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

Sebastián Olivares; Rodrigo Della Santa; Alicia González; Verónica Lezué; Miguel Martínez Asuaga; Carlos Bazzano; Julio Magliano

doi:10.29193/RMU.39.2.2

Authors

Sebastián Olivares Universidad de la República, Facultad de Medicina, Dermatología, Residente
Rodrigo Della Santa Dermatólogo
Alicia González Técnica en Anatomía Patológica
Verónica Lezué Técnica en Anatomía Patológica
Miguel Martínez Asuaga Universidad de la República, Facultad de Medicina, Dermatología, Profesor Titular. Dermatólogo
Carlos Bazzano Universidad de la República, Facultad de Medicina, Dermatología, Profesor Titular. Dermatólogo
Julio Magliano Universidad de la República, Facultad de Medicina, Dermatología, Profesor Adjunto. Dermatólogo, Cirujano de Mohs

DOI:

https://doi.org/10.29193/RMU.39.2.2

Keywords:

MOHS SURGERY, BASAL CELL CARCINOMA, SQUAMOUS CELL CARCINOMA

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.

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