26 Years Old - BCC Right Next to Eye. Mohs Best Option? (photo) Doctor Answers, Tips
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26 Years Old - BCC Right Next to Eye. Mohs Best Option? (photo)

I was just diagnosed with a BCC last Friday just below and to the left of my left eye. Picture is after biopsy. There is no way to determine how extensive it will be based on the biopsy? Can they tell anything at all from the biopsy? I have read that for some - once a MOHS surgeon started cutting there wasn't any cancer present? Is this a possibility? It has been there for about 3 years. I have 3 consults set up but my mind is flooded with questions before then. Thanks in advance.

8 Doctor Answers | Asked by fdamico in Peoria, AZ
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Mohs IS the best option for you

Receiving a cancer diagnosis at any age can be overwhelming and I'm sorry you have to go through this at age 26. The upsides to Mohs surgery are 1) the cancer will be removed it its entirety on the day you have surgery 2) the absolute smallest scar will result from this treatment vs any other 3) no healthy tissue will be wasted in the process. There is always a chance that the surgeon will get it all on the first stage but the initial biopsy alone will not tell us how deep or... more
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Mohs surgery for biospy proven basal cell carcinomas on the face and sensitive areas

A skin biopsy can tell you what the diagnosis is, but often will not tell you how extensive your skin cancer is. Mohs surgery is the most precise and effective method for treating skin cancer today. It is a minimally invasive procedure that spares healthy tissue and has an over 99% cure rate for primary (i.e. never before treated) basal cell carcinoma skin cancers. Occasionally, a skin biopsy can remove the entire cancer. However without checking to make sure all the cancer roots have been... more
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MOHS and skin canacer.

MOHS surgery is the best option for treating skin cancer of the eyelids. The MOHS surgeon will remove just enough tissue to completely clear the area of skin cancer. This technique leaves the maximal amount of normal tissue for reconstruction and has the highest success rate for complete cancer removal.

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+1

Mohs surgery is the treatment of choice for skin cancers

Unfortunately, the information a biopsy can provide is limited to a diagnosis. You must have a definitive procedure to remove the remaining skin cancer that may be invisible to the eye, yet still be present in the tissue examined under a microscope. Mohs surgery is the most tissue sparing procedure in cancer treatment armamentarium. Smaller wounds typically result in smaller and/or simpler reconstructions. In the end, your reconstruction will depend on what the final defect will look like.... more
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BCC on face

Sorry that you have a BCC. We have had many patients in their 20's and Mohs followed by plastic surgery reconstruction is by far the best option
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Mohs excision is the BEST option for removal of a facial skin cancer - results in smaller wounds and lowest recurrence rates.

Mohs excision is the BEST option for removal of a facial skin cancer. You will do very well to followup with a fellowship trained Mohs surgeon (almost all are dermatologists). There is no question that you should undergo another procedure to ensure that your skin cancer is completely removed. Mohs will result in the smallest possible wound with complete removal of the skin cancer and low, low rates of reappearance of skin cancer down the road in that spot. Your reconstruction will either be... more
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Mohs surgery and BCCs

The problem with BCCs is that they have roots. What happens is that while a site may look small on the surface, underneath it can be growing deeper or wider, due to the roots of the cancer. I have been doing Mohs surgery for about 25 years now and I can say with certainty that there is no way to look at someone and tell you how big or wide or how many levels will need to be done. Most often on the face on someone young like you, it won't have had time to grow that deep and wide... more
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MOHs

MOHs is a tissue sparin technique and is your best option if you want the best of both worlds, pre arrange good plastic surgeon For closure. Best of luck
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