Lentigo maligna commonly appears on the ear, nose, or wider facial area, where the cosmetic advantages of Mohs surgery are especially beneficial.
Lentigo maligna is an early stage melanoma, also known as melanoma in situ (MIS) or stage 0 melanoma and confined to the upper layers of the skin. A significant study of patients treated for this condition was published in May 2017.
They looked at 662 patients with MIS treated using Mohs, or the standard approach of wide local excision, which removes more tissue. This was a long term study and they saw no downside to Mohs, in terms of survival rates.
Recurrence rates were 1.8% in the Mohs group and 5.7% in the wide local excision group. A form of treatment which brings less cosmetic damage, or inconvenience, had reduced recurrence rates.
This fits with our experience, that Mohs provides more complete and efficient removal of lentigo maligna. A good choice for most cases and especially so for visible regions, such as the head, neck, or face.
Benefits From Mohs
As with any skin cancer, accurate diagnosis and treatment planning are prime steps. Where your consultant is clear that Mohs would be the right solution for you, this holds immediate and longer term advantages.
If early stage melanomas are not efficiently treated, they can develop into more invasive forms. Low levels of recurrence are a further benefit, along with reduced cosmetic damage to visible areas such as your hands, or feet and preserving function.
Reduced interference with life in general can be important, the confidence a less invasive procedure such as Mohs surgery brings. A technique we feel is the best for a good proportion of lentigo maligna patients.
Care At Our Clinics
Treatment is carried out as day surgery at our London clinics, using local anaesthesia. Surgery will always be in the hands of an experienced Mohs surgeon, who you will have discussed the procedure with during consultation.
Should you suspect lentigo maligna, arranging a consultation is the first step and helps ensure the problem does not develop into later stage melanoma. Mohs may not be suitable in that event, although other options will be.
Our consultants and Mohs surgeons are here to help with skin cancers at any stage of their development. Should you wish to discuss options, or arrange a visit to one of our London clinics, please get in touch at any time.