Abstract
MOHS Microscopically Controlled Surgery: Should it be the Routine Surgical Treatment for Non-melanoma Periocular Malignancies?
Highlights
Skin cancers, Ocular phthisis, Surgery, Malignancies, Microscopically controlled surgery a risk of choosing a margin that is too large or too small and complete removal of a tumour is the only way to ensure a cure
When we look in detail at the progressive increase in the incidence of periocular skin cancer, we can verify that there is a significant increment in the incidence of BCC, whereas the rates for SCC, sebaceous cell carcinoma, and malignant melanoma remain relatively constant [4]
The lower eyelid has a length of about 20-25 mm and a safety margin of 3 to 5 mm is usually recommended for surgical treatment
Summary
Ocular phthisis, Surgery, Malignancies, Microscopically controlled surgery a risk of choosing a margin that is too large or too small and complete removal of a tumour is the only way to ensure a cure. MMS allows the location of any residual tumour to be accurately identified, sparing unaffected tissue. Eighty percent of periorbital skin cancers settle on the lower eyelid or inner canthus.
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