[Mohs Micrographic Surgery for the management of basal cell carcinoma: experience at the Nîmes Univeristy Hospital].
OBJECTIVE
The goal of this work was to assess the validity of Mohs Micrographic Surgery (MMS) for basal cell carcinoma (BCC) in a routine clinical setting.


METHODS
Our adaptation of the technique described by Mohs and coll allows intraoperative histological examination of all surgical edges of the resection. Sixteen men and 4 women were selected.


RESULTS
Average operative time was 2 hours 30 minutes. No false results were noted. The cosmetetic and functional outcomes were good.


CONCLUSIONS
MMS is a safe and reproducible surgical technique made possible by solid team work. It is adapted for the treatment of BCC with a high risk of recurrence. The cosmetetic and functional results are quite satisfactory. The recurrence rate at 5 years is 10 times less than with other methods of treatment. The additional time required for this surgery be put in balance with the number of tumors for which a second intervention would have been necessary if conventional surgery had been used. All procedures were performed under local anesthesia, and none or the patients required a second intervention.
Granier
Guillaume
G
Service d'Anatomie et Cytologie Pathologiques, Groupe Hospitalo-Universitaire Carémeau, Place du Pr Robert Debré, 30029 Nîmes cedex 9. ggranier@tiscali.fr
Agrici
Valeria
V
Habib
François
F
Meunier
Laurent
L
Moustey
Catherine
C
Marty-Double
Christiane
C
D000368:Aged; D000369:Aged, 80 and over; D002280:Basal Cell Carcinoma / Q000473:pathology / Q000601:surgery*; D005260:Female; D005602:France; D006785:Hospitals, University; D006801:Humans; D008297:Male; D008875:Middle Aged; D015580:Mohs Surgery; D012878:Skin Neoplasms / Q000473:pathology / Q000601:surgery*