Mohs surgery is a specialised surgical technique to treat skin cancers – basal cell carcinoma (BCC) and squamous cell carcinomas (SCC).
It has the highest cure rates (98-99%) from all the available treatment modalities.
It is done in stages, including lab work, while patients wait, all cancerous cells are removed, while healthy tissue is left untouched, leaving the smallest possible scar.
What it treats
Because of its high cure rate, Mohs surgery is recommended as the best treatment for anyone with high-risk nonmelanoma skin cancers (BCCs and SCCs) including:
- Basal cell cancers that have recurred after removal or have not been completely removed
- Basal cell cancers that have previously been treated with other treatment modalities including creams or radiotherapy
- Tumours in critical anatomical locations such as near the eyes, lips, ears or nose
Mohs surgery is the gold standard for treating many basal cell carcinomas (BCCs) and squamous cell carcinomas (SCCs), including those in cosmetically and functionally important areas around the eyes, nose, lips, ears, scalp, fingers, toes or genitals.
Mohs is also recommended for BCCs or SCCs that are large, aggressive or growing rapidly, that have indistinct edges, or have recurred after previous treatment. Some surgeons are also successfully using Mohs surgery on certain cases of melanoma.
Step 1: Preparation
After an initial consultation and diagnosis, you will return to the clinic for surgery. Dr Aslam will numb the area to be treated with local anaesthetic, so you will be awake during treatment.
Step 2: Layer 1 Removal
A thin layer of tissue is precisely removed. While you relax in recovery, this is processed and then analysed under the microscope by Aslam to to assess if all of the cancerous cells have been removed
Step 3: Layer 3 Removal
If any residual cancer cells are seen these are mapped and then removed from only the areas that are positive.
This stage is repeated until no further cancer cells remain.
Step 4: Skin Repair
Once all cancer cells are removed, Dr Aslam will immediately repair the treated area, using stitches where necessary. This is done with great care so you are left with the smallest possible scar. You will have a dressing to cover the treated area.
Step 5: Go Home
Immediately after treatment, you will be given after-care instructions, a follow-up appointment will be booked and you will be able to go home. At your follow up appointment your wound will be checked and any stitches will be removed.