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How to Tell if This Skin Cancer Surgery Is Right for You

如果您已被诊断出患有皮肤癌,您可能会担心如何处理它以及是否有明显的疤痕。经常,皮肤癌可以用局部化疗霜或简单的外科手术除去。这些方法适用于许多类型的皮肤癌,特别是当病变小时,或者在手臂,腿部或后备箱上的不那么可见的区域时,疤痕可能不那么明显。

但有时候,一个调用的程序Mohs surgeryis a better choice. Mohs surgery, named after the doctor who pioneered the technique in 1936, is a specialized, layer-by-layer skin cancer removal technique. With it, you can remove the skin cancer lesion with narrow margins. “Usually, one to two millimeters are all that’s required to start,” saidJoshua Tournas,MD,一种专门从事Mohs手术的皮肤科医生主頁(欢迎您)横幅健康诊所在阳光城,AZ。莫赫斯手术平均是高度准确的,它具有99%的治愈率。

你可以用莫赫斯手术治疗什么类型的皮肤癌?

外科医生通常为基础和鳞状细胞癌选择MoHS手术,特别是当它们在头部或颈部或颈部或更大时的侵略性时。“莫赫斯手术可以用于早期阶段的越来越多的证据黑色瘤塔斯纳斯博士也说,头部和颈部也是如此。

莫赫斯外科医生可能与其他外科医生合作,如复杂的案例,例如眼睑边缘的肿瘤,每毫米计数。

What’s the Mohs surgery process like?

Mohs手术是您在医生办公室的一体化任命。你早上到了入住,完整的文书工作,并检查了你的生命体征。

何时开始该程序时,您的医生将注入局部麻醉剂并移除肿瘤加上它周围健康皮肤的微小余量。“我们在肿瘤周围开始狭窄,如果我们必须这样做。斯塔纳斯博士说,我们希望为给定量的皮肤癌造成最小的伤口。“

After the tumor is removed, the surgeon sends it to a technician who freezes it, cuts it into thin horizontal slices and prepares it for evaluation. Your Mohs surgeon then examines the sections of the tumor under a microscope. “We cut and prepare the sample to get a 100%view of the edges and the base,” Dr. Tournas said. You’ll need to wait 30 to 60 minutes while the technician processes the sample and the surgeon evaluates it.

If there are still signs of the tumor, your doctor can remove a bit more tissue from the exact spot shown by the sample without needing to remove any additional healthy tissue than necessary. On average, it takes 1.6 tries to remove a tumor completely. So, it’s likely your surgeon will complete the procedure in one to two attempts.

Once your tumor is entirely removed, your surgeon will repair the surgical site. Depending on the site and its size, you might need the wound sutures in a straight line, or perhaps a skin graft. Occasionally, your wound can even heal on its own.

“通过莫赫斯手术,同一位医生正在击中所有的接触点 - 你看到人的癌症和显微镜下面,然后追随它开始结束,”赛马斯博士说。

大多数人花费大约半天完成莫赫斯手术。“当你离开那一天时,你知道你的癌症不会回来的99%,”赛马斯博士说。通过传统的手术,一旦你的肿瘤被移除,你必须等待三到七天,了解它是否完全成功。

Because Mohs surgery is performed under local anesthetic, you avoid the cost and complexity of general anesthesia. Plus, Mohs surgery is an option for people who aren’t healthy enough to undergo general anesthesia.

你怎么能找到一个表演Mohs手术的外科医生?

你的皮肤科医生可能建议surgeon. If you need to find someone on your own or you would like to check credentials, ask if they are fellowship-trained in Mohs surgery or procedural dermatology and if they are a member of the美国莫赫斯学院手术博士博士说。“这是确保您的Mohs外科医生在皮肤科居住后所需的额外培训成为该领域的专家所需的最佳方式。”

底线

对于某些类型的皮肤癌,MOHS手术可以去除肿瘤,保持身体正常运作并保持皮肤的外观。如果你愿意与皮肤科医生联系评估你的皮肤,伸出横幅健康。主頁(欢迎您)

这些文章可以帮助您了解有关保护和治疗皮肤的更多信息:

Dermatología. Cáncerde Piel.

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