Which specialist consultations are recommended for Mohs micrographic surgery in the treatment of cutaneous squamous cell carcinoma (cSCC)?

Updated: Jul 08, 2020
  • Author: Talib Najjar, DMD, MDS, PhD; Chief Editor: Arlen D Meyers, MD, MBA  more...
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Answer

A multidisciplinary approach using Mohs micrographic surgery performed in conjunction with an otolaryngologist, a plastic surgeon, or both may aid in completely removing deeply invasive SCC, preserving a vital structure (eg, the facial nerve), and facilitating the reconstruction of a large operative defect.

For example, Mohs micrographic surgery may be used in cases of SCC of the scalp that involve bone, to establish peripheral margins to the level of the galea. This would be followed by resection of the deep margin, including bone, with the patient under general anesthesia, performed by a head and neck or plastic surgeon. A surgical focus on the deep margin and reconstruction often spares the patient hours of anesthesia time, lowering surgical morbidity.


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