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MOHS SURGERY

Mohs Surgery is now a Board Certified Fellowship and we are proud to announce Dr. McGovern is part of this inaugural class.

Thomas W. McGovern, M.D.

Fellowship Trained Mohs Surgeon

Dr. McGovern grew up in Escanaba in Michigan’s Upper Peninsula and obtained a degree in biology from Michigan Technological University in Houghton, Michigan. He proceeded to Mayo Clinic in Rochester, MN where he completed medical school on a US Army scholarship. His transitional internship was performed at Eisenhower Army Medical Center at Fort Gordon (near Augusta), GA. He next served two years doing defensive biological warfare research (vaccine development) at the US Army Medical Research Institute of Infectious Diseases at Fort Detrick (near Frederick), MD. His training resumed with a three-year dermatology residency at Fitzsimons Army Medical Center in Aurora (Denver suburb), CO, and he finished his US Army obligation by running the dermatology clinic at Fort Riley (near Manhattan), KS for two years. Following an Honorable Discharge from the US Army, he moved to Connecticut where he completed a one year fellowship in Mohs and Advanced Dermatologic Surgery at the Yale University School of Medicine in New Haven. He has performed Mohs Surgery at Fort Wayne Dermatology Consultants since January 2000.

Mohs surgeons act as both a surgeon who cuts out cancer and repairs defects and as the pathologist who examines microscope slides of the skin to see if the cancer is removed or not. Because of its tissue-sparing nature and its unparalleled cure rates, Mohs surgery is the preferred treatment for skin cancer on cosmetically sensitive areas, large or recurrent cancers, or cancers that have an aggressive pattern under the microscope. In August 2021, he added treatment of shallow melanomas with the Mohs procedure.

With the assistance of his reliable team of compassionate, experienced, and talented surgical assistants and histotechnologists, he has removed over 34,000 skin cancers (as of January 2023) – the vast majority on the face – with the Mohs technique. Of those defects, 55% were sutured side-to-side, 25% healed on their own, 15% were reconstructed with local flaps or grafts, and 5% were referred to local plastic surgeons for repair.

Dr. McGovern has published numerous book chapters, articles, and editorials and has given many oral presentations on various aspects of skin disease. He received the Gold Triangle Award from the American Academy of Dermatology for excellence in public education for skin disease. He currently serves as an at-large member of the National Board of the Catholic Medical Association and has overseen national outreach to Catholic medical students and young physicians in training since 2019. He is now doing this on an international level for medical students around the world with a multi-national team of physicians and medical students. In 2022 at an international conference in Rome, he received the Gold Medal of FIAMC (the International Federation of Catholic Medical Associations) for excellence and creativity in effectively serving the needs of Catholic medical students and young physicians.

He has co-hosted the weekly radio show and podcast Doctor, Doctor since January 2018 that now airs on Saturday mornings on over 350 radio stations. It has won three straight Gabriel Awards of the Catholic Media (not Medical) Association for excellence in broadcasting competing against full-time media professionals. His first book What Christ Suffered: A Doctor’s Journey Through the Passion received a 2022 award from the Catholic Media (not Medical) Association as the Best Book written about Jesus and has been an Amazon #1 Best Seller in its category of Christian Historical Theology just before Easter in 2021 and 2022. He is a Knight Commander of the over 900-year-old Equestrian Order of the Holy Sepulchre of Jerusalem. Dr. McGovern and his wife Sally live in Fort Wayne and have seven home-schooled children.

Paras Ramolia, M.D.

Surgical & Medical Dermatology

Dr. Paras Ramolia is a board-certified dermatologist at Fort Wayne Dermatology Consultants. A native of Indiana, he graduated from Indiana University School of Medicine and completed his residency at Texas Tech University. After practicing 12 years in Texas, Dr. Ramolia decided to move back to his home state to be closer to family in 2024. Dr. Ramolia’s areas of interest include medical dermatology, primarily skin cancer detection and prevention, and surgical dermatology, including Mohs Micrographic Surgery.

Mohs Micrographic Surgery

Originally developed in the 1930s, Mohs micrographic surgery has been refined into the most advanced, precise, and effective treatment for an increasing variety of skin cancer types. With the Mohs technique, physicians can precisely identify and remove an entire tumor while leaving the surrounding healthy tissue intact and unharmed. Mohs surgery is the most effective treatment for most types of skin cancer.

Success Rate of Mohs Surgery
The Mohs procedure involves surgically removing skin cancer layer by layer and examining the tissue under a microscope until healthy, cancer-free tissue around the tumor is reached (called clear margins). Because the ACMS surgeon is specially trained as a cancer surgeon, pathologist, and reconstructive surgeon, Mohs surgery has the highest success rate of all treatments for skin cancer – up to 99%.

Advantages of Mohs Surgery
Mohs surgery is unique and so effective because of the way the removed tissue is microscopically examined, evaluating 100% of the surgical margins. The pathologic interpretation of the tissue margins is done on site by the Mohs surgeon, who is specially trained in the reading of these slides and is best able to correlate any microscopic findings with the surgical site on the patient. Advantages of Mohs surgery include:

  • Ensuring complete cancer removal during surgery, virtually eliminating the chance of the cancer growing back
  • Minimizing the amount of healthy tissue lost
  • Maximizing the functional and cosmetic outcome resulting from surgery
  • Repairing the site of the cancer the same day the cancer is removed, in most cases
  • Curing skin cancer when other methods have failed

Other skin cancer treatment methods blindly estimate the amount of tissue to treat, which can result in the unnecessary removal of healthy skin tissue and tumor re-growth if any cancer is missed.

Cost-Effectiveness of Mohs Surgery
Because of Mohs surgery’s high success rate, most patients require only a single surgery. This surgery usually includes the repair of the wound as well. Other methods might require additional surgeries and pathology readings in order to repair the wound and to treat the cancer if it is not completely removed. Each of these additional surgeries and pathology readings require separate fees, while a single Mohs surgery procedure includes all of these into one fee.

There are also human costs to be considered. Because Mohs surgery minimizes the amount of healthy tissue removed, it also reduces the impact to the surrounding area. The aesthetic outcome of the surgery is optimized. Furthermore, the psychological impact of being subjected to multiple procedures when cancer recurs can be significant. Because the process of Mohs surgery minimizes the risk of recurrence, it reduces and frequently eliminates the costs of larger, more serious surgeries for recurrent skin cancers.

Learn More By Visiting American College of Mohs Surgery

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