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    עמוד בית
    Wed, 02.04.25

    EDITORIALS

    IMAJ | volume 26

    Journal 11, December 2024
    pages: 712-714

    The Use and Abuse of Mohs Micrographic Surgery

    1 Mohs Surgery Unit, Assuta Medical Center, Tel Aviv, Israel 2 Adelson School of Medicine, Ariel University, Ariel, Israel

    Full article (PDF)

    Summary

    Almost three-quarters of a century ago an American surgeon named Frederick Edward Mohs, had the idea of excising skin cancers and examining the margins before the closure of the surgical wound. In this manner he thought the patient would get better treatment with the best cosmetic result.

    Mohs micrographic surgery (MMS) in its present format has been used as a surgical method for treating skin cancers for the last 70 years. The method became popular with American dermatologists 54 years ago when the original Mohs technique was modified into its fresh tissue modality [2] and in the rest of the Western world and Israel more than 35 years ago. Variations of MMS started to appear and indications for surgery also expanded. At the beginning, MMS was indicated mainly for basal and squamous cell carcinomas–nonmelanoma skin cancers (NMSC). Knowledge has been collected and today the method is applicable for a variety of other skin cancers such as melanoma in situ, microcystic adnexal carcinoma, dermatofibrosarcoma protuberans (DFSP), and other adnexal and spindle cell tumors. In this issue of the Israel Medical Association Journal (IMAJ), Landov and colleagues [3] showed the value of MMS for the treatment of DFSP.

    Full article (PDF)
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