Braun Dermatology & Skin Cancer Center wants you to know what to expect during your Mohs surgery. Please read through the detailed steps below. If you have any questions or concerns, don't hesitate to call our office at 202-293-7618.
Steps to Treating Skin Cancer With Mohs Surgery
Outline the visible tumor or biopsy scar.
Infiltrate the site with a local anesthetic.
After debulking, or removing the obvious tumor or scar, will make a narrow incision circumferentially around the cancer. Make small marks in the skin to help maintain orientation.
Remove the area of tissue in a thin layer.
Divide the specimen and color code with different color dyes.
Process the specimen, place on slides, stain, and examine microscopically.
Mark the areas positive for cancer.
Bring the patient back to the operating room.
Make an incision around the positive area, and remove this tissue and examine microscopically.
The section of tissue will be negative for any residual basal cell carcinoma. At this point, removal of the cancer is considered complete. Turn the attention to repairing the wound now.
Evaluate the wound and choose the method of repair. Allow the superficial wounds to heal on their own, but most wounds will be sutured together.
Remove small triangles of skin from either end of the oval wound, and suture the wound edges together. The eversion or bumpiness of the wound is temporary.
Observe after nine months. There may be a scar, but it will be fairly subtle.