Cirugía micrográfica de Mohs en carcinomas cutáneos Siete años de experiencia en Uruguay

Abstract

Introduction: Mohs micrographic surgery is a technique for skin cancer exeresis involving the advantage of 100% of surgical margins histological exam, which leads to highest healing rates with the maximum preservation of the surrounding healthy tissue.Objective: to conduct a clinical and epidemiological description of a 7 years’ experience in Uruguay.Method: descriptive analysis of patients operated by the same Mohs surgeon who recorded clinical, tumor and surgical data.Results: 641 surgeries were included in the study. 54.9% of surgeries were performed in men and 45.1% in women. Average age was 69 years old. 68.2% of cases corresponded to basal cell carcinoma and 31.8% to squamous cell carcinoma. 79.4% were located in the head and neck, 87.8% of tumors were primary and 11.1% were cases of relapse. The most frequent type of closure was simple in 48.7% of cases, followed by flaps in 31.7%.Conclusions: Mohs surgery is a safe an effective procedure, and the results of the study agree with what is described in international reference centers. The study describes a 7 years’ experience in Uruguay of Mohs micrographic surgery, being it the largest research conducted in Uruguay.