American Mohs: A Critical Review

Authors: Brett M. Will1, David J. Elpern2 MD; Roy Grekin3, MD; Douglas W. Johnson4, MD Affiliations: 1 Medical Student, Georgetown University School of Medicine, Washington, DC; 2Practicing Clinical Dermatologist, Williamstown, Massachusetts; 3Department of Dermatology, Clinical Professor, University of California San Francisco School of Medicine, San Francisco, California; 4Department of Dermatology, The Queen’s Medical Center, Honolulu, HI Keywords: Mohs Surgery, Health Care Costs, History of Medicine, Practice Guidelines as a Topic, Skin Neoplasms Abstract Over 80 years ago, a medical student conceived of a novel approach to remove difficult-to-treat nonmelanoma skin cancers. The procedure, called Mohs Micrographic Surgery (MMS), has been refined over the ensuing years and now large numbers of … Continue reading

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Loss and Found

Reflections on Skin Cancer and Solar Aging Band-Aid Generation I am one in the army of older people to wear a Band-Aid on my face. One skin cancer survivor who joyfully, happily, obliviously chose a chaise-sitting, oil-basting, body-rotating, reflector-using, get-a-tan- at-any-cost younger life. So now I’m a dues-paying member of a community I didn’t ask to join.   The Reckoning I’m sitting on a park bench looking down at my hands, the backs shockingly old in the afternoon sun. The skin crinkles outward like a spider web or pieces of broken eggshells. On examination, the left hand appears more lined than the right. I wonder if the left one was … Continue reading

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Micrographic Surgery: A Patient’s Experience

My Mohs Experience Abstract: This is the personal account of a 70 year old man who underwent micrographic surgery for an ill-defined basal cell skin cancer on his temple.  It is intended to inform patients and physicians about the personal experiences and perceptions of Mohs patients.  A micrographic surgeon has added a coda. Keywords:  micrographic surgery, Mohs surgery, Mohs micrographic surgery, MMS, nonmelanoma skincancer, basal cell carcinoma, squamous cell carcinoma, illness narrative Who knows/ whose nose/ needs Mohs?  E. Dorinda Shelley Introduction:  Dermatologists see patients with nonmelanoma skin cancer on a daily basis.  Certain tumors, especially those around the nose, ears, and eyes are best handled with micrographic surgery (aka, … Continue reading

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