YOUR OPTIONS FOR SKIN CANCER TREATMENT
| High risk |
|---|
| 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 5-fluorouracil |
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: photodynamic therapy and radiation -don’t have it in our hospital. | |||
*BCC=Basal cell carcinoma
*SCC:Squamous cell carcinoma *SCCIS: Squamous cell carcinoma insitu
*1-4 are also options for palliative treatment
