Dermatofibrosarcoma protuberans, excess pain during Mohs, and location over a cranial nerve were risk factors for aborted Mohs.
Mohs micrographic surgery (MMS) is a tissue-sparing therapy for nonmelanoma cutaneous carcinoma. Rarely (fewer than 1% of cases), MMS is aborted because of difficulties, including patient pain or concern about damage to underlying structures. To characterize the factors related to aborted MMS, this author conducted a retrospective study of 4 years of charts of patients referred to plastic surgery for reconstruction.
Of 828 cases, Mohs surgery was aborted in 14 (1.7%). Histology of dermatofibrosarcoma protuberans, significant pain during Mohs, and location over a cranial nerve were risk factors for an aborted procedure. About one third of patients had persistent tumor on subsequent excision, and about 15% had multiple excisions. No patients h…
Reviewing Author
DisclosuresConsultant / Advisory boardAmway
Editorial boards JAMA Dermatology; Dermatologic Surgery; Journal of Cosmetic Dermatology; Lasers in Medical Science; Skin Therapy Letter
Leadership positions in professional societies American Academy of Dermatology (Chair, Health Care Finance Committee); American College of Mohs Surgery (Board of Directors); American Society for Dermatologic Surgery (Board of Directors)
DisclosuresConsultant / Advisory boardAmway
Editorial boards JAMA Dermatology; Dermatologic Surgery; Journal of Cosmetic Dermatology; Lasers in Medical Science; Skin Therapy Letter
Leadership positions in professional societies American Academy of Dermatology (Chair, Health Care Finance Committee); American College of Mohs Surgery (Board of Directors); American Society for Dermatologic Surgery (Board of Directors)