Electrodessication, curettage and some other management strategies may be appropriate alternatives to Mohs surgery for some skin lesions, dermatologic surgeon Sumaira Aasi said at the annual meeting of the Pacific Dermatologic Association. The 2012 appropriate-use criteria were created to help maintain the value of Mohs surgery in Medicare reimbursements, Aasi said. Experts from ASDS and other dermatology societies have compiled a list of procedures for which Mohs may and may not be appropriate. Alternative procedures may be better for nonaggressive basal cell or squamous cell carcinoma smaller than 2 centimeters located on the trunk or extremities, primary actinic keratosis with focal squamous cell cancer in situ and bowenoid actinic keratosis, for example.
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