A key difference between routine excisional surgery and Mohs surgery is that Mohs is carried out in stages in accordance with lab results determined by your pathology-trained surgeon at each stage. This helps to make the Mohs procedure safer, less invasive, and more precise. The lab work in Mohs surgery is efficiently completed on-site rather than the sample being transferred to a lab.

A doctor with specialization in Mohs surgery, reconstructive surgery, and pathology will first draw some markings with ink around the lesion to guide the treatment. After local anesthetic is administered, it is followed by precise removal of the thinnest possible layer of cancerous tissue using a scalpel.

The tissue will be oriented, frozen, cut onto a slide, and stained. The Mohs surgeon will then examine these slides with a microscope. If they spot any remaining cancer cells, they will remove another thin layer of tissue from the locations where the cancer cells remain.

The surgeon will repeat this process until the edges of the last tissue sample are completely cancer-free. When this happens, the surgeon will suture the wound in a cosmetically elegant fashion. As Mohs surgery has a high cure rate, it is now recommended as an ideal treatment for non-melanoma skin cancers categorized as high-risk.

You should choose an experienced surgeon for Mohs skin cancer surgery in Lansdale PA. Dr. Aradhna Saxena is fellowship-trained in Mohs surgery and has been practicing in Lansdale and Fort Washington, 2 northwestern suburbs of philadelphia, for 10 years.

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