Is Mohs surgery serious?

Mohs surgery is generally considered very safe, but there are some risks: Bleeding from the site of surgery. Bleeding into the wound (hematoma) from surrounding tissue. Pain or tenderness in the area where skin was removed.

How long does it take for a Mohs surgery to heal?

Daily care of the wound is required. Depending upon the size, may take up to 4 to 6 weeks for the wound to heal completely, but infection, bleeding and pain are uncommon.

What is the success rate of Mohs surgery?

Since its development, Mohs surgery has been refined into the most precise and advanced treatment for skin cancer, yielding success rates up to 99 percent. Mohs surgery is so effective because 100 percent of the surgical margins are evaluated, compared with less than 5 percent by traditional techniques.

Is Mohs surgery overkill?

There isn't enough time or well-trained Mohs surgeons to treat every cancer that is diagnosed. And in some cases, Mohs surgery is overkill. Many skin cancers are small, non-aggressive, or located in areas of the body where there is a surplus of skin and removing a wider margin is inconsequential.

Does cancer return after Mohs surgery?

A basal cell carcinoma recurrence after Mohs surgery is uncommon. Mohs surgery, a very precise surgical technique, is the preferred treatment for basal cell carcinoma, especially when it occurs on the face.

What is Mohs Surgery?

Should I worry about basal cell carcinoma?

How dangerous is BCC? While BCCs rarely spread beyond the original tumor site, if allowed to grow, these lesions can be disfiguring and dangerous. Untreated BCCs can become locally invasive, grow wide and deep into the skin and destroy skin, tissue and bone.

What happens if you don't do Mohs surgery?

Without treatment, a basal cell carcinoma could grow -- slowly -- to encompass a large area of skin on your body. In addition, basal cell carcinoma has the potential to cause ulcers and permanently damage the skin and surrounding tissues.

Why is Mohs surgery necessary?

Mohs surgery is especially useful for skin cancers that: Have a high risk of recurrence or that have recurred after previous treatment. Are located in areas where you want to preserve as much healthy tissue as possible, such as around the eyes, ears, nose, mouth, hands, feet and genitals.

Why is Mohs surgery not used for melanoma?

While standard of care for non-melanoma skin cancers, Mohs surgery is used less frequently for melanoma in situ because melanoma is far more aggressive (and likely to spread) than other types of skin cancer.

Can you be sedated for Mohs surgery?

The anesthetic of choice for the vast majority of Mohs repairs is simple intravenous (IV) sedation following a brief period of propofol sedation to allow injection of painful local anesthetic.

Is Mohs surgery better than excision?

The Mohs process examines 100 percent of the tissue margins under the microscope, whereas in standard surgical excision only 1 percent of the margins are examined microscopically. Mohs surgery also conserves the greatest amount of healthy tissue, giving you the smallest scar possible.

Can I drive myself home after Mohs surgery?

Mohs surgery recovery is generally very quick due to the highly localized and generally non-invasive nature. Barring any disorienting medication, such as pain medication that might be administered, and depending on the location of the surgery, you can drive home after.

Will I need plastic surgery after Mohs?

Mohs surgery was originally created to help minimize the risk of scarring and the need for additional plastic surgery after cancer removal. However, a percentage of people who get Mohs do require plastic surgery after their skin cancer removal.

Will I get a black eye after Mohs surgery?

Swelling and bruising are common following Mohs surgery. A black eye is common with surgery around the eye or on the forehead and can be reduced by sleeping with your head elevated and using an ice pack. You should plan on wearing a bandage and avoiding strenuous physical activity for several weeks.

How long do I wear a bandage after Mohs surgery?

Your wound will be covered with a bulky bandage called a pressure dressing. This should be left in place for 24 hours and kept dry.

When is Mohs not necessary?

Mohs surgery is not necessary for all skin cancers, but it is useful when: The location of the skin cancer is near areas that are important for daily activities, like the fingers, or for appearance, like the nose; Earlier treatments have not worked; A tumor is large; and.

What is considered a large basal cell carcinoma?

The tumor is larger than 2 centimeters and may have spread from the epidermis into the dermis. Cancer does not invade the muscle, cartilage, or bone and has not spread outside the skin. It may also have high risk features such as perineural invasion.

What's worse basal cell or squamous?

Though not as common as basal cell (about one million new cases a year), squamous cell is more serious because it is likely to spread (metastasize).

Is Mohs surgery just for the face?

Mohs surgery is the gold standard for treating many basal cell carcinomas (BCCs) and squamous cell carcinomas (SCCs), including those in cosmetically and functionally important areas around the eyes, nose, lips, ears, scalp, fingers, toes or genitals.

What are the warning signs of basal cell carcinoma?

Can you ignore basal cell carcinoma?

It's very rare for a basal cell cancer to spread to other parts of the body. But if it's left untreated, basal cell cancer can grow into nearby areas and invade the bone or other tissues beneath the skin. If not removed completely, basal cell carcinoma can come back (recur) in the same place on the skin.

What is the mortality rate of basal cell carcinoma?

The prognosis for patients with BCC is excellent, with a 100% survival rate for cases that have not spread to other sites. Nevertheless, if BCC is allowed to progress, it can result in significant morbidity, and cosmetic disfigurement is not uncommon.

What does early stage basal cell carcinoma look like?

At first, a basal cell carcinoma comes up like a small "pearly" bump that looks like a flesh-colored mole or a pimple that doesn't go away. Sometimes these growths can look dark. Or you may also see shiny pink or red patches that are slightly scaly. Another symptom to watch out for is a waxy, hard skin growth.

Does basal cell carcinoma grow deep?

Basal cell carcinoma spreads very slowly and very rarely will metastasize, Dr. Christensen says. But if it's not treated, basal cell carcinoma can continue to grow deeper under the skin and cause significant destruction to surrounding tissues. It can even become fatal.