YOUR OPTIONS FOR SKIN CANCER TREATMENT
High risk |
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Mohs surgery or Wide excision Click the link to see the differences between Mohs VS Wide Excision Radiation in case of non-surgical candidate Systemic therapy in case of nodal or distant metastasis |
Option | Advantages | Disadvantages | 5-year Recurrence rate |
---|---|---|---|
Low risk | |||
Standard wide excision | Have histologic margin assessment | May need re-excision or Mohs surgery, if pathology report positive margin | BCC:0.8-17.4% SCC:5-8% |
Shave removal | Fast &Low cost Not require suture |
Inadequate margin assessment | BCC:0.5-30% SCC-not recommend |
Electrodesiccation & Curettage | Fast &Low cost Not require suture |
No histologic margin assessment | BCC: 1.2-40% SCIS:3-8% SCC: not enough report |
Cryotherapy | Fast &Low cost Not require suture | No histologic margin assessment Multiple session requirement |
BCC:5-39% SCC: not enough report |
Topical imiquimod | Lowest cost | Approved for superficial type BCC Need to apply at least 6 weeks Irritation |
BCC: 11% by Gollnick et al, 2008 SCC: not enough report |
Other modalities: 5-fluorouracil, photodynamic therapy, radiation |
*BCC=Basal cell carcinoma
*SCC:Squamous cell carcinoma *SCCIS: Squamous cell carcinoma insitu