莫氏手术，又称莫氏手术microphraphic，通常用于治疗这两种基底细胞癌和鳞状细胞癌. According to the Department of Dermatology at the University of Maryland, it has a cure rate of between 95 and 99 percent. Before deciding if this type of treatment is best for you, it is important to discuss the benefits and possible disadvantages with your doctor. In addition, you should understand and learn as much as possible about what to expect before, during and after the surgery. The following are questions patients frequently ask about Mohs surgery.
什么是莫氏手术？
莫氏手术是一种专门治疗这消除癌症的阶段，每次一个皮肤层。随着每个层被去除它是在显微镜下检查。如果癌症看出，另一个层被去除。这种方法允许尽可能多的健康的皮肤尽量保持。
Why is it called Mohs surgery?
Dr. Frederic Mohs, Professor of Surgery at the University of Wisconsin, developed this surgical technizue in the 1930s. Although the surgery has been improved and modified since then, it is still named after Dr. Mohs.
When is Mohs surgery recommended?
If you suspect skin cancer, the first step is to consult with a dermatologist, who may recommend having a biopsy done to confirm the diagnosis of cancer. Your dermatologist would be able to tell you whether you are a candidate for Mohs surgery, however, the University of Maryland Department of Dermatology indicates that Mohs surgery can be considered when:
- The skin caner is on the eye-lid, nose, lips or other areas that would require saving tissue around the cancer
- If your skin cancer has recurred after other treatments have been tried
- If your skin cancer is showing aggressive features
- When it is difficult to determine where the skin cancer ends and normal tissue begins
如何在手术治疗后，周围组织已经完成？
因为它是不可能知道有多少组织在手术前将被删除，目前还没有确切的回答这个问题。一旦手术完成后，医生会决定，让你的皮肤愈合的最好办法。如果只有组织少量已被移除，这可能意味着自然愈合或简单地将绷带在伤口，无需进一步处理。当更大量的组织被删除，您可能需要缝合。你的医生会让你知道他什么时候需要再次见到你跟进。
Will I have a scar after surgery?
As with any surgical procedure, you will have a scar. The area of the surgery may be pink or bumpy for several months. Usually scars fade over time, however, if your scar does not, talk with your doctor to make sure no additional treatment is necessary.
What type of anesthesia will I need for the surgery?
这种类型的手术用局部麻醉下进行。您是在整个手术清醒。一些医生也可以提供药物来帮助您在手术过程中放松身心。
Where is Mohs surgery performed - in the doctor's office or in the hospital?
这将取决于你的医生。一些医疗行为可能有他们的办公室内做这种手术的能力，其他人使用当地一家医院的门诊部。与你的医生了解您的手术将完成通话。
多长的手术持续多久？
It is impossible to answer this with any accuracy because how long the surgery lasts depends on how many layers of skin must be removed. It is, however, a lengthy surgery and may take several hours to complete.
Do I need to stop medications before the surgery?
It is always important to tell your doctor about all medications, including vitamins, supplements and over-the-counter medications you are taking. Your doctor will discuss which medications should be stopped. It is always important to stop taking medications and herbal supplements that may thin your blood. These medications include:
- Vitamin E
- Ibuprofen/Motrin/Aleve
- Aspirin
- Garlic
- 鱼油或ω-3脂肪酸Acide
- Glucosamine chondroitin
Again, be sure to tell your doctor all medications you are taking and discuss which ones can be continued, which ones should be stopped and how long before and after your surgery you should avoid these medications.
我需要什么防护措施，手术后？
Your doctor may recommend that you not participate in strenuous exercise for a period of time after your surgery. Based on how large your wound is, this may be a day or two or it could be several weeks. You will also have a bandage on your wound. Your doctor will give you specific instructions on taking care of the wound and changing the bandage. You should also have a time to visit your doctor for a follow-up to make sure the wound is healing properly.
It is usually suggested that you do not return to work the same day as the surgery but many people do return to work the following day or the day after that.
Does insurance cover Mohs surgery?
Yes, most health insurance companies will cover Mohs surgery because it is an accepted treatment for skin cancer. You may want to contact your insurance company first to make find out exactly what benefits you have under your policy as you may be required to pay deductibles or co-payments.
参考文献：
“莫氏Microphraphic手术常见问题，”日期未知，员工作家，马里兰大学
"Patient FAQs," Date Unknown, Staff Writer, American Society for Mohs Surgery