Dermatology Associates of Kentucky
Dermatology Associates of Kentucky

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MOHS MICROGRAPHIC SURGERY

Finding a skin cancer is the first step toward curing it. Mohs micrographic surgery is the next step. Mohs surgery is a highly specialized treatment developed by Dr. Frederic Mohs for the total removal of skin cancer.
Mohs surgery differs from all other methods of treating skin cancer because it combines intraoperative microscopic examination of the cancer with detailed mapping of the entire three-dimensional surgical margin. 

Cure Rates and Cosmetic Results are Better

The purpose of any cancer treatment is to remove all traces of tumor. Unfortunately, cancer roots are often hidden below the surface of the skin and are easily missed with traditional treatments. Because non-Mohs techniques rely on the human eye to determine the extent of disease, they may not completely remove all cancer. As a result, non-Mohs techniques are associated with cure rates of no more than 90-94%, meaning they fail to cure the cancer in at least one out of every ten to twenty surgeries. Furthermore, non-Mohs techniques also result in repeat surgeries in as many as 1 in 5 cases. By contrast, the cure rate at DAK with Mohs surgery is over 99.5%, so the risk of a treatment failure is reduced to less than one in 200 surgeries. Because Mohs surgery is so precise, the amount of tissue removed is minimized, resulting in smaller wound which heals more quickly and requires smaller reconstruction.  Our infection rate is a very low 0.3%, and our complication rate (e.g. postoperative bleeding) is an even lower 0.1%.  Our patient satisfaction scores are 98 - 100%.

Mohs Surgery is Cost Effective and Efficient

We are committed to providing the highest quality, safest care at the lowest possible cost. Our surgeries are performed entirely under local anesthesia in the outpatient ambulatory surgical center, thus avoiding the traditional costs and risks associated with general anesthesia, intravenous sedation, and hospitalization, or alternative therapies such as radiation. This reduces the cost of therapy by thousands of dollars. We examine the tissue while you wait to make sure that the cancer has been completely removed before performing any needed reconstruction. The entire procedure (anesthesia, excision, tissue examination, and reconstruction) lasts 3-5 hours. Much of that time is spent waiting in our comfortable recovery room while we prepare and examine the tissue. Dr. Blackmon examines the tissue specimens himself, and the cost of microscopic examinations is included in the surgical fees.

The tumor and margin of apparently normal tissue is removed around and below the lesion.

The removed tissue is then divided into sections which are carefully oriented on a "map".

Thin frozen tissue sections are prepared for microscopic examination.

Any fingers or roots of tumor can be seen upon examination. This procedure is repeated until all margins are clear of cancer.

 

Mohs is the Treatment of Choice for Both Primary and Recurrent Cancers

Mohs surgery is the treatment of choice for cancers located in cosmetically or functionally critical areas such as the face, neck, scalp, and hands. It is also the best approach for large, aggressive, or rapidly growing cancers and those with ill-defined edges. Because Mohs surgery is more accurate than any other approach, many cancers are sent to Dr. Blackmon after failing other attempts at therapy. These “recurrent” cancers are typically more serious and often significantly larger than they appear on the surface. The same is true for large or neglected tumors. Please be advised that these tumors typically require more time and effort to cure, and may occasionally require more than one surgery and/or referral to other specialists if deeper structures (e.g. muscle, bone, cartilage, nerves, tear ducts) are involved by cancer. Also, tumors at higher risk for “metastasis” (spread to internal organs) may require additional treatment, such as lymph node dissection, radiation therapy, chemotherapy, or immunotherapy, even after microscopically clear margins are obtained.

Our billing department will assist you in determining your deductible and co-pay obligations, which are due on the date of service. We appreciate your trust and look forward to taking good care of you.

Thank you for your time and consideration.

 

Follow the link for more information from the American College of Mohs Surgery.  LINK: http://www.skincancermohssurgery.org/

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Dermatology Associates of Kentucky
250 Fountain Court
Lexington, KY 40509
Phone: 859-263-4444

 

 

 

 

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