Mohs Micrographic Surgery

This completely updated textbook provides a key resource for those embarking upon a career in Mohs surgery and is designed to support those readers taking their Boards in this dermatologic subspecialty. The incidence of skin cancer is 3.5 million per year and accounts for more than 50% of all cancers combined, the majority of which are basal cell and squamous cell carcinomas. Mohs surgery has become the treatment of choice for certain of these carcinomas and other cutaneous tumors, and benefits from a high cure rate and low recurrence rate.

Physicians in all of the major disciplines of medicine will encounter patients with cutaneous cancers who have undergone Mohs surgery or may need it in the future. Mohs Micrographic Surgery has been written as a foundation to provide readers with the fundamentals of Mohs surgery. Each chapter is easy to read, with carefully designed learning objectives and summary boxes of all the major points. The chapters are written by world-renowned physicians in their respective specialties and as such provides a vital learning tool for all training to be a Mohs surgeon.

Historical Perspective of Mohs Micrographic Surgery.- General Indications for Mohs Micrographic Surgery.- Pre-operative Evaluation.- The Mohs Micrographic Surgery Operative Room Set-up.- Anesthesia Considerations: Local versus Regional.- Surgical Anatomy for Mohs Micrographic Surgeons.- Special Considerations for Mohs Micrographic Surgery in Organ transplant recipients.- Mohs Micrographic Surgery in Ethnic Skin.- Mohs Micrographic Surgery and Genodermatoses.- Nursing Interventions.- Histopathology Laboratory Set-up and Necessary Instruments.- Tissue Specimen Transport and Initial Processing.- Cryostat Preparation of Slides.- Staining Preparation of Slides.- Histopathologic Interpretation of Mohs Slides.- Tissue Specimen Documentation/Record-Keeping/Storage.- Basal Cell Carcinoma.- Squamous Cell Carcinoma.- Melanoma.- Dermatofibrosarcoma protuberans.- Microcystic adnexal carcinoma.- Atypical fibroxanthoma/ Malignant fibrous histiocytoma.- Extramammary Paget’s disease.- Leiomyosarcoma.- Merkel cell carcinoma.- Adnexal / Adenocystic carcinomas (Eccrine porocarcinoma, Sweat gland carcinoma).- Sebaceous gland carcinoma.- Eyelids.- Nails.- Genitalia.- Deep Structures: Mucosa, Fat, Muscle, Nerve, Cartilage, Bone.- Histopathological pitfalls of Mohs.- Complications of Mohs Micrographic Surgery.- Eyelid Reconstruction after Mohs Micrographic Surgery.- Flaps.- Skin grafts.- Complex Closures.- Prosthetic rehabilitation.- Adjuvant therapy after Mohs Micrographic Surgery effudex, Aldara, radiation, etc.- Training and certification for Mohs micrographic surgery.- Office Practice for Mohs Micrographic Surgery (ancillary).- South America, Africa, Europe, Asia, Australia.- Information for Patients and Safety Considerations.- Ethical Issues regarding Mohs Micrographic Surgery.- Medicolegal Issues regarding Mohs Micrographic Surgery.- Psychological Issues regarding Mohs Micrographic Surgery.

Dr. Keyvan Nouri is Tenure Professor of Dermatology, Ophthalmology, Otolaryngology, and Surgery, Co-Chair University of Miami Medical Group, Provider Experience, Benefits and Professional Development Committee, Louis C. Skinner, Jr., MD Endowed Chair of Dermatology, Richard Helfman Professor of Dermatologic Surgery, director of ACGME Micrographic Surgery and Dermatologic Oncology, director of Mohs Surgical Training at the University of Miami Dr. Phillip Frost Department of Dermatology, director of Graduate Specialty Training Program for International Dermatologists, and Assistant Secretary-Treasurer of the American Academy of Dermatology. He authored 15 textbooks and 404 peer-reviewed publications while delivering 700+ presentations at national/international conferences. Recognized for leadership/mentorship, he received the 2022 Association of Academic Cosmetic Dermatologists Kenneth A. Arndt Mentorship Award, 2023 University of Miami Miller School of Medicine Deans Faculty Leadership Award, the 2024 American Academy of Dermatology Presidential Citation Award, and the 2024 American Society for Laser Medicine & Surgery Presidential Citation Award. Dr. Nouri holds leadership roles within the university and various professional organizations: Florida Society of Dermatologic Surgeons (Board of Director, Secretary-Treasurer, Vice-President, and President), Florida Society of Dermatology and Dermatologic Surgery (Board of Director), American Society of Lasers in Medicine and Surgery (ASLMS), ASLMS IDEA (Inclusion, Diversity, Equity, and Accessibility) Committee (past Chair), American Society of Dermatologic Surgery (past program Co-Chair of mastery of lasers course), American College of Mohs Surgery, the International Society of Dermatology (past Vice-President, past Co-Chair for continental meetings, and current Chair/Co-chair of regional meetings) and the Noah Worcester Dermatologic Society. Grateful for his recognition as Valedictorian of the University of Miami Health MBA Cohort and receiving the Distinguished Alumni Award from Boston University School of Medicine, Dr. Nouri remains dedicated to leadership, innovation, and service.