Systematic Review of Technical Variations for Mohs Micrographic Surgery for Melanoma
BACKGROUND Mohs micrographic surgery (MMS) for cutaneous melanoma is becoming more prevalent, but surgical technique varies. OBJECTIVE To define variations in published techniques for MMS for melanoma. METHODS AND MATERIALS A systematic review was performed of PubMed, EMBASE, and Scopus databases to...
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| Veröffentlicht in: | Dermatologic surgery 2021-12, Vol.47 (12), p.1539-1544 |
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| creator | Krausz, Aimee E. Higgins, H. William Etzkorn, Jeremy Sobanko, Joseph Shin, Thuzar Giordano, Cerrene McMurray, Stacy L. Golda, Nicholas Maher, Ian A. Leitenberger, Justin J. Bar, Anna Nijhawan, Rajiv I. Srivastava, Divya Brewer, Jerry D. Baum, Christian L. Holmes, Todd E. Goldman, Glenn D. Bordeaux, Jeremy Carroll, Bryan Macarthur, Kelly Miller, Christopher J. |
| description | BACKGROUND Mohs micrographic surgery (MMS) for cutaneous melanoma is becoming more prevalent, but surgical technique varies. OBJECTIVE To define variations in published techniques for MMS for melanoma. METHODS AND MATERIALS A systematic review was performed of PubMed, EMBASE, and Scopus databases to identify all articles describing surgical techniques for MMS for melanoma. Technical details were recorded for the preoperative, intraoperative, and postoperative phases of MMS. RESULTS Twenty-four articles were included. Mohs surgeons vary in how they assess clinical margins, how wide a margin they excise on the first MMS layer, and how they process tissue to determine tumor stage and margin clearance during MMS for melanoma. CONCLUSION Mohs micrographic surgery for melanoma is performed with varied surgical techniques. To establish best practices, additional research is necessary to determine how different techniques affect outcomes. |
| doi_str_mv | 10.1097/DSS.0000000000003268 |
| format | Article |
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William ; Etzkorn, Jeremy ; Sobanko, Joseph ; Shin, Thuzar ; Giordano, Cerrene ; McMurray, Stacy L. ; Golda, Nicholas ; Maher, Ian A. ; Leitenberger, Justin J. ; Bar, Anna ; Nijhawan, Rajiv I. ; Srivastava, Divya ; Brewer, Jerry D. ; Baum, Christian L. ; Holmes, Todd E. ; Goldman, Glenn D. ; Bordeaux, Jeremy ; Carroll, Bryan ; Macarthur, Kelly ; Miller, Christopher J.</creator><creatorcontrib>Krausz, Aimee E. ; Higgins, H. William ; Etzkorn, Jeremy ; Sobanko, Joseph ; Shin, Thuzar ; Giordano, Cerrene ; McMurray, Stacy L. ; Golda, Nicholas ; Maher, Ian A. ; Leitenberger, Justin J. ; Bar, Anna ; Nijhawan, Rajiv I. ; Srivastava, Divya ; Brewer, Jerry D. ; Baum, Christian L. ; Holmes, Todd E. ; Goldman, Glenn D. ; Bordeaux, Jeremy ; Carroll, Bryan ; Macarthur, Kelly ; Miller, Christopher J.</creatorcontrib><description>BACKGROUND Mohs micrographic surgery (MMS) for cutaneous melanoma is becoming more prevalent, but surgical technique varies. OBJECTIVE To define variations in published techniques for MMS for melanoma. METHODS AND MATERIALS A systematic review was performed of PubMed, EMBASE, and Scopus databases to identify all articles describing surgical techniques for MMS for melanoma. Technical details were recorded for the preoperative, intraoperative, and postoperative phases of MMS. RESULTS Twenty-four articles were included. Mohs surgeons vary in how they assess clinical margins, how wide a margin they excise on the first MMS layer, and how they process tissue to determine tumor stage and margin clearance during MMS for melanoma. CONCLUSION Mohs micrographic surgery for melanoma is performed with varied surgical techniques. To establish best practices, additional research is necessary to determine how different techniques affect outcomes.</description><identifier>ISSN: 1076-0512</identifier><identifier>EISSN: 1524-4725</identifier><identifier>DOI: 10.1097/DSS.0000000000003268</identifier><identifier>PMID: 34743123</identifier><language>eng</language><publisher>PHILADELPHIA: Lippincott Williams & Wilkins</publisher><subject>Dermatology ; Humans ; Life Sciences & Biomedicine ; Melanoma - surgery ; Mohs Surgery - methods ; Science & Technology ; Skin Neoplasms - surgery ; Surgery</subject><ispartof>Dermatologic surgery, 2021-12, Vol.47 (12), p.1539-1544</ispartof><rights>Lippincott Williams & Wilkins</rights><rights>Copyright © 2021 by the American Society for Dermatologic Surgery, Inc. Published by Wolters Kluwer Health, Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>true</woscitedreferencessubscribed><woscitedreferencescount>15</woscitedreferencescount><woscitedreferencesoriginalsourcerecordid>wos000721950200005</woscitedreferencesoriginalsourcerecordid><citedby>FETCH-LOGICAL-c3521-9b3b8bc238bbc549e5efa51350e735f8bdf8e2c724b4047cf5e17923e2b0fd733</citedby><cites>FETCH-LOGICAL-c3521-9b3b8bc238bbc549e5efa51350e735f8bdf8e2c724b4047cf5e17923e2b0fd733</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27903,27904</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34743123$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Krausz, Aimee E.</creatorcontrib><creatorcontrib>Higgins, H. William</creatorcontrib><creatorcontrib>Etzkorn, Jeremy</creatorcontrib><creatorcontrib>Sobanko, Joseph</creatorcontrib><creatorcontrib>Shin, Thuzar</creatorcontrib><creatorcontrib>Giordano, Cerrene</creatorcontrib><creatorcontrib>McMurray, Stacy L.</creatorcontrib><creatorcontrib>Golda, Nicholas</creatorcontrib><creatorcontrib>Maher, Ian A.</creatorcontrib><creatorcontrib>Leitenberger, Justin J.</creatorcontrib><creatorcontrib>Bar, Anna</creatorcontrib><creatorcontrib>Nijhawan, Rajiv I.</creatorcontrib><creatorcontrib>Srivastava, Divya</creatorcontrib><creatorcontrib>Brewer, Jerry D.</creatorcontrib><creatorcontrib>Baum, Christian L.</creatorcontrib><creatorcontrib>Holmes, Todd E.</creatorcontrib><creatorcontrib>Goldman, Glenn D.</creatorcontrib><creatorcontrib>Bordeaux, Jeremy</creatorcontrib><creatorcontrib>Carroll, Bryan</creatorcontrib><creatorcontrib>Macarthur, Kelly</creatorcontrib><creatorcontrib>Miller, Christopher J.</creatorcontrib><title>Systematic Review of Technical Variations for Mohs Micrographic Surgery for Melanoma</title><title>Dermatologic surgery</title><addtitle>DERMATOL SURG</addtitle><addtitle>Dermatol Surg</addtitle><description>BACKGROUND Mohs micrographic surgery (MMS) for cutaneous melanoma is becoming more prevalent, but surgical technique varies. OBJECTIVE To define variations in published techniques for MMS for melanoma. METHODS AND MATERIALS A systematic review was performed of PubMed, EMBASE, and Scopus databases to identify all articles describing surgical techniques for MMS for melanoma. Technical details were recorded for the preoperative, intraoperative, and postoperative phases of MMS. RESULTS Twenty-four articles were included. Mohs surgeons vary in how they assess clinical margins, how wide a margin they excise on the first MMS layer, and how they process tissue to determine tumor stage and margin clearance during MMS for melanoma. CONCLUSION Mohs micrographic surgery for melanoma is performed with varied surgical techniques. To establish best practices, additional research is necessary to determine how different techniques affect outcomes.</description><subject>Dermatology</subject><subject>Humans</subject><subject>Life Sciences & Biomedicine</subject><subject>Melanoma - surgery</subject><subject>Mohs Surgery - methods</subject><subject>Science & Technology</subject><subject>Skin Neoplasms - surgery</subject><subject>Surgery</subject><issn>1076-0512</issn><issn>1524-4725</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>HGBXW</sourceid><sourceid>EIF</sourceid><recordid>eNqNkE1v1DAQhq2qqC2Ff1BVOVZCKfbYXidHtHxKrZDYhWtke8eN2yRe7ITV_nscthTECV9saZ5nZvwScsHoNaO1ev12tbqmfx0Oi-qInDEJohQK5HF-U7UoqWRwSp6ndE8pg5rTE3LKhRKcAT8j69U-jdjr0dviC_7wuCuCK9Zo28Fb3RXfdPS5GIZUuBCL29Cm4tbbGO6i3rZZWk3xDuP-UMVOD6HXL8gzp7uELx_vc_L1_bv18mN58_nDp-Wbm9JyCaysDTeVscArY6wUNUp0WjIuKSouXWU2rkKwCoQRVCjrJDJVA0cw1G0U5-fk6tB3G8P3CdPY9D5Z7PIWGKbUgKwlo4tKzKg4oHn1lCK6Zht9r-O-YbSZ82xyns2_eWbt8nHCZHrcPEm_A8xAdQB2aIJL1uNg8QnLbRSwWlKYO8qlH39luQzTMGb11f-rfz6wC92IMT100w5j06LuxnamBSioSqDA2KyUs8b4T4D8oJw</recordid><startdate>20211201</startdate><enddate>20211201</enddate><creator>Krausz, Aimee E.</creator><creator>Higgins, H. William</creator><creator>Etzkorn, Jeremy</creator><creator>Sobanko, Joseph</creator><creator>Shin, Thuzar</creator><creator>Giordano, Cerrene</creator><creator>McMurray, Stacy L.</creator><creator>Golda, Nicholas</creator><creator>Maher, Ian A.</creator><creator>Leitenberger, Justin J.</creator><creator>Bar, Anna</creator><creator>Nijhawan, Rajiv I.</creator><creator>Srivastava, Divya</creator><creator>Brewer, Jerry D.</creator><creator>Baum, Christian L.</creator><creator>Holmes, Todd E.</creator><creator>Goldman, Glenn D.</creator><creator>Bordeaux, Jeremy</creator><creator>Carroll, Bryan</creator><creator>Macarthur, Kelly</creator><creator>Miller, Christopher J.</creator><general>Lippincott Williams & Wilkins</general><scope>BLEPL</scope><scope>DTL</scope><scope>HGBXW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20211201</creationdate><title>Systematic Review of Technical Variations for Mohs Micrographic Surgery for Melanoma</title><author>Krausz, Aimee E. ; Higgins, H. William ; Etzkorn, Jeremy ; Sobanko, Joseph ; Shin, Thuzar ; Giordano, Cerrene ; McMurray, Stacy L. ; Golda, Nicholas ; Maher, Ian A. ; Leitenberger, Justin J. ; Bar, Anna ; Nijhawan, Rajiv I. ; Srivastava, Divya ; Brewer, Jerry D. ; Baum, Christian L. ; Holmes, Todd E. ; Goldman, Glenn D. ; Bordeaux, Jeremy ; Carroll, Bryan ; Macarthur, Kelly ; Miller, Christopher J.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3521-9b3b8bc238bbc549e5efa51350e735f8bdf8e2c724b4047cf5e17923e2b0fd733</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Dermatology</topic><topic>Humans</topic><topic>Life Sciences & Biomedicine</topic><topic>Melanoma - surgery</topic><topic>Mohs Surgery - methods</topic><topic>Science & Technology</topic><topic>Skin Neoplasms - surgery</topic><topic>Surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Krausz, Aimee E.</creatorcontrib><creatorcontrib>Higgins, H. William</creatorcontrib><creatorcontrib>Etzkorn, Jeremy</creatorcontrib><creatorcontrib>Sobanko, Joseph</creatorcontrib><creatorcontrib>Shin, Thuzar</creatorcontrib><creatorcontrib>Giordano, Cerrene</creatorcontrib><creatorcontrib>McMurray, Stacy L.</creatorcontrib><creatorcontrib>Golda, Nicholas</creatorcontrib><creatorcontrib>Maher, Ian A.</creatorcontrib><creatorcontrib>Leitenberger, Justin J.</creatorcontrib><creatorcontrib>Bar, Anna</creatorcontrib><creatorcontrib>Nijhawan, Rajiv I.</creatorcontrib><creatorcontrib>Srivastava, Divya</creatorcontrib><creatorcontrib>Brewer, Jerry D.</creatorcontrib><creatorcontrib>Baum, Christian L.</creatorcontrib><creatorcontrib>Holmes, Todd E.</creatorcontrib><creatorcontrib>Goldman, Glenn D.</creatorcontrib><creatorcontrib>Bordeaux, Jeremy</creatorcontrib><creatorcontrib>Carroll, Bryan</creatorcontrib><creatorcontrib>Macarthur, Kelly</creatorcontrib><creatorcontrib>Miller, Christopher J.</creatorcontrib><collection>Web of Science Core Collection</collection><collection>Science Citation Index Expanded</collection><collection>Web of Science - Science Citation Index Expanded - 2021</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Dermatologic surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Krausz, Aimee E.</au><au>Higgins, H. William</au><au>Etzkorn, Jeremy</au><au>Sobanko, Joseph</au><au>Shin, Thuzar</au><au>Giordano, Cerrene</au><au>McMurray, Stacy L.</au><au>Golda, Nicholas</au><au>Maher, Ian A.</au><au>Leitenberger, Justin J.</au><au>Bar, Anna</au><au>Nijhawan, Rajiv I.</au><au>Srivastava, Divya</au><au>Brewer, Jerry D.</au><au>Baum, Christian L.</au><au>Holmes, Todd E.</au><au>Goldman, Glenn D.</au><au>Bordeaux, Jeremy</au><au>Carroll, Bryan</au><au>Macarthur, Kelly</au><au>Miller, Christopher J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Systematic Review of Technical Variations for Mohs Micrographic Surgery for Melanoma</atitle><jtitle>Dermatologic surgery</jtitle><stitle>DERMATOL SURG</stitle><addtitle>Dermatol Surg</addtitle><date>2021-12-01</date><risdate>2021</risdate><volume>47</volume><issue>12</issue><spage>1539</spage><epage>1544</epage><pages>1539-1544</pages><issn>1076-0512</issn><eissn>1524-4725</eissn><abstract>BACKGROUND Mohs micrographic surgery (MMS) for cutaneous melanoma is becoming more prevalent, but surgical technique varies. 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| subjects | Dermatology Humans Life Sciences & Biomedicine Melanoma - surgery Mohs Surgery - methods Science & Technology Skin Neoplasms - surgery Surgery |
| title | Systematic Review of Technical Variations for Mohs Micrographic Surgery for Melanoma |
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