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Current Oncology
Volume 26
Issue 1
10.3747/co.26.4439
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Current Oncology is published by MDPI from Volume 28 Issue 1 (2021). Previous articles were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence, and they are hosted by MDPI on mdpi.com as a courtesy and upon agreement with Multimed Inc..
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Article

Patient Indications for Mohs Micrographic Surgery: A Clinical Practice Guideline

by
Christian Murray
1,*,
D. Sivajohanathan
2,
T. P. Hanna
3,
S. Bradshaw
4,
N. Solish
5,
B. Moran
6,
R. Hekkenberg
7,
A. C. Wei
8 and
T. Petrella
9
1
c/o Program in Evidence-Based Care, Cancer Care Ontario, Department of Oncology, McMaster University, Juravinski Hospital, G Wing, 2nd Floor, Room 224, 1280 Main Street West, Hamilton, Ontario L8S 4L8, Canada
2
Department of Oncology, McMaster University, and Program in Evidence-Based Care, Cancer Care Ontario, Hamilton, ON, Canada
3
Department of Radiation Oncology, Cancer Centre of Southeastern Ontario, Kingston, ON, Canada
4
Dynacare Labs, Ottawa, ON, Canada
5
Division of Dermatology, Women’s College Hospital, and University of Toronto, Toronto, ON, Canada
6
Division of Dermatology, Queen’s University, Kingston, ON, Canada
7
Department of Surgery, Royal Victoria Regional Health Centre, and Surgical Oncology Program, Cancer Care Ontario, Barrie, ON, Canada
8
Quality and Knowledge Transfer, Surgical Oncology Program, Cancer Care Ontario, Toronto and, ON, Canada
9
Department of Medical Oncology, Odette Cancer Centre, Toronto, ON, Canada
*
Author to whom correspondence should be addressed.
Curr. Oncol. 2019, 26(1), 94-99; https://doi.org/10.3747/co.26.4439
Submission received: 3 November 2018 / Revised: 8 December 2018 / Accepted: 12 January 2019 / Published: 1 February 2019

Abstract

Objective: The purpose of the present work was to develop evidence-based indications for Mohs micrographic surgery in patients with a diagnosis of skin cancer. Methods: The guideline was developed by Cancer Care Ontario’s Program in Evidence-Based Care, together with the Melanoma Disease Site Group and the Surgical Oncology Program, through a systematic review of relevant literature, patient- and caregiver-specific consultation, and internal and external reviews. Recommendation 1: Given a lack of high-quality, comparative evidence, surgery (with postoperative or intraoperative margin assessment) or radiation (for those who are ineligible for surgery) should remain the standard of care for patients with skin cancer. Recommendation 2: Mohs micrographic surgery is recommended for patients with histologically confirmed recurrent basal cell carcinoma of the face and is appropriate for primary basal cell carcinomas of the face that are larger than 1 cm, have aggressive histology, or are located on the H zone of the face. Recommendation 3: Mohs micrographic surgery should be performed by physicians who have completed a degree in medicine or equivalent, including a Royal College of Physicians and Surgeons of Canada Specialist Certificate or equivalent, and have received advanced training in Mohs micrographic surgery.
Keywords: Mohs; mms; excision; surgery; radiation; practice guidelines Mohs; mms; excision; surgery; radiation; practice guidelines

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MDPI and ACS Style

Murray, C.; Sivajohanathan, D.; Hanna, T.P.; Bradshaw, S.; Solish, N.; Moran, B.; Hekkenberg, R.; Wei, A.C.; Petrella, T. Patient Indications for Mohs Micrographic Surgery: A Clinical Practice Guideline. Curr. Oncol. 2019, 26, 94-99. https://doi.org/10.3747/co.26.4439

AMA Style

Murray C, Sivajohanathan D, Hanna TP, Bradshaw S, Solish N, Moran B, Hekkenberg R, Wei AC, Petrella T. Patient Indications for Mohs Micrographic Surgery: A Clinical Practice Guideline. Current Oncology. 2019; 26(1):94-99. https://doi.org/10.3747/co.26.4439

Chicago/Turabian Style

Murray, Christian, D. Sivajohanathan, T. P. Hanna, S. Bradshaw, N. Solish, B. Moran, R. Hekkenberg, A. C. Wei, and T. Petrella. 2019. "Patient Indications for Mohs Micrographic Surgery: A Clinical Practice Guideline" Current Oncology 26, no. 1: 94-99. https://doi.org/10.3747/co.26.4439

APA Style

Murray, C., Sivajohanathan, D., Hanna, T. P., Bradshaw, S., Solish, N., Moran, B., Hekkenberg, R., Wei, A. C., & Petrella, T. (2019). Patient Indications for Mohs Micrographic Surgery: A Clinical Practice Guideline. Current Oncology, 26(1), 94-99. https://doi.org/10.3747/co.26.4439

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