Mohs micrographic surgery miscellaneous indications

Abstract

Mohs micrographic surgery (MMS) is a technique that allows examination of all surgical margins of the excised skin lesion. It is a well-established treatment for high-risk basal and squamous cell carcinomas yielding unsurpassed cure rates. MMS is also employed to treat melanomas and certain uncommon tumors such as dermatofibrosarcoma protuberans, microcystic adnexal carcinoma, Merkel cell carcinoma, sebaceous carcinoma, desmoplastic trichoepithelioma, extramammary Paget’s disease and atypical fibroxanthoma. This article will review the evidence for MMS in the management of these less common indications.