Dr Zitelli's reply to my letter published in the March 1991 issue of the Archives puts his view clearly and strongly concerning the appropriateness of Mohs surgery in lentigo maligna. He is obviously an involved advocate, further recommending the use of Mohs surgery in malignant melanoma. This is not a universal opinion among Mohs surgeons and places Dr Zitelli at one end of a spectrum of clinical opinion. This is not to say that he is wrong, but surgeons who suggest caution in the practice of their own specialty make convincing moderators.I may be playing the role of a plodding devil's advocate, skeptical though not unconvincible. The hole left in the face of the patient described by Dhawan et al1 left me thinking of the adage, "If you want sound advice, never ask an expert."
de Berker D. Mohs Surgery for Lentigo Maligna-Reply. Arch Dermatol. 1991;127(11):1730. doi:10.1001/archderm.1991.01680100133025