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July 22 2017


Dr. Malouf Dermatology

About Dr. Peter Malouf and Mohs Micrographic Surgery Dr. Peter Malouf at Dr. Malouf Dermatology in Fort Worth, Texas has more than 18 years of experience and has performed over 30,000 procedures. He specializes in general dermatology, cosmetic surgery, cosmetic dermatology and in Mohs Micrographic Surgery. Dr. Malouf obtained a bachelor of science in biology from Southwest Texas State University. He then undertook a medical degree at the University of North Texas Health Science Center after which he attended John Peter Smith Hospital in Fort Worth to complete his internship. He was chief resident in dermatology at Texas Tech University Health Sciences Center. Since 2000, Dr. Peter Malouf has been voted Best Doctor in each consecutive year by Fort Worth Magazine. His practice is regarded by Fort Worth Business Press as Tarrant County’s #1 Cosmetic Producing Practice. What is Mohs Micrographic Surgery? Originally developed in the 1930s by Dr. Frederick Mohs, with a few relatively minor refinements, Mohs Micrographic Surgery has been embraced over the previous decade or so by numerous surgeons as a form of treatment for a large variety of skin cancers. Mohs Surgery is now regarded as the most effective technique in terms of removing squamous cell carcinomas and basal cell carcinomas (SCCs and BCCs), which are the most common skin cancers to be found. Mohs Surgery allows the greatest amount of healthy tissue to be spared while completely eradicating cancer cells. With Mohs, cure rates for SCC and BCC are no less than 98 percent or higher. This is a significantly improved rate over standard excision or for any alternative and acceptable method. The technique is simple and elegant. It differs from alternative techniques in that all excised tissues are microscopically examined during the surgery as opposed to afterwards. This means that there is no requirement to estimate how deep or how far out the the root of the skin cancer is. As such, the Mohs surgeon can remove the cancer cells and at the same time spare far more normal tissue than with any other technique. One thin layer of tissue is removed at a time. When it is removed the margins can be assessed under a microscope to check for the presence of cancer. The surgery is ended if the margins are found to be cancer-free. It is in this way that Mohs Surgery manages to eliminate all guesswork when removing cancer from the skin, which in turn produces the best cosmetic and therapeutic results. Previously, Mohs was not chosen frequently for melanoma surgery. This was because some of the microscopic melanoma cells could easily be missed and in which case, these could spread around the body, otherwise known as metastasizing. Nevertheless, through a variety of improvements whereby the surgeon has a greater ability to identify melanoma cells, special stains are now used to highlight such cells which in turn makes it much easier to see them under a microscope. This means that many more surgeons are now using the Mohs procedure with a variety of melanomas. Mohs will continue to play a vital role over the coming years because melanoma and other skin cancers are becoming ever more frequent. 

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