Patient Information Leaflets (PILs)
These Patient Information Leaflets (PILs) are specially written by the British Association of Dermatologists (BAD).
The BAD has been awarded The Information Standard certification for the process it employs to develop information products aimed at the general public, which include PILs, Sun Awareness Campaign materials, and other information products.
The BAD shall hold responsibility for the accuracy of the information published, and neither the scheme operator nor the scheme owner shall have any responsibility for costs, losses, or direct or indirect damages or costs arising from inaccuracy of information or omissions in information published on the website on behalf of the BAD.
There are thousands of different skin complaints, therefore, the focus of the British Association of Dermatologists' PILs production is on the most common, rarest or debilitating skin conditions.
The offer to provide details of source materials used to inform the British Association of Dermatologists' PILs is for instances where the advice provided in the PILs does not reflect local practice and therefore evidence supporting said advice needs to be produced. It is not an offer to conduct literature searches or supply bibilographic materials for your own research.
Mohs micrographic surgery
Mohs micrographic surgery is a specialised surgical method for removing certain types of skin cancer. It was first developed by Dr Frederic Mohs in the 1930s.
Traditionally, operations for treating skin cancer surgically have involved removal of the area affected by the skin cancer together with an area of healthy unaffected skin around and below the skin cancer in order to ensure that the entire cancer has been completely removed with suitable margins of excision. Once removed, the skin is sent to the laboratory for examination by a pathologist (a doctor who specialises in medical diagnosis by looking at the cells with a microscope) to confirm whether the operation has been successful or not. It usually takes about 2 weeks for pathology report to become available. If the report shows that the skin cancer has not been fully removed, a further procedure may be necessary.
During the procedure of Mohs micrographic surgery, the skin cancer is removed a thin layer at a time with a small margin of healthy skin surrounding it. Each layer is immediately checked under the microscope by either the surgeon or a pathologist. The layer of skin is examined in horizontal sections. A further layer is taken from any areas in which the tumour remains until all of the skin cancer has been fully removed. The advantage of removing the skin layer by layer in this way is that as little healthy skin around the skin cancer is removed, which keeps the wound as small as possible. Secondly, your dermatological surgeon can be almost certain that the skin cancer is fully removed on the day of the procedure.