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Training in MMS can help dermatologists improve outcomes by managing complex lesions safely and efficiently. The rising need for patients with this imperative expertise creates an urgent requirement to train additional dermatologists in Mohs Surgery to meet demand and ensure optimal care.",{"@graph":69,"@context":116},[70,84,99],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/rise-in-the-number-of-complex-skin-cancers-necessitates-establishing-mohs-micrographic-surgery-fellowships-in-pakistan/386240/",{"url":83,"name":65,"@type":85,"author":86,"headline":65,"publisher":89,"fileFormat":92,"inLanguage":63,"description":67,"dateModified":93,"datePublished":93,"encodingFormat":92,"isAccessibleForFree":94,"interactionStatistic":95},"DigitalDocument",{"name":87,"@type":88},"Chumphorn","Person",{"url":74,"name":90,"@type":91},"DocShare","Organization","application/pdf","2026-09-24",true,{"@type":96,"interactionType":97,"userInteractionCount":4},"InteractionCounter",{"@type":98},"ViewAction",{"@type":100,"mainEntity":101},"FAQPage",[102,108,112],{"name":103,"@type":104,"acceptedAnswer":105},"Why is Mohs Micrographic Surgery (MMS) in high demand?","Question",{"text":106,"@type":107},"MMS is increasingly demanded because patients face skin cancers that are more complex and cosmetically challenging, requiring precise surgical management.","Answer",{"name":109,"@type":104,"acceptedAnswer":110},"How does MMS differ from wide or standard excision (SE)?",{"text":111,"@type":107},"SE removes cancerous tissue and closes the wound, with examination of removed tissue to confirm cell removal. MMS removes tissue in layers and examines it in real time under a microscope until no abnormal cells remain, preserving more healthy tissue.",{"name":113,"@type":104,"acceptedAnswer":114},"What advantages of MMS are highlighted in the text?",{"text":115,"@type":107},"Compared with SE, MMS is described as reducing recurrence incidence and defect size for both primary and secondary basal cell carcinomas, and it is presented as ideal for complex facial zones and cosmetically or functionally sensitive skin areas.","https://schema.org",{"og:url":83,"og:type":118,"og:title":65,"og:site_name":90,"og:description":67},"article",{"robots":120,"canonical":83},"index,follow",{"doc_id":122,"site_id":62},386240,1790272881,{"code":4,"msg":5,"data":125},{"doc_id":122,"user_id":126,"nickname":87,"user_avatar":127,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":128,"file_id":129,"file_url":130,"file_type":131,"file_size":132,"view_count":4,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":81,"language":133,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":134,"faqs":135,"seo_title":136,"seo_description":67,"update_tm":123,"read_time":39},2336475401981,"https://ap-avatar.wpscdn.com/avatar/22000c94efd8d5204d?x-image-process=image/resize,m_fixed,w_180,h_180&k=1786935347598174694","Open Access  \nEditorial DOI: 10.7759/cureus.43183  \nReview began 08/03/2023  \nReview ended 08/07/2023  \nPublished 08/09/2023  \n© Copyright 2023  \nTariq et al. This is an open access article distributed under the terms of the Creative Commons Attribution License CC-BY 4.0. , which permits unrestricted use , distribution , and reproduction in any medium , provided the original author and source are credited.  \nRise in the Number of Complex Skin Cancers Necessitates Establishing Mohs Micrographic Surgery Fellowships in Pakistan  \nShahan Tariq 1 , Afshan Saeed 2, 3 , Hamza Ismaeel 4 , Sana Ullah 5 , Muhammad Ammar Hamid 6  \n1. Dermatology, National University of Medical Sciences, Rawalpindi, PAK 2. Dermatology, Pak-Emirates Military Hospital, Rawalpindi, PAK 3. Dermatology, District Headquarters (DHQ) Hospital Haripur, Haripur, PAK 4. Pediatrics, Rawalpindi Medical University, Rawalpindi, PAK 5. Oncology, NORI Hospital, Islamabad, PAK 6. Internal Medicine, University of South Dakota Sanford School of Medicine, Sioux Falls, USA  \nCorresponding author: Afshan Saeed, [afshan_saeed21@yahoo.com](afshan_saeed21@yahoo.com)  \nAbstract  \nAs more and more patients seek treatment for increasingly complicated and cosmetically challenging skin cancers, Mohs Micrographic Surgery (MMS) is now exceedingly in demand. Training in MMS could help dermatologists improve patient outcomes allowing them to handle complex lesions safely and efficiently and hence, provide the best possible care. As a result, there is an urgent need to train additional dermatologists in Mohs Surgery in order to meet the huge demand for dermatologists with imperative expertise, specifically in this field.  \nCategories: Dermatology, Plastic Surgery, Oncology  \nKeywords: dermato-oncology, facial plastic, reconstructive microsurgery, mohs reconstruction, fellowship of dermatology, moh 's micrographic surgery, mohs surgery  \nEditorial  \nDermatological surgery has come a long way since its inception in the early 20th century. With advances in technology and surgical techniques, dermatosurgery has become a highly specialized field of dermatology. Two popular procedures in dermatosurgery are simple dermatosurgery, also referred to as wide or standard excision (SE), and Mohs Micrographic Surgery (MMS) . While both procedures are used to treat skin cancer, they differ significantly in their procedures, techniques, benefits, expertise required, costs, and outcomes/prognosis.  \nSE is a surgical technique that involves excision of the cancerous tissue and stitching the wound back together. The procedure is performed under local anesthesia and typically takes less than an hour to complete. Prior to the procedure, the dermatologist marks the area around the cancerous tissue with a surgical pen to guide the incision. Once the tissue is removed, the wound is closed with sutures or staples. The removed tissue is then sent to a laboratory for examination to ensure that all cancerous cells have been removed. Although it is a simpler technique, SE has been associated with significantly higher rates of local persistence. Moreover, the development and refinement of newer methods of dermatological surgery, such as MMS, has led to its decline further [1] .  \nFor MMS, the tissue is removed from the cancerous area in layers and examined under a microscope in realtime until no more abnormal cells can be seen thereby, conserving a significantly larger portion of healthy tissue. Although the process is quite complex in and of itself, it generally involves a dermatologist removing thin layers of the tissue that needs to be excised and examining it under a microscope. If evidence of cancerous tissue is found, subsequent layers are removed and examined ; this process continues until no more suspicious cells can be observed on the slide. Once the cancerous tissue has been completely removed, the wound is closed with sutures or left to heal on its own. This technique offers much more precise control of the c","cbCaiaNczsMOPuFa","https://ap.wps.com/l/cbCaiaNczsMOPuFa","pdf",77255,"English","# Editorial\n## Wide or standard excision (SE) vs Mohs micrographic surgery (MMS)\n## Evidence on recurrence and outcomes\n## Indications and decision criteria","[{\"question\":\"Why is Mohs Micrographic Surgery (MMS) in high demand?\",\"answer\":\"MMS is increasingly demanded because patients face skin cancers that are more complex and cosmetically challenging, requiring precise surgical management.\"},{\"question\":\"How does MMS differ from wide or standard excision (SE)?\",\"answer\":\"SE removes cancerous tissue and closes the wound, with examination of removed tissue to confirm cell removal. MMS removes tissue in layers and examines it in real time under a microscope until no abnormal cells remain, preserving more healthy tissue.\"},{\"question\":\"What advantages of MMS are highlighted in the text?\",\"answer\":\"Compared with SE, MMS is described as reducing recurrence incidence and defect size for both primary and secondary basal cell carcinomas, and it is presented as ideal for complex facial zones and cosmetically or functionally sensitive skin areas.\"}]","Rise in the Number of Complex Skin Cancers Necessitates Establishing Mohs Micrographic Surgery Fellowships in Pakistan | PDF"]