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M ohs moat: Peripheral cutaneous margin clearance in a collaborative approach for aggressive and deeply invasive basal cell carcinoma
Author(s) -
Vance Karl K,
Pytynia Kristen B,
Antony Anuja K,
Krunic Aleksandar L
Publication year - 2014
Publication title -
australasian journal of dermatology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.67
H-Index - 53
eISSN - 1440-0960
pISSN - 0004-8380
DOI - 10.1111/ajd.12071
Subject(s) - medicine , basal cell carcinoma , head and neck , margin (machine learning) , peripheral , frozen section procedure , skin cancer , surgery , basal cell , cancer , pathology , machine learning , computer science
Although M ohs micrographic surgery is the standard of care for large, aggressive or recurrent non‐melanoma skin cancers of the head and neck, tumours that involve deep underlying structures (including bone, parotid gland and named nerves) are impractical for extirpation under local anaesthesia. Such cases are often referred to a head and neck surgeon, who typically relies on intraoperative frozen section analysis of the peripheral cutaneous margin. Here we describe the use of the M ohs moat technique as part of a collaborative approach for the treatment of aggressive and deeply invasive basal cell carcinoma that allows an analysis of the complete peripheral cutaneous margin and results in decreased operating room and general anaesthesia time.