title: Mohs moat: peripheral cutaneous margin clearance in a collaborative approach for aggressive and deeply invasive basal cell carcinoma.
abstract: Although Mohs micrographic surgery is the standard of care for large, aggressive or recurrent non-melanoma skin cancers of the head and neck, tumours that involve deep underlying structures (including bone, parotid gland and named nerves) are impractical for extirpation under local anaesthesia. Such cases are often referred to a head and neck surgeon, who typically relies on intraoperative frozen section analysis of the peripheral cutaneous margin. Here we describe the use of the Mohs moat technique as part of a collaborative approach for the treatment of aggressive and deeply invasive basal cell carcinoma that allows an analysis of the complete peripheral cutaneous margin and results in decreased operating room and general anaesthesia time.
authors.affiliation: Department of Dermatology, University of Illinois, Chicago, Illinois, USA.
authors.forename: Karl K
authors.initials: KK
authors.lastname: Vance
authors.forename: Kristen B
authors.initials: KB
authors.lastname: Pytynia
authors.forename: Anuja K
authors.initials: AK
authors.lastname: Antony
authors.forename: Aleksandar L
authors.initials: AL
authors.lastname: Krunic
mesh_terms: D002280:Basal Cell Carcinoma / Q000473:pathology* / Q000601:surgery*; D005153:Facial Neoplasms / Q000473:pathology* / Q000601:surgery*; D005260:Female; D006801:Humans; D008875:Middle Aged; D015580:Mohs Surgery / Q000379:methods*; D009361:Neoplasm Invasiveness; D018365:Neoplasm, Residual; D061646:Operative Time; D010348:Patient Care Team; D012878:Skin Neoplasms / Q000473:pathology* / Q000601:surgery*; D016038:Skin Transplantation; D013524:Surgical Flaps
keywords: Mohs; Mohs moat; basal cell carcinoma; collaboration; invasive basal cell carcinoma; ring of Mohs