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What is Mohs Surgery?
Mohs surgery is a procedure in which the surgeon removes a skin cancer and immediately checks the margins to ensure complete removal. If the microscopic sections reveal residual cancer, the surgeon continues removing layers and checking with the microscope until all the tumor is eradicated during the same visit. The surgeon usually repairs the wound during this visit also unless it is very large or located in a delicate site such as the eyelid, in which case a plastic or ophthalmic surgeon may be consulted to close the defect.
Mohs surgery is indicated for tumors on the eyelids, nose, ears or lips, where it's important to take the least amount of tissue necessary, yet fully remove the tumor. It is also used if a cancer has recurred after a surgical procedure. Also see basal cell carcinoma, squamous cell carcinoma, and melanoma.
Where is the procedure performed?
The procedure is usually performed in a physician's office under local anesthetic. You will be able to drive yourself home.
How is this procedure different from other skin cancer surgeries?
Mohs surgery differs from other skin cancer treatments in that it permits the immediate and complete microscopic examination of the removed cancerous tissue, so that all “roots” and extensions of the cancer can be eliminated.
Is Mohs surgery covered by insurance?
Most of the time it is. You will want to be sure your physician receives precertification that it will be covered before scheduling the procedure.
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