The Top Doctors Specializing in MICROGRAPHIC DERMATOLOGIC SURGERY (MDS)

Developed in 1938 by a general surgeon, Frederic E. Mohs, Mohs surgery is microscopically controlled surgery used to treat both common and rare types of skin cancer. During the surgery, after each removal of tissue and while the patient waits, the tissue is examined for cancer cells. That examination dictates the decision for additional tissue removal. Mohs surgery is the gold standard method for obtaining complete margin control during removal of a skin cancer (complete circumferential peripheral and deep margin assessment - CCPDMA) using frozen section histology.[1] CCPDMA or Mohs surgery allows for the removal of a skin cancer with very narrow surgical margin and a high cure rate. The cure rate with Mohs surgery cited by most studies is between 97% and 99.8% for primary basal-cell carcinoma, the most common type of skin cancer.[2]: 13 Mohs procedure is also used for squamous cell carcinoma, but with a lower cure rate. Recurrent basal-cell cancer has a lower cure rate with Mohs surgery, more in the range of 94%. It has been used in the removal of melanoma-in-situ (cure rate 77% to 98% depending on surgeon), and certain types of melanoma (cure rate 52%). Other indications for Mohs surgery include dermatofibrosarcoma protuberans, keratoacanthoma, spindle cell tumors, sebaceous carcinomas, microcystic adnexal carcinoma, merkel cell carcinoma, Paget's disease of the breast, atypical fibroxanthoma, and leiomyosarcoma. Because the Mohs procedure is micrographically controlled, it provides precise removal of the cancerous tissue, while healthy tissue is spared. Mohs surgery can also be more cost effective than other surgical methods, when considering the cost of surgical removal and separate histopathological analysis. However, Mohs surgery should be reserved for the treatment of skin cancers in anatomic areas where tissue preservation is of utmost importance (face, neck, hands, lower legs, feet, genitals).

Name	Address
ASHLEY RUBIN	BERNARDO DERMATOLOGY MEDICAL GROUP INC 15525 POMERADO RD , A2 POWAY, CA 92064 Map
KARL HOEGLER	ABINGTON DERMATOLOGY ASSOCIATES PC 500 OLD YORK RD , SUITE 201 JENKINTOWN, PA 19046 Map
WESLEY YU	OREGON HEALTH AND SCIENCES UNIVERSITY/UNIVERSITY MEDICAL GROUP 6355 NE CORNELL RD HILLSBORO, OR 97124 Map
ZAINAB RASHID	5424 E SOUTHERN AVE , SUITE 103 MESA, AZ 85206 Map
DANIEL ZIVONY	ADVANCED DERMATOLOGY AND SKIN SURGERY PA 16 MEDICAL PARK DR ASHEVILLE, NC 28803 Map
ALLY- KHAN SOMANI	BIELINSKI DERMATOLOGY GROUP LLC 16105 S LA GRANGE RD ORLAND PARK, IL 60467 Map
PATRICK SNIEZEK	COLORADO SPRINGS DERMATOLOGY CLINIC, P.C. 170 S PARKSIDE DR COLORADO SPRINGS, CO 80910 Map
HILDAMARI JUSTINIANO GARCIA	PR-2 KM , 2 BARRIO ALGARROBO MAYAGUEZ, PR 00682 Map
SUSAN ROPER	SUNCOAST SKIN SOLUTIONS 2467 ENTERPRISE RD , SUITE A CLEARWATER, FL 33763 Map
BRIAN KOPITZKI	MIDWEST CENTER FOR DERMATOLOGY AND PATHOLOGY PLLC 5701 BOW POINTE DR , SUITE 215 CLARKSTON, MI 48346 Map
TANYA NINO	PROVIDENCE MEDICAL FOUNDATION 101 LAGUNA RD , SUITE 100 FULLERTON, CA 92835 Map

The Top Doctors Specializing in MICROGRAPHIC DERMATOLOGIC SURGERY (MDS)

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