Mohs surgery is a specialized technique that involves the meticulous removal of skin cancer layer by layer, with each layer examined microscopically during the procedure. This allows for complete cancerous cell removal while preserving as much healthy tissue as possible. Traditionally, Mohs surgery has been the gold standard for treating basal cell and squamous cell carcinomas, two common types of skin cancer. While Mohs is renowned for its precision in treating other skin cancers, its use for melanoma requires careful consideration. Mohs surgery can be used for melanoma, but it’s not the standard treatment, and it’s typically reserved for specific situations.
Mohs Surgery for Melanoma: A Precision Approach
Melanoma is a more aggressive form of skin cancer with a higher potential for spreading. This has historically led to a cautious approach when considering Mohs surgery for melanoma.
When Mohs surgery is considered for melanoma, it involves the precise removal of thin layers of skin, each examined under a microscope. This meticulous approach allows for the complete identification and removal of all cancerous cells, while minimizing damage to surrounding healthy tissue.
Benefits
- High cure rate for early-stage melanomas
- Preserves healthy tissue, especially important for cosmetically sensitive areas
- Reduces the risk of recurrence
Limitations
- Not suitable for all types or stages of melanoma
- Can be time-consuming
- Requires a specialized Mohs surgeon
When Mohs Surgery May Be an Option for Melanoma
While Mohs surgery isn’t typically the first-line treatment for melanoma, there are certain scenarios where it may be considered, particularly for:
- Early-stage melanoma: Mohs surgery is most effective for melanoma in situ (stage 0) or thin melanomas (stage I) that haven’t spread deeply into the skin.
- Certain subtypes of melanoma: Lentigo maligna melanoma, often associated with chronic sun damage, may be suitable for Mohs surgery in some cases. This type of melanoma is a slow-growing type that stays close to the skin’s surface for a more extended period.
- Melanoma located on cosmetically sensitive areas: Mohs surgery’s precision can be advantageous in areas like the face or ears, where preserving healthy tissue is crucial for optimal cosmetic outcomes.
Feinstein Dermatology: Early Detection, Precise Treatment, Lasting Results
At Feinstein Dermatology, we are proud to have a team of skin cancer experts, including a board-certified Mohs surgeon, Dr. Feinstein, and a reconstructive plastic surgeon on-site. This unique combination of expertise allows us to provide comprehensive and personalized melanoma care.
- Dr. Feinstein: With over 12,000 Mohs cases performed, Dr. Feinstein has the experience and skill to meticulously remove skin cancers while minimizing scarring and optimizing cosmetic results.
- Reconstructive Expertise: Our board-certified plastic surgeon is available to perform any necessary reconstructions, ensuring a seamless and aesthetically pleasing outcome.
Your Melanoma Treatment Journey
While Mohs surgery isn’t the first-line treatment for all melanomas, it’s a valuable option in specific cases, offering a high cure rate and excellent cosmetic outcomes. If melanoma is detected, discuss all treatment options, including Mohs surgery, with Dr. Feinstein to determine the best approach for your individual situation.
Remember, early detection and effective treatment are crucial in successfully managing melanoma. If you notice any suspicious changes in your skin, don’t hesitate to contact Feinstein Dermatology for professional advice and care.
