Microscopically-controlled surgery involves removing
thin layers of skin and examining them under a microscope. This procedure is a
skin-preserving facial reconstructive surgery. The remaining skin flaps or
grafts are joined together with small sutures.
Also
Known As:
- Microscope
surgery
- Mohs surgery
- Facial
reconstructive surgery
Conditions
Treated with Microscopically-Controlled Surgery:
Microscopically-controlled surgery may be performed
in cases of melanoma, squamous cell carcinoma, basal cell carcinoma, Merkel
cell carcinoma, Bowen disease, actinic keratosis and to perform cosmetic
changes to the face.
Non-surgical alternatives to
microscopically-controlled surgery include cryotherapy, chemotherapy cream,
photodynamic therapy and immune response therapy. Surgical alternatives to the
procedure include radiation therapy, skin cancer surgery and curettage and
electrodessication.
Anesthesia
with Microscopically-Controlled Surgery:
Microscopically-controlled surgery is performed with
a local anesthetic. A general anesthetic may be used for more invasive
procedures.
Potential
Complications from Microscopically-Controlled Surgery:
Possible risks following microscopically-controlled
surgery include infection, swelling, scarring, bleeding and a negative reaction
to the anesthesia. It is also possible for the cancer to not be completely
removed.
Prognosis
after Microscopically-Controlled Surgery:
The prognosis for a positive end result following
microscopically-controlled surgery is good. In about 50 percent of patients,
skin cancer returns.
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