Mohs surgery is not new – it was developed in 1938 by Frederic E. Mohs, a general surgeon. However, with advances in instruments, this meticulous technique continues to advance. The Mohs procedure can now be used for the treatment of a broader range of skin cancers, with excellent cure rates and minimal tissue trauma. Associates in Dermatology brings this service to patients throughout the Westlake, Middleburg Heights, and Lorain, OH area.
Understanding Mohs micrographic surgery
Mohs surgery involves the removal of a very thin layer of skin from the lesion. The borders are dye-mapped, and the specimen is examined under magnification. If necessary, margins are adjusted, and another layer removed. The process is repeated until no cancer cells are found, leaving only cancer-free tissue.
Traditional skin cancer surgery generally requires removal of a significant margin around the lesions, to ensure that all cancer cells are taken. This can leave a larger surgical site. The objective of Mohs surgery is to eliminate
Today, Mohs surgery can be appropriate for basal cell carcinomas, squamous cell carcinomas, some melanomas, and other less common skin cancers. With a success rate of about 99 percent, Mohs is usually the preferred treatment for high-risk cancers , large or aggressive lesions, skin cancers with hard-to-define borders, or cancers that have recurred following other treatment.
Benefits of having Mohs surgery in Westlake, OH
- In-office procedure
- Only local anesthetic needed
- Smaller wound
- Faster healing
- Peace of mind
- High cure rate
How long does Mohs surgery take? That is specific to your case. However, with this technique, you are spared the anxiety of waiting for biopsy results or having to come back for additional surgery. When you leave our office, you can be confident that all cancer cells were removed.
Call (440) 482-8323 for a consultation to learn more about Mohs surgery at Associates in Dermatology in Westlake, OH. Our Dr. Paul Hazen is board-certified in Mohs Micrographic Surgery and Oncology.
Skin cancer advocates stress importance of early detection, prevention
Tiffany Tarpley: I’m working to make sure that you are aware of issues that impact your health. But somewhere around the corner, we’ll be spending a lot more time in the sun, but too much sun exposure raises your risk for skin cancer. It’s the most common type of cancer in the United States. It’s also one of the most preventable, but most skin cancer cases go undetected until it’s too late.
Dr. Mihir Shah: We will diagnose about 200,000 melanomas and there’ll be about 10,000 deaths from melanoma. There’ll be 5 million non-melanoma skin cancers diagnosed this year. And that’s more than every other cancer combined.
Tiffany Tarpley: As National Skin Cancer Awareness Month wraps up. I spoke with a local dermatologist and skin cancer survivor about the importance of checking your skin year round.
Dr. Mihir Shah: How are you?
Narrator: Mary Conley lives in Brook Park, and she visited her dermatologist last June for a regular checkup. During the appointment, her doctor noticed something abnormal.
Patient: She examined me, looked everything over when she went up to my face and she said, I’m not real happy with this. The spot was right here. Uh, on the side of my nose.
Narrator: Mary had a biopsy a few days later.
Patient: They Called me and they said that, uh, it was skin cancer and they needed to do some surgery.
Narrator: Mary was diagnosed with basal cell skin cancer. The most common type
Dr. Mihir Shah: Basal cell carcinoma is not as deadly compared to melanoma. Um, now it is something we recommend treating because it will continue to grow. It bleeds, it becomes painful.
Narrator: Mary was referred to Dr. Mihir Shah, a dermatologist and reconstructive surgeon in Westlake for MOS surgery.
Dr. Mihir Shah: Mos surgery is basically where we remove the cancer, and then once we know the cancer is out, we put stitches in to get that patient put back together.
Narrator: The surgery was a success. But Mary says the experience was frightening.
Patient: It was, it was scary. It really was. Um, you never realize how vain you are until they’re chopping up your face. My goodness, By the time they finished cutting, it was pretty big. The whole, in my face.
Tiffany Tarpley: I think they said quarter, quarter Size.
Patient: It was devastating. It really, really was.
Narrator: Mary tells me she never paid attention to her skin, despite spending a lot of time in the sun for decades.
Patient: In the early sixties, nobody really realized, you know, the dangers of the sun. We’d just lay on the beach and cook like from 10 o’clock in the morning until 4 o’clock in the afternoon.
Tiffany Tarpley: So what about now?
Patient: Since the surgery, I don’t even go in my yard without a sun hat, glasses, and sunblock.
Narrator: Dr. Shah says, anyone can develop skin cancer no matter your age or skin tone, but skin cancer is easily preventable.
Dr. Mihir Shah: We usually recommend wearing a sunscreen every single day at least in SPF 30. But higher is better if you can try and avoid the peak hours of the day. So usually, you know, between 10 and 2, that’s when the sun is kind of the strongest.
Narrator: Dr. Shah also suggests checking your skin for unusual spots every month.
Dr. Mihir Shah: If you notice something that’s changing or growing, if you have one that really sticks out to you, you wanna bring that to our attention. That way we can look at it and really make sure that it’s nothing to worry about.
Narrator: That’s advice Mary hopes everyone will listen to.
Patient: I think it’s important for people not to just go, oh, it’s just a little freckle. Um, haven’t looked at. You can’t be too careful. You really can’t.
Narrator: Since Mary was treated for basal cell skin cancer early, the chances of it coming back are very low.
Patient: And I feel doubly blessed because I am a survivor, breast cancer 27 years ago.
Tiffany Tarpley: Oh, wow.
Patient: And a recent survivor of bladder cancer. So I am, I am a walking miracle. God has definitely blessed me.
Tiffany Tarpley: Well, this morning I’m also following a major study out of Cleveland Clinic that looks at the connection between your genetics and developing skin cancer researchers started by creating a registry of patients with a family history of melanoma or other types of cancer. The study found that 10% to 15% of those patients had a gene mutation that makes them susceptible to developing cancer. Doctors suggests getting tested for the gene if a first degree relative has been diagnosed with melanoma in the past. Testing may make it easier for doctors to treat the cancer.
Dr. Joshua Arbesman: Some of the genetic changes in certain genes may affect treatment for, for the melanoma or the cancers that the patients may develop. That there are certain new treatments that actually are better or work better in patients that have a genetic change in one of these genes.
Tiffany Tarpley: While things like adequate sun protection play a huge role in preventing skin cancer, this study indicates genetics may just as play just as big of a role here. So I think it’s just important, right, awareness for all of us to remember to put on that sunscreen, no matter our skin tone, skin complexion, it’s important that we protect ourselves in.
