Is clinical recurrence required for Mohs Micrographic Surgery?

I have Basal Cell Carcinona (BCC) in the face (upper maxilla ), and it was removed on November 22, 2008. However, the surgeon did an incomplete primary excision and the biopsy showed positive margins for BCC. I did some research, and the Mohs Micrographic Surgery (MMS) is a good option for the recurrent BCC. Do I need to have a clinical recurrence to undergo MMS?

5 answers to “Is clinical recurrence required for...”

A: mohs surgery is preferable

Jonathan Hoenig, MD

If you have skin cancer (basal cell or squamous cell), it is preferable to have mohs surgery. You do not need to have a recurrence to get mohs. What is mohs? Mohs skin cancer surgery allows for the tissue to be examined during the operation through a microscope to ensure that all of the cancer cells have been... more

A: Mohs surgery only requires skin cancer diagnosis

Shawn Allen, MD

There is no question that Mohs surgery provides the highest cure rate for the treatment of skin cancer. As opposed to standard excision performed by plastic surgeons, primary care physician's, dermatologist, etc., Mohs surgery has significantly higher cure rates. A five-year study shows that Mohs surgery... more

A: A clinical recurrence is not required for Mohs surgery.

Bryan K. Chen, MD

Mohs surgery is an appropriate method to treat an incompletely excised skin cancer on the face.  Because the margins of the excision specimen were positive for tumor, we would need to assume that if you were to wait long enough, a clinical recurrence would eventually occur, that is visible tumor would... more

A: When to get Mohs

Steven H. Williams, MD

Mohs allows for the maximal amount of tissue conservation when it comes to dermatologic cancer resections. It can be indicated for any skin cancer on the face (or any other part of the body) if resection of that tissue is likely to leave a significant scar or a scar that can alter the function of things like... more

A: No, you should probably have it now

Richard P. Rand, MD

While this doesn't substitute for a consultation with a qualified plastic surgeon, it sounds as though you might now be a candidate for Moh's. The advantage of this would be to remove all BCC with clear margins and a minimal recurrence risk while sparing as much normal tissue as possible especially on your... more

Ask your question:

IMPORTANT: As noted in our Terms of Service, the information found on RealSelf.com, including that provided by professionals in the Questions & Answers area, is a general educational aid. The Questions and Answers contain opinions and views created by community members. RealSelf.com is not responsible for the accuracy of any information posted by community members. Do not rely on this information as a substitute for personal medical or healthcare advice, or for diagnosis or treatment purposes.