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Cynthia Golomb, MD | Dermatology Boutique

Mohs

I’m now board certified in Mohs

· Board Certification · Comments Off on I’m now board certified in Mohs

I have great news to share.  I just passed the board certification exam for Micrographic Dermatologic Surgery.  You may know this as Mohs, a type of surgery for skin cancer that is often done on the face to retain as much non-cancerous skin tissue as possible to reduce scarring.

I am now triple board certified in Dermatology, Dermatopathology and Mohs.

This was the first year that board certification was offered for Mohs.  Eventually this certification will be required for a dermatologist to do Micrographic Dermatologic Surgery.

I perform this type of surgery on high-risk or complex skin cancers.  Cancerous tissue is progressively removed and examined until only cancer-free skin remains.  I then repair the area where the cancer was removed.

For example, I performed Mohs surgery on the patient above and then did a skin graft.  She had a basal cell cancer on her ear.  The second photo was taken 3 1/2 months after her surgeries.  Her face mask is pulling her ear forward in the “after” photo.

Mohs is ideal for treating cancer in cosmetically and functionally prominent areas such as the ears, nose, eyelids, lips, hairline, hands and feet.

The exam and board certification demonstrates that I have the knowledge, experience and skills to be a specialist in Mohs.

Does a doctor have to be board certified to practice medicine?  No.

But as a patient you want a physician who stays up-to-date with the latest developments, medicines and treatments in her specialty.  Board certification means your doctor has gone above and beyond the many years of education required for a medical license by passing the exams given by her specialty’s governing body.

Mohs Provides Higher Cure Rate for Skin Cancer

· Skin Cancer · Comments Off on Mohs Provides Higher Cure Rate for Skin Cancer

Immediately after Mohs surgery.

I performed Mohs surgery and then did a skin graft on this patient.  She had basal cell cancer on her ear.

Mohs surgery is a precise technique to remove skin cancers layer by layer resulting in a higher cure rate than standard excision or radiation therapy.

For example, basal cell carcinomas have a 97 to 99% cure rate.

Mohs also allows me to limit the size of removal and conserve normal skin to minimize scarring.  After removal, I treat the wound in a manner to promote good healing and preserve cosmetic results.

The Mohs procedure can be as short as one hour as in the case of this patient, or it can take several hours depending on the number of layers and type of repair, like a skin graft.  This patient’s skin graft took an additional hour.

This photo was taken 11 days after her Mohs surgery and skin graft.

I became very interested in Mohs during my residency and training at the University of Miami, and then later during my dermatopathology fellowship at Roger Williams Hospital at Boston University.  A dermatopathologist diagnoses skin disorders under a microscope.

Removing a tumor and examining the tissue immediately after removal was a natural for me because of my sub-specialty as a dermatopathologist.

Designed by Frederic E. Mohs, M.D., the surgery excises not only the visible tumor but also any “roots” that may have extended beneath the surface of the skin.

This procedure is most commonly used for the treatment of basal and squamous cell carcinomas, the two most common types of skin cancer, although it can also be used to treat melanoma and other types of cancer.

Mohs surgery is often recommended for recurring cancer because its results are so thorough.

My patient 3 1/2 months after Mohs and her skin graft. Her face mask is pulling the top of her ear forward in this photo.

It is ideal for treating cancer in cosmetically and functionally prominent areas such as the nose, eyelids, lips, hairline, ears, hands and feet.

Compared to other skin cancer treatments, Mohs surgery has a very high success rate. As I mentioned, basal cell carcinomas have a 97 to 99% cure rate, while squamous cell carcinomas are cured 94% of the time.

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