Slow Mohs and Staged Excisions
For Patients with a Diagnosis of Melanoma, Lentigo Maligna or Atypical Nevus/Dysplastic Mole we perform a process we refer to as “Slow Mohs”
Your diagnosis makes it desirable for us to use “permanent” section processing which takes 10-14 hours to process. We will remove the first layer exactly as described, but you will go home immediately thereafter. You will need to return the next morning to find out the results of the pathology. At that time we will know whether there are any “roots” left and if we have to take an additional layer of tissue. Once the margins are clear, we will be able to do whatever is necessary to repair the wound. Therefore, you will need to plan on at least two (and possibly more) visits on sequential days for this type of cancer.