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Cirugía micrográfica de Mohs en tumores malignos de piel Micrographic Mohs's Surgery in Malignant Skin Tumors

Cirugía micrográfica de Mohs en tumores malignos de piel Micrographic Mohs's Surgery in Malignant Skin Tumors,Jorge Ocampo-Candiani,Luz Marcela Vidaur

Cirugía micrográfica de Mohs en tumores malignos de piel Micrographic Mohs's Surgery in Malignant Skin Tumors  
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Summary Background: Mohs surgery is an specialized surgical technique for skin cancer treatment, it uses frozen horizontal sections for precise microscopic margin control, and it offers superior cure rates than traditional treatment options. Our purpose was to study the cure rate and epidemiologic characteristics of the patients with skin cancer treated with Mohs surgery from 1992-2002. Materials and methods: We reviewed the clinical files of 130 patients with skin cancer treated with Mohs Surgery at Dermatology Department of Hospital Universitario from 1992-2002. Sex, age, histological type, anatomic site, number of stages and sections, type of surgical repair and recurrence were reviewed. Results: This group included 130 patients, 115 patients with Basal Cell Carcinoma (94 primary and 21 recurrent tumors) and 15 Squamous Cell Carcinoma cases (11 primary and 4 recurrent tumors). The treatment of these tumors required from I to IX stages, and from 2 to 28 sections. The surgical repair required different techniques. We had recurrence in four of these patients, all with BCC infiltrating type, 3 primaries and 1 recurrent tumors. Conclusion: Micrographic Mohs surgery is effective for the treatment of malignant skin tumors, achieving a cure rate better than previous reports with the traditional surgical treatment.
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