Is radiation better than Mohs surgery?

With Mohs Surgery, every scar is minimized. Radiation treatment does not require surgical reconstruction because surgery has not been performed. In experienced hands, radiation treatment of skin cancer can indeed impart favorable cosmetic outcomes.
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Which is better Mohs surgery or radiation?

Mohs surgery has a slightly more successful cure rate of 98%, while studies show that superficial radiation therapy has a cure rate of 95% when administered for either basal or squamous cancer cells.
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Is surgery or radiation better for basal cell carcinoma?

Radiation therapy is a treatment option for basal cell carcinoma that involves using high-energy rays to destroy cancerous cells. While surgery is most commonly the primary treatment used for this type of cancer, there are circumstances when radiation therapy may be used as the first treatment.
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Is Mohs surgery the best option?

Since its development, Mohs surgery has been refined into the most precise and advanced treatment for skin cancer, yielding success rates up to 99 percent. Mohs surgery is so effective because 100 percent of the surgical margins are evaluated, compared with less than 5 percent by traditional techniques.
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Is radiation necessary after Mohs surgery?

The Mohs surgeon is unlikely to see many patients who will need postoperative radiotherapy, said Dr. Hodgens, director of radiation oncology at Scripps Memorial Hospital, La Jolla, Calif. "Keep in mind the vast majority of patients will not need this – but be on the lookout for those who might."
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MOHS Surgery Alternative - Superficial Radiation Therapy



What is an alternative to Mohs surgery?

Radiotherapy is a less-invasive alternative to Mohs surgery. It involves the use of X-ray energy to kill skin cancer cells.
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What are the side effects of radiation on the face?

Possible side effects of radiation

Skin irritation, ranging from redness to blistering and peeling. Changes in skin color. Hair loss in the area being treated. Damage to saliva-making glands and teeth when treating cancers near these structures.
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Do I really need Mohs surgery?

Mohs surgery is not necessary for all skin cancers, but it is useful when: The location of the skin cancer is near areas that are important for daily activities, like the fingers, or for appearance, like the nose; Earlier treatments have not worked; A tumor is large; and.
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Why am I so tired after Mohs?

It is common for patients to feel tired by the end of the surgery, particularly if multiple stages have been taken, or if there was an involved repair. We do recommend that you have a driver available to take you home. Most of our patients prefer not to work in the afternoon of surgery.
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What is the success rate of radiation therapy?

When it comes to early stages of disease, patients very frequently do well with either brachytherapy or external beam radiation. Success rates of around 90% or higher can be achieved with either approach.
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What is the best surgery for basal cell carcinoma?

Mohs surgery has the highest cure rate of all therapies and is especially effective for high-risk basal cell carcinomas, such as large tumors, tumors that have recurred after other treatments, and tumors in areas such as the face, where we want to preserve as much normal skin as possible.
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What's the best treatment for basal cell carcinoma?

Basal cell carcinoma is most often treated with surgery to remove all of the cancer and some of the healthy tissue around it. Options might include: Surgical excision. In this procedure, your doctor cuts out the cancerous lesion and a surrounding margin of healthy skin.
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Is radiation a good treatment for basal cell carcinoma?

Types of Skin Cancer

Radiation therapy is very effective for treating basal cell cancers that have not spread elsewhere. Other common treatments include surgery, chemotherapy and cryosurgery.
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How effective is superficial radiation therapy?

Conclusions: Superficial radiation therapy is an effective option for eliminating BCC and SCC on lower extremities of patients who opt for nonsurgical treatment. Using SRT for BCC and SCC in elderly patients resulted in a 97.4% cure rate.
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Are there alternative treatments for basal cell cancers?

In order to help alleviate some of the burden, alternative treatments for BCC are emerging, many of which can be administered by general practitioners. One of these treatments is imiquimod, a topical treatment cream that boosts the body's immune response.
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Is walking OK after Mohs surgery?

We recommend you limit vigorous physical activity, excessive bending over or exercise for seven days after your Mohs surgery to allow your wound to heal and prevent bleeding or damage to your stitches. Sutures are usually removed five to 10 days after surgery.
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Do you need plastic surgery after Mohs surgery?

Mohs surgery was originally created to help minimize the risk of scarring and the need for additional plastic surgery after cancer removal. However, a percentage of people who get Mohs do require plastic surgery after their skin cancer removal.
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Do you get stitches after Mohs surgery?

Stitches on the face or neck are usually removed within 7-10 days. Stitches on the ears, scalp, limbs, chest and back are usually removed within 14 days. The scar is tightened in about a month. The postoperative wound heals in 4-6 weeks.
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What happens if you don't do Mohs surgery?

Without treatment, a basal cell carcinoma could grow -- slowly -- to encompass a large area of skin on your body. In addition, basal cell carcinoma has the potential to cause ulcers and permanently damage the skin and surrounding tissues.
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Is Mohs surgery just for the face?

Mohs surgery is the gold standard for treating many basal cell carcinomas (BCCs) and squamous cell carcinomas (SCCs), including those in cosmetically and functionally important areas around the eyes, nose, lips, ears, scalp, fingers, toes or genitals.
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How long does Mohs take to heal on face?

Mohs surgery recovery is typically completed within two weeks post procedure, with patients required to rest and avoid heavy activity. Many return to work the next day. Most patients do not require pain medication but may experience sensitivity around the affected area.
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What are the disadvantages of radiation therapy?

What are the disadvantages? Radiotherapy can cause side effects, including tiredness, sickness and runny poo (diarrhoea). If you have chemoradiotherapy, you may get side effects from the chemotherapy.
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Is radiation treatment painful?

Does radiation therapy hurt? No, radiation therapy does not hurt while it is being given. But the side effects that people may get from radiation therapy can cause pain and discomfort. This booklet has a lot of information about ways that you and your doctor and nurse can help manage side effects.
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What can I expect after my first radiation treatment?

The most common early side effects are fatigue (feeling tired) and skin changes. Other early side effects usually are related to the area being treated, such as hair loss and mouth problems when radiation treatment is given to this area. Late side effects can take months or even years to develop.
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