Abstract: |
Mohs micrographic surgery is a specialized surgical and pathologic technique for the treatment of high-risk cutaneous neoplasms. With this technique, small margins of normal appearing tissue surrounding the clinically apparent tumor are excised in successive stages and then processed via a fresh-frozen technique for immediate microscopic examination of the complete surgical margins. Mohs surgeons sometimes confront challenging intraoperative decisions about whether a structure on frozen sections is benign or malignant or the significance of inflammation. The integration of telepathology by Mohs surgeons would permit accurate, convenient, and time-efficient assessment of challenging cases, and therefore directly enhance patient care. Limitations of telepathology in Mohs surgery relate to physician resources, technology, patient privacy, and cost. © Springer Berlin Heidelberg 2009. |