Mohs micrographic surgery for cutaneous malignancy of the hand & upper limb - Raising awareness of its applications and advantages.

Mohs Micrographic Surgery (MMS) is primarily recognised for use in facial tumours, however it should also be considered to aid excision of tumours of the hand, where preservation of tissue and maintenance of function are key factors. Mohs surgery can serve to facilitate decision making both by the patient and surgeon. This can be particularly helpful when proposing more extensive surgery, or prior to complex reconstruction where confirmation of tumour clearance is paramount. We use case examples with medical images to illustrate the advantages of MMS over conventional excision. The establishment of an MMS hand service, delivered by a surgeon with specialist upper limb resection and reconstructive expertise, has allowed our unit to provide optimal treatment, governance, and outcomes for this group of patients.
Competing Interests: Declaration of Competing Interest All authors declare no conflicts of interest.
(Copyright © 2021 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.)