Use of the double-bladed scalpel in peripheral margin control of dermatofibrosarcoma protuberans

BACKGROUND. The double-bladed scalpel previously has not been cited in the published literature for use in Mobs micrographic surgery. OBJECTIVE. To allow for maximum tissue conservation and greatest possible i ntraoperative efficiency for peripheral margin control of a massive tumor. METHODS. We describe the use of the double-bladed scalpel during Mohs surge ry for peripheral margin control of a large dermatofibrosarcoma protuberans (DFSP). RESULTS AND CONCLUSION. While not necessary for the majority of routine Moh s cases, utilization of the double-bladed scalpel may be timesaving, especi ally when used for peripheral margin control of a massive tumor.