Medical Specialty:
Dermatology
Sample Name: Mohs Micrographic Surgery - 2
Description: Mohs Micrographic Surgery for basal cell CA at medial right inferior helix.
(Medical Transcription Sample Report)
PREOP DIAGNOSIS: Basal Cell CA.
POSTOP DIAGNOSIS: Basal Cell CA.
LOCATION: Medial right inferior helix.
PREOP SIZE: 1.4 x 1 cm
POSTOP SIZE: 2.7 x 2 cm
COMPLICATIONS: None.
HEMOSTASIS: Electrodessication.
PLANNED RECONSTRUCTION: Wedge resection advancement flap.
DESCRIPTION OF PROCEDURE: Prior to each surgical stage, the surgical site was tested for anesthesia and reanesthetized as needed, after which it was prepped and draped in a sterile fashion.
No tumor was identified after the final stage of microscopically controlled surgery. The patient tolerated the procedure well without any complication. After discussion with the patient regarding the various options, the best closure option for each defect was selected for optimal functional and cosmetic results.
Keywords: dermatology, medial right inferior helix, wedge resection advancement flap, tumor-laden tissue, mohs fresh tissue technique, mohs technique, mohs micrographic surgery, basal cell ca, micrographic surgery, basal cell, micrographic, helix, basal, cell, ca, mohs, tissue, stage,