title: [Mohs Micrographic Surgery for the management of basal cell carcinoma: experience at the Nîmes Univeristy Hospital].
abstract: 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.
authors.affiliation: Service d'Anatomie et Cytologie Pathologiques, Groupe Hospitalo-Universitaire Carémeau, Place du Pr Robert Debré, 30029 Nîmes cedex 9. ggranier@tiscali.fr
authors.forename: Guillaume
authors.initials: G
authors.lastname: Granier
authors.forename: Valeria
authors.initials: V
authors.lastname: Agrici
authors.forename: François
authors.initials: F
authors.lastname: Habib
authors.forename: Laurent
authors.initials: L
authors.lastname: Meunier
authors.forename: Catherine
authors.initials: C
authors.lastname: Moustey
authors.forename: Christiane
authors.initials: C
authors.lastname: Marty-Double
mesh_terms: 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*