title: Use of the double-bladed scalpel in peripheral margin control of dermatofibrosarcoma protuberans.
abstract: BACKGROUND
  The double-bladed scalpel previously has not been cited in the published literature for use in Mohs micrographic surgery.
  
  
  OBJECTIVE
  To allow for maximum tissue conservation and greatest possible intraoperative efficiency for peripheral margin control of a massive tumor.
  
  
  METHODS
  We describe the use of the double-bladed scalpel during Mohs surgery for peripheral margin control of a large dermatofibrosarcoma protuberans (DFSP).
  
  
  CONCLUSIONS
  While not necessary for the majority of routine Mohs cases, utilization of the double-bladed scalpel may be timesaving, especially when used for peripheral margin control of a massive tumor.
authors.affiliation: Department of Dermatology, Columbia University, College of Physicians and Surgeons, New York, New York, USA.
authors.forename: M
authors.initials: M
authors.lastname: Moossavi
authors.forename: M
authors.initials: M
authors.lastname: Alam
authors.forename: D
authors.initials: D
authors.lastname: Ratner
mesh_terms: D000328:Adult; D018223:Dermatofibrosarcoma / Q000601:surgery*; D005260:Female; D006801:Humans; D015580:Mohs Surgery / Q000295:instrumentation*; D012878:Skin Neoplasms / Q000601:surgery*; D013525:Surgical Instruments