What is Mohs Surgery?


Joshua Lane, M.D.


Mohs Micrographic Surgery is the most ad- vanced and effective procedure for the treat- ment of skin cancer. The technique is performed by surgeons who completed for- mal fellowship training after a dermatology residency.


skin cancer has been removed. The immediate and complete microscopic examination of excised tissue differentiates Mohs surgery from other cancer removal procedures. Cancer- ous tissue is removed with minimal disruption of normal skin, minimizing the post-opera- tive wound size and the risk of recurrence while maximizing the cosmetic outcome. Mohs surgery can be used for nearly all types of skin cancer. It is specifically indicated


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for skin cancers of the head, neck, hands and feet, in addition to other areas. It is also especially useful for the treatment of previously treated and/or recurrent skin cancers. Mohs surgery is usually performed on an outpatient basis, in one day, under local anes- thesia for both cancer removal and reconstruction. Training in Mohs micrographic surgery involves an additional one to two years of


formal training after residency. The Mohs micrographic surgery fellowship match is coordinated through the San Francisco Matching Program along with 13 other specialty fellowship matches, including facial plastic surgery, ophthalmology, neurosurgery and pediatric otolaryngology. Fellowship training involves extensive training in Mohs micrographic surgery,


cutaneous oncology, dermatopathology, wound care, anatomy and reconstructive surgery. The American College of Mohs Surgery (www.mohscollege.org) sponsors the fellowship-matching process and offers the only route of formal training for this specialty. There are currently only 30 fellowship-trained Mohs surgeons in Georgia. Dr. Joshua Lane is one of these 30 fellowship-trained Mohs surgeons and the only one in Columbus. He remains active in the academic community as faculty at Emory University School of Medicine in the Department of Dermatology in addition to over 100 publications in peer-reviewed medical journals, textbooks and textbooks chapters. Patients deserve the highest quality of care, which is what Dr. Lane delivers to the Colum- bus area. For more information on Mohs surgery, call Lane Dermatology at 706-322-1717.


August 2012 Columbus and the Valley


ohs micrographic surgery is a highly precise and effective surgical technique that allows for the removal of skin cancer. This technique involves the sys- tematic removal and microscopic analysis of thin layers of tissue until all of the


Initially developed by Dr. Frederic Mohs, the state-of-the-art technique has been con- tinuously refined. The Mohs surgeon is able to detect skin cancer beyond the visible disease to precisely identify and remove the entire tumor layer by layer, while leaving surround- ing healthy tissue intact and unharmed, min- imizing the risk of recurrence and lessening the potential for scarring or disfigurement.


Because the physician is specially trained in surgery, dermatopathology and reconstruc- tion, Mohs surgery offers the highest cure rate for the treatment of skin cancer—up to 99%. It is the treatment of choice for skin cancers of the face and other sensitive areas as it relies on the precision of microscopically controlled surgical margins to trace the edges of skin cancer and ensure the complete removal of all tumor during the initial surgery.


Clinical studies conducted at various national and international medical institutions demon- strate that Mohs surgery provides 5-year cure rates exceeding 99% for new cancers and 95% for recurrent cancers.


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