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Surgery General d4e0e808

Moh's micrographic excision for basal cell carcinoma is used for all of the following except -

A
Recurrent Tumour
B
Tumor less than 2 cm in diameter
C
Tumors with aggressive histology
D
Tumors with perineural invasion
High-Yield Explanation
• Mohs’ technique uses serial excision in small increments coupled with immediate microscopic analysis to ensure tumor removal, yet limit resection of aesthetically valuable tissue. • Advantage: All specimen margins are evaluated. • Major benefit: Ability to remove a tumor with minimal sacrifice of uninvolved tissue. • Particular value in managing tumors of the eyelid, nose, or cheek • Indicated in large, aggressive tumors located at vital areas or recurrent tumors • Major drawback: Procedure length (Total lesion excision may require multiple attempts at resection, and many procedures may be carried out over several days) • Recurrence and metastases rates are comparable to those of wide local excision.

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