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 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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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 a Mohs procedure necessary?

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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Can you treat basal cell carcinoma without surgery?

Patients now have another option: Superficial Radiation Therapy, or SRT — a non-surgical treatment for basal cell carcinoma. It is the non-surgical choice for removing non-melanoma skin cancer.
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Alternatives to Mohs surgery for lentigo maligna



Is there a cream for basal cell carcinoma?

The creams used to treat basal cell skin cancer are imiquimod and 5-FU (fluorouracil). They contain powerful medicines that cause a painful irritation in the treated area. The skin gets inflamed and crusts over as it heals. You apply the cream every day or two for several weeks.
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Is Mohs surgery necessary for basal cell carcinoma?

Mohs surgery might be recommended if your basal cell carcinoma has a higher risk of recurring, such as if it's larger, extends deeper in the skin or is located on your face.
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When is Mohs surgery not recommended?

Mohs surgery is generally not indicated for melanomas that extend deeper into the skin. The Mohs technique allows us to: Remove all cancerous cells, including those that may go deeper like a tree's roots and would otherwise be hard to see. Spare as much healthy tissue as possible.
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Can you be sedated for Mohs surgery?

The anesthetic of choice for the vast majority of Mohs repairs is simple intravenous (IV) sedation following a brief period of propofol sedation to allow injection of painful local anesthetic.
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How long can you wait to have Mohs surgery?

The median delay between diagnosis and Mohs surgery was 127 days. The average delay was 141 days. The time from diagnosis to treatment ranged from 14 to 761 days.
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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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Does squamous cell carcinoma ever go away on its own?

They sometimes go away on their own, but they may come back. A small percentage of AKs may turn into squamous cell skin cancers. Most AKs do not become cancer, but it can be hard sometimes to tell them apart from true skin cancers, so doctors often recommend treating them.
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Is radiation needed 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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How long can basal cell carcinoma be left untreated?

Leaving Melanoma Untreated

Warning signs to look for in moles may include itching, bleeding, blurred edges and changes in colour. In as little as 6 weeks melanoma can put your life at risk as it has the ability to grow quickly and spread to other parts of your body including your organs.
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What are the warning signs of basal cell carcinoma?

Basal Cell Carcinoma Warning Signs and Symptoms
  • A small spot with an indentation in the center.
  • Scaly patch, especially near the ears.
  • Sore that either doesn't heal or heals but keeps returning.
  • Round growth that can be pink, red, brown, tan, black, or skin-colored.
  • Scar-like skin that isn't from an injury.
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What happens if you don't get a basal cell carcinoma removed?

However, left untreated, BCCs can grow deeper into the skin and damage surrounding skin, tissue, and bone. Occasionally, a BCC can become aggressive, spreading to other parts of the body and even becoming life threatening.
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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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Is Mohs surgery painful?

Though undergoing surgery of any kind can be nerve-racking, a Mohs procedure shouldn't involve a huge amount of pain or inconvenience.
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Can you drive home after Mohs surgery?

Mohs surgery recovery is generally very quick due to the highly localized and generally non-invasive nature. Barring any disorienting medication, such as pain medication that might be administered, and depending on the location of the surgery, you can drive home after.
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What is slow Mohs surgery?

Slow Mohs is a staged surgical excision used to precisely remove skin cancer while trying to save as much normal healthy skin around it. The tissue is processed in the Mohs method to allow the pathologist to examine 100% of the the margins and allow the surgeon to “trace” the roots.
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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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What is the average size of a basal cell carcinoma?

The average diameter of the basal cell carcinoma was 12.1 mm; 47 percent of these lesions had a diameter of less than 10 mm. The average diameter of the squamous cell carcinoma was 16.9 mm; 26 percent of these lesions had a diameter of less than 10 mm.
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Does basal cell carcinoma grow deep?

Basal cell carcinoma spreads very slowly and very rarely will metastasize, Dr. Christensen says. But if it's not treated, basal cell carcinoma can continue to grow deeper under the skin and cause significant destruction to surrounding tissues. It can even become fatal.
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How quickly should a basal cell carcinoma be removed?

Dr.

A recent study found that melanoma patients treated within 30 days of the biopsy had a better outcome than those who waited. Waiting increased the risk of death.
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