Mohs

Mohs Micrographic Surgery

Mohs micrographic surgery is named for Frederick Mohs, a surgeon that developed the procedure in the 1930’s. It is the most effective technique available to treat skin cancer providing the highest cure rates. Performed as an out-patient procedure, Mohs micrographic surgery entirely removes the affected area while sparing the surrounding healthy skin. In this procedure, the Mohs surgeon is also the pathologist and reconstructive surgeon.

Mohs micrographic surgery is commonly used to treat skin cancers on critical areas including head and neck, large tumors, recurrent tumors, and tumors occurring in areas where preservation of normal skin is essential (such as hands, feet, and genitals). It is most commonly performed on basal cell and squamous cell carcinomas. This technique may also be used for other cancers like sebaceous carcinomas, sweat duct tumors, dermatofibrosarcoma protuberans, and melanoma in situ.

The University of Miami School of Medicine, Department of Dermatology and Cutaneous Surgery offers a state-of-the-art Mohs surgical unit at the Sylvester Comprehensive Cancer Center . Dr. Keyvan Nouri is the Director of Mohs Surgery and Director of the Mohs/Laser Center at the Sylvester Comprehensive Cancer Center. Dr. Nouri’s major areas of interest include non-melanoma skin cancers, scars, a wide range of different laser applications as well as translational research collaborating with basic scientists. Specifically, lasers for scars, wound healing, skin cancer, tattoo removal, pigmented lesions, hair removal and other skin diseases. He has also conducted various survey studies evaluating quality of life associated with skin cancers/Mohs surgery and scars along with sun protective behaviors. Additionally, he is becoming involved in skin imaging modalities such as OCT. Dr. Nouri is editor of 8 textbooks. He has authored nearly 250 peer reviewed articles and over 130 book chapters. He is the program co-chairman for Florida Society of Dermatologic Surgeons.

Dr. Tang is fellowship trained in Mohs micrographic surgery and dermatologic oncology. She treats non-melanoma skin cancer (basal cell carcinoma and squamous cell carcinoma), melanoma, as well as rarer skin tumors including sebaceous carcinoma, sweat duct tumors, and dermatofibrosarcoma protuberans. Her clinical and research interests include high risk squamous cell carcinomas and advanced, unresectable basal cell carcinomas. Dr. Tang also has a background in wound healing with extensive experience in clinical trials and novel therapies for chronic non-healing ulcers.

Lasers

Recent innovations in laser technologies now allow for the successful treatment of a variety of previously difficult-to-treat skin conditions. The University of Miami School of Medicine, Mohs/Laser Center, offers state-of-the-art lasers in the treatment of a variety of conditions including, but not limited to: hair removal, port wine stains, hemangiomas, tattoos, birthmarks, spider veins, facial and leg veins, pigmented growths such as freckles, nevus of ota/ito and café au lait macules, wrinkles/rhytides, scars, keloids, and destruction of growths such as viral warts and epidermal nevi. The full-time experienced staff assigned to the Center, coordinates laser treatments.

For further information or to arrange for a consultation, call Dr. Keyvan Nouri, Director of University of Miami Laser Center, 305-243-4183.