Mohs micrographic surgery for cutaneous malignancy of the hand & upper limb

Published Date: 06th October 2021

Publication Authors: Wain R, Lloyd-Hughes H, Tehrani H, Nayar R

Summary
Mohs Micrographic Surgery (MMS) is primarily recognised for use in facial tumours,however it should also be considered to aid excision of tumours of the hand, wherepreservation of tissue and maintenance of function are key factors. Mohs surgery canserve to facilitate decision making both by the patient and surgeon. This can be particularlyhelpful when proposing more extensive surgery, or prior to complex reconstructionwhere confirmation of tumour clearance is paramount. We use case examples with medicalimages to illustrate the advantages of MMS over conventional excision. The establishmentof an MMS hand service, delivered by a surgeon with specialist upper limb resectionand reconstructive expertise, has allowed our unit to provide optimal treatment, governance,and outcomes for this group of patients.

Wain, R; Lloyd-Hughes, H; Tehrani, H; Nayar. (2021). Mohs micrographic surgery for cutaneous malignancy of the hand & upper limb – Raising awareness of its applications and advantages. JPRAS. epub 06 Oct

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