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GIORNALE ITALIANO DI DERMATOLOGIA E VENEREOLOGIA

A Journal on Dermatology and Sexually Transmitted Diseases


Official Journal of the Italian Society of Dermatology and Sexually Transmitted Diseases
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Giornale Italiano di Dermatologia e Venereologia 2006 June;141(3):283-9

language: English

Mohs surgery in Italy today

Boggio P. 1, Gattoni M. 1, Borracina G. 1, Farinelli P. 1, Leigheb G. 1, Boldorini R. L. 2, Ramponi A. 2, Monga G. 2

1 Department of Dermatology Ospedale Maggiore della Carità School of Medicine and Surgery, A. Avogadro Eastern Piedmont University, Novara, Italy
2 Unit of Pathological Anatomy and Histology Ospedale Maggiore della Carità School of Medicine and Surgery, A. Avogadro Eastern Piedmont University, Novara, Italy


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Mohs surgery is a surgical and anatomo-pathological technique that permits complete eradication of malignant skin tumors, namely basal cell carcinomas, with an extensive local growth and without metastatic diffusion. This is obtained through an examination of the whole perimeter thanks to horizontal sections of the specimen after careful mapping. The practical procedure is described and the possible variants of Tübingen method and the delayed technique are discussed. Indications and limits of this technique are discussed with some clinical cases. Finally, considerations are made about the increasing need of this technique due to spreading inappropriate nonsurgical treatments for basal cells carcinomas. Much more clinical centers in Italy are needed in the future that can use Mohs surgery.

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