Due to experience and research with both BCCs and SCCs, surgical excision is currently the first-line treatment option, but a significant role has been demonstrated for radiotherapy and Mohs' micrographic surgery [5, 11, 21-24].
demonstrated that the number of stages of Mohs' micrographic surgery (MMS) required to achieve tumour-free margins in BSC was not significantly different to the number needed to treat SCC and BCC .
Current management including surgical excision, with or without radiotherapy, appears to be the best method of management, with future consideration of inclusion of Mohs' micrographic surgery in the treatment protocol when the service becomes available.
Nieman et al., "Surgical excision versus Mohs' micrographic surgery for primary and recurrent basal-cell carcinoma of the face: a prospective randomised controlled trial with 5-years' follow-up," The Lancet Oncology, vol.
Stenquist, "Five-year results of Mohs' micrographic surgery
for aggressive facial basal cell carcinoma in Sweden," Acta Dermato-Venereologica, vol.
(12) Other treatments include scalping, Mohs' micrographic surgery
, laser ablation, electrodessication/curettage cryotherapy, trichloroacetic acid, retinoic acid, carbon dioxide laser, and radiotherapy.
Given the cosmetically sensitive location of our patient's keratoacanthoma, the size of it, and the patient's history of skin cancers, we decided to use Mohs' micrographic surgery
for the management of this tumor, with good clinical outcome.
McKenna and his associates reviewed the medical records of 137 patients who underwent Mohs' micrographic surgery
for nonmelanoma skin cancer of the external ear at the University of Utah, Salt Lake City.
In 1981, Asarch created and headed the Dermatologic Surgery Program and Mohs' Micrographic Surgery
section far the department of dermatology at the University of Colorado Health Sciences Center, where he is currently an associate clinical professor of dermatology.
He was referred to our institution's Department of Dermatology by his dermatologist for Mohs' micrographic surgery
on the recurrent basal cell carcinomas of the right temporal region and the right nasal alar crease.
Stasko of the Mohs' Micrographic Surgery
Clinic at Vanderbilt University Nashville, Tenn.
Mohs' micrographic surgery
for the treatment of melanoma.