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Research ArticleOriginal Article
Open Access

A retrospective review of Mohs micrographic surgery trends over more than 10 years in Saudi Arabia

Sahar H. Alsharif, Mohammed AlFada and Abdullah A. Alaqeel
Saudi Medical Journal July 2023, 44 (7) 667-673; DOI: https://doi.org/10.15537/smj.2023.44.7.20220892
Sahar H. Alsharif
From the Department of Dermatology (Alsharif, AlFada), College of Medicine, King Saud University; and from the Department of Dermatology (Alaqeel), College of Medicine, Prince Sultan Military Medical City, Riyadh, Kingdom of Saudi Arabia.
MD
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  • ORCID record for Sahar H. Alsharif
  • For correspondence: [email protected]
Mohammed AlFada
From the Department of Dermatology (Alsharif, AlFada), College of Medicine, King Saud University; and from the Department of Dermatology (Alaqeel), College of Medicine, Prince Sultan Military Medical City, Riyadh, Kingdom of Saudi Arabia.
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Abdullah A. Alaqeel
From the Department of Dermatology (Alsharif, AlFada), College of Medicine, King Saud University; and from the Department of Dermatology (Alaqeel), College of Medicine, Prince Sultan Military Medical City, Riyadh, Kingdom of Saudi Arabia.
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Article Figures & Data

Figures

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  • Figure 1
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    Figure 1

    - Mohs micrographic surgery for pigmented basal-cell carcinomas over the forehead. A) Pigmented basal-cell carcinomas over the forehead. B) Immediate post-first stage of Mohs surgery. C) one-week post-Mohs surgery. D) Two weeks post-Mohs surgery.

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    Figure 2

    - Mohs micrographic surgery for pigmented basal-cell carcinomas over the scalp. A) Pigmented basal-cell carcinomas over the scalp. B) Dermoscopic findings show the absence of a pigment network; there are white, pink, gray, and light-brown stroma, with sharply defined, fine linear, and branching arborizing vessels. C) Immediate first stage post-MMS. D) Coloring the specimen for the frozen section.

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    Figure 3

    - Mohs micrographic surgery for primary mucinous carcinoma. A) Primary mucinous carcinoma of the skin over the left temporal area. B) Dermoscopic findings show a whitish network and light-brown globules with branching serpentine vessels. C) Skin biopsy specimen revealed a dermal mass composed of glands and solid nests of epithelial cells which appear to be floating in copious mucin (Hematoxylin and Eosin staining). D) Complete healing by secondary intention.

Tables

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    Table 1

    - Demographic data of the 70 records.

    Characteristicsn%
    Age
    20-2922.9
    30-3922.9
    40-4957.1
    50-59811.4
    60-691622.6
    70-791521.4
    80-891622.6
    90-9968.6
    Gender
    Male4463
    Female2637
    Nationality
    Saudi6998.6
    Non-Saudi11.4
    Number of Mohs per year
    201511.4
    201622.9
    20171217.1
    2018811.4
    20191217.1
    20202637.1
    2021710
    202222.9
    • View popup
    Table 2

    - Types, localization, and status of tumors.

    Variablesn%
    Type of tumors
    BCC4767
    SCC1318.6
    Sebaceous carcinoma45.7
    DFSP34.3
    Primary mucinous carcinoma11.4
    Basosquamous carcinoma11.4
    Localization of tumors
    Nose2840
    Scalp1014.3
    Cheek68.6
    Forehead45.7
    Eyelid68.6
    Leg34.3
    Ear22.9
    Chest22.9
    Abdomen22.9
    Jaw11.4
    Shoulder11.4
    Arm11.4
    Hand11.4
    Finger11.4
    Back11.4
    Genital11.4
    Status of tumors
    Primary6390
    Recurrence710
    High risk5375.7
    Low risk1724.3
    • BCC: basal-cell carcinomas, SCC: squamous cell carcinomas, DFSP: dermatofibrosarcoma protuberans

    • View popup
    Table 3

    - The number of Mohs micrographic surgery (MMS) stages, types of reconstructions, Short-term complications, and recurrence for the 70 patients.

    Variablesn%
    Number of MMS stages
    13752.9
    22028.6
    3710
    457.1
    511.4
    Types of reconstructions
    Primary closure3753
    Secondary intention healing1420
    Flap1420
    Advancement flap710
    Rhombic transposition flap22.9
    Double rotation flap “‘8 to Z’ yin and yang”22.9
    Unilateral rotation flap11.4
    O to Z flap11.4
    Glabellar flap11.4
    Graft57
    Short-term complications
    Wound infections22.9
    Hematoma11.4
    Recurrence  
    Yes34.3
    No6795.7
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Saudi Medical Journal: 44 (7)
Saudi Medical Journal
Vol. 44, Issue 7
1 Jul 2023
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A retrospective review of Mohs micrographic surgery trends over more than 10 years in Saudi Arabia
Sahar H. Alsharif, Mohammed AlFada, Abdullah A. Alaqeel
Saudi Medical Journal Jul 2023, 44 (7) 667-673; DOI: 10.15537/smj.2023.44.7.20220892

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A retrospective review of Mohs micrographic surgery trends over more than 10 years in Saudi Arabia
Sahar H. Alsharif, Mohammed AlFada, Abdullah A. Alaqeel
Saudi Medical Journal Jul 2023, 44 (7) 667-673; DOI: 10.15537/smj.2023.44.7.20220892
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Keywords

  • retrospective
  • review
  • Mohs
  • micrographic
  • surgery
  • MMS
  • skin cancer
  • BCC
  • SCC
  • DFSP
  • sebaceous carcinoma
  • basosquamous carcinoma
  • mucinous carcinoma
  • Riyadh
  • Saudi Arabia
  • KSA

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© 2025 Saudi Medical Journal Saudi Medical Journal is copyright under the Berne Convention and the International Copyright Convention.  Saudi Medical Journal is an Open Access journal and articles published are distributed under the terms of the Creative Commons Attribution-NonCommercial License (CC BY-NC). Readers may copy, distribute, and display the work for non-commercial purposes with the proper citation of the original work. Electronic ISSN 1658-3175. Print ISSN 0379-5284.

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