Practical application and decision-making in Mohs micrographic surgery and cutaneous oncology

Mohs micrographic surgery for cutaneous malignancies is a tissue-sparing procedure that offers cure rates superior to that of other treatment options. Mohs surgery has evolved as the most reliable and cost-effective treatment modality for skin cancer, offering maximal preservation of normal tissue and therefore the lowest functional and cosmetic morbidity. It is a method of surgical excision with high intrinsic value that is cost-effective in comparison with traditional surgical excision. In this article, the main steps of this surgical procedure are outlined along with the tissue-processing concepts, the indications, limitations, and cost-effectiveness of Mohs micrographic surgery (MMS).