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Mohs Micrographic Surgery for Invasive Cutaneous Melanoma

O'Hern K, Crum OM, Demer AM, et al.
Dermatologic Surgery (2024)

JC: August 2024

This study evaluated the use of Mohs micrographic surgery for invasive cutaneous melanoma, analyzing cure rates, recurrence patterns, and outcomes compared with standard wide local excision. The data supported Mohs surgery as a viable option for melanoma, particularly at sites where tissue preservation is critical, with comparable oncologic outcomes.

Take-Home Messages

  • Mohs surgery for invasive melanoma demonstrates comparable oncologic outcomes to wide local excision with superior tissue conservation.
  • MMS is especially advantageous for melanoma on the head and neck where standard excision margins would result in significant morbidity.

Topic

Melanoma

Melanoma margins, SLNB, staging, Mohs for melanoma in situ

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Abstract

Mohs micrographic surgery (MMS) is increasingly used to treat cutaneous melanoma. However, it is unclear whether intraoperative immunohistochemistry (IHC) improves surgical outcomes. To determine whether intraoperative IHC during MMS and staged excision is associated with a decreased risk of poor surgical outcomes. Search of 6 databases identified comparative and noncomparative studies that reported local recurrence after MMS or staged excision with or without IHC for melanoma. Random-effects...

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.