Systematic Review of Technical Variations for Mohs Micrographic Surgery for Melanoma

Autor:	Joseph F. Sobanko, Jeremy R. Etzkorn, Kelly M. MacArthur, Jeremy S. Bordeaux, Glenn D. Goldman, Christian L. Baum, Cerrene N. Giordano, Rajiv I. Nijhawan, Todd Holmes, Jerry D. Brewer, H. William Higgins, Justin J. Leitenberger, Bryan T. Carroll, Christopher J. Miller, Stacy L. McMurray, Aimee E. Krausz, Thuzar M. Shin, Ian A. Maher, Divya Srivastava, Anna Bar, Nicholas Golda
Rok vydání:	2021
Předmět:	medicine.medical_specialty Skin Neoplasms business.industry organic chemicals Melanoma fungi Dermatology General Medicine Mohs Surgery medicine.disease Micrographic surgery Additional research Cutaneous melanoma Tumor stage Humans Medicine Surgery Radiology business
Zdroj:	Dermatologic Surgery. 47:1539-1544
ISSN:	1524-4725 1076-0512
Popis:	BACKGROUND Mohs micrographic surgery (MMS) for cutaneous melanoma is becoming more prevalent, but surgical technique varies. OBJECTIVE To define variations in published techniques for MMS for melanoma. METHODS AND MATERIALS A systematic review was performed of PubMed, EMBASE, and Scopus databases to identify all articles describing surgical techniques for MMS for melanoma. Technical details were recorded for the preoperative, intraoperative, and postoperative phases of MMS. RESULTS Twenty-four articles were included. Mohs surgeons vary in how they assess clinical margins, how wide a margin they excise on the first MMS layer, and how they process tissue to determine tumor stage and margin clearance during MMS for melanoma. CONCLUSION Mohs micrographic surgery for melanoma is performed with varied surgical techniques. To establish best practices, additional research is necessary to determine how different techniques affect outcomes.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::2a1ea494922e8933cb2be4ad1b5c95fa https://doi.org/10.1097/dss.0000000000003268 Zobrazit plný text záznamu