Who are candidates for Mohs surgery?
Mohs surgery should be considered in basal cell and squamous cell carcinoma at risk for recurrence. These factors are well known and are based on past history, type of basal cell carcinoma and location. Recurrent tumors, tumors in the “T” or “H” zone (midface and ears), large tumors (greater than 2 cm) are all candidates for Mohs surgery. In addition, certain basal cell carcinomas such as morpheaform, infiltrating, micornodular, adenoid and multifocal tumors are more likely to recur and thus are candidates for Mohs surgery. Squamous cell carcinomas can also be addressed well. With Mohs surgery some rare tumors such as dermatofibrosarcoma protuberans, microcystic adenexal carcinoma are successfully treated with Mohs surgery. We also use a modified Mohs surgery on early melanoma in selected cases. As you can see, the decision for Mohs surgery verses alternative therapies is complex. Your skin specialist can assist you in the evaluation of your lesion, including biopsy, and help you decid
