Mohs surgery in Italy today

Mohs surgery is a surgical and anatomo-pathological technique that permits complete eradication of malignant skin tumors, namely basal cell carcinomas, with an extensive local growth and without metastatic diffusion. This is obtained through an examination of the whole perimeter thanks to horizontal sections of the specimen after careful mapping. The practical procedure is described and the possible variants of Tübingen method and the delayed technique are discussed. Indications and limits of this technique are discussed with some clinical cases. Finally, considerations are made about the increasing need of this technique due to spreading inappropriate nonsurgical treatments for basal cells carcinomas. Much more clinical centers in Italy are needed in the future that can use Mohs surgery.