rates. Another key benefit is the procedure’s precision in preserving healthy tissue. This is particularly important for melanomas located in cosmetically sensitive areas such as the face, ears, and hands. By conserving as much normal tissue as possible, Mohs Surgery helps maintain both the functional and aesthetic integrity of these critical areas. Additionally, the surgery is generally performed under local anesthesia in an outpatient setting, making it more convenient for patients. The real-time microscopic examination of the excised tissue also means that the patient can be confident that the margins are clear before the procedure concludes. This eliminates the waiting period often associated with traditional surgical methods, where tissue samples are sent to a lab for analysis. By offering immediate results, Mohs Surgery not only provides peace of mind but also minimizes the need for additional surgical interventions. The procedure’s meticulous nature ensures that any residual cancer cells are identified and removed during the same visit, contributing to its high success rates.
Limitations and Considerations
While Mohs Surgery has many advantages, it is not always the most appropriate treatment for all stages of melanoma. This technique is less effective for melanomas that have penetrated deeper layers of the skin or spread to other parts of the body. In such scenarios, treatments like wide local excision, immunotherapy, or targeted therapy might offer better outcomes. Additionally, the procedure’s success heavily relies on the surgeon’s expertise. Therefore, it’s imperative to choose a healthcare provider who is well-trained and experienced in using this technique for melanoma. Some patients may also find the step-by-step process of Mohs Surgery to be time-consuming, as it involves multiple stages of tissue removal and microscopic examination. This can result in longer procedure times compared to other surgical methods. Furthermore, the meticulous nature of the surgery may not be necessary for melanomas in areas where cosmetic and functional concerns are minimal. Financial considerations are also important, as Mohs Surgery can be more costly due to the specialized skills required and the length of the procedure. Not all insurance plans may cover the full cost of this treatment, making it crucial to verify coverage beforehand. It’s important to have a thorough discussion with your healthcare provider to understand if Mohs Surgery is the most suitable option for your specific case, taking into account all these factors.
What to Expect During Mohs Surgery
Mohs Surgery starts with the surgeon removing a thin layer of tissue from the melanoma site. This tissue is immediately taken to a lab for microscopic examination to determine if cancer cells are present at the edges. If cancer is found, another layer of tissue is removed and examined. This process is repeated until no cancer cells are detected. The step-by-step nature of the procedure can take several hours, but it ensures that all cancerous cells are excised while sparing as much healthy tissue as possible. During the surgery, you will remain awake, and a local anesthetic will be used to numb the area. Most patients find the procedure to be relatively comfortable, with minimal pain or discomfort.
Between each stage of tissue removal, you will have a waiting period while the tissue is examined. It’s a good idea to bring something to pass the time, such as a book or a device for listening to music or podcasts. After the surgery, wound care instructions will be provided to aid in healing and reduce the risk of infection. You may also be scheduled for follow-up visits to monitor your recovery and check for any signs of recurrence. The thoroughness of Mohs Surgery significantly reduces the need for additional treatments, making it an effective option for suitable cases of melanoma.
Consulting with a Specialist
When choosing a specialist for Mohs Surgery, it’s essential to verify their expertise and experience, particularly in treating melanoma. Ask about their success rates and how frequently they perform the procedure. Discuss the expected outcomes, the recovery process, and any potential risks involved. Understanding the specialist’s approach and the technology they use can also provide insight into the procedure’s likely success. Additionally, ensure the specialist is board-certified and has extensive training in Mohs Surgery. Personal comfort and communication with the surgeon are equally important, as these factors will impact your overall experience and confidence in the treatment plan. By thoroughly researching and consulting with qualified professionals, you can make an informed decision that best suits your needs.
FOR MORE INFORMATION CONTACT OUR BOARD CERTIFIED IN DERMATOLOGISTS AT TEXAS SURGICAL DERMATOLOGY IN SPRING, TX
For more information on procedures and treatments offered at Texas Surgical Dermatology PA please call 832.663.6566 or click here to contact our dermatologists. Helping patients in Houston, The Woodlands, Spring, Katy and other surrounding areas of Texas.
