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Nonmelanoma Skin Cancer in Patients Older Than Age 85 - Mohs Surgery Indications and Outcomes

Maisel-Campbell A, Lin KA, Ibrahim SA, et al.
Dermatologic Surgery (2022)

Open AccessJC: August 2022

This study evaluated the indications, outcomes, and decision-making considerations for Mohs surgery in patients older than 85 years with nonmelanoma skin cancer. The findings demonstrated that Mohs surgery remains safe and effective in elderly patients when appropriately indicated, though careful patient selection considering life expectancy and comorbidities is essential.

Take-Home Messages

  • •Advanced age alone should not preclude Mohs surgery; treatment decisions should incorporate tumor characteristics, patient comorbidities, and life expectancy.
  • •Mohs surgery in elderly patients can achieve excellent cure rates with minimal morbidity when cases are appropriately selected.
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Topic

Mohs Technique & Outcomes

Mohs micrographic surgery indications, outcomes, and procedural refinements

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Mohs Technique

Abstract

It has been suggested that Mohs surgery for skin cancer among individuals with limited life expectancy may be associated with needless risk and discomfort, along with increased health care costs. To investigate patient- and tumor-specific indications considered by clinicians for treatment of nonmelanoma skin cancer in older individuals. This multicenter, prospective cohort study was conducted using data from US private practice and academic centers. Included patients were those older than age...

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Literature review only. This summary is an editorial interpretation and may not reflect the complete findings of the original publication. Always refer to the full-text article for clinical decision-making.