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As the CCPDMA surgery is frequently performed using frozen section pathology, immediate reporting of positive surgical margin is made, and the tumor can be completely removed in the same day. Traditional pathology processing is called "bread loafing", and only allows for the partial examination of the surgical margin.
Mohs surgery is the gold standard method for obtaining complete margin control during removal of a skin cancer (complete circumferential peripheral and deep margin assessment - CCPDMA) using frozen section histology. [1] CCPDMA or Mohs surgery allows for the removal of a skin cancer with very narrow surgical margin and a high cure rate.
In the human skull, the zygomatic bone (from Ancient Greek: ζῠγόν, romanized: zugón, lit. 'yoke'), also called cheekbone or malar bone , is a paired irregular bone , situated at the upper and lateral part of the face and forming part of the lateral wall and floor of the orbit , of the temporal fossa and the infratemporal fossa .
For a small basal-cell cancer in a young person, the treatment with the best cure rate (Mohs surgery or CCPDMA) might be indicated. In the case of an elderly frail man with multiple complicating medical problems, a difficult to excise basal-cell cancer of the nose might warrant radiation therapy (slightly lower cure rate) or no treatment at all.
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Radiosurgery is surgery using radiation, [1] that is, the destruction of precisely selected areas of tissue using ionizing radiation rather than excision with a blade. Like other forms of radiation therapy (also called radiotherapy), it is usually used to treat cancer.
Zygoma reduction, also known as cheekbone reduction surgery, is a surgery used to reduce the facial width by excising part of the zygomatic bone and arch. Wide cheekbones are a characteristic facial trait of Asians, whose skull shapes tend to be more brachycephalic (broad, short skull) in comparison with Caucasian counterparts, whose skull shapes tend to be more dolichocephalic (narrow and ...
The success rate of Mohs surgery is comparable to radiation therapy in squamous cell carcinoma, and one should also discuss this before approaching high-risk squamous cell cancers of the ear or lips. Combining these modalities should be considered to increase the cure rate in selective cases, and should also be discussed.