Squamous Cell Skin Cancer Treatments

Bryan K. Chen, MD answers: Best way to remove squamous cells?

I just received the biopsy report on 3 areas from my chest. The locations are: 1 at the top of my cleavage, 1 to the left center of my cleavage and 1 centered just below my collar bone. These all came back as squamous cells. My dermatologist wants to scrape more and feels that this would be much better than a Moh's surgery. The location of these has gotten me very concerned about the appearance afterwards. What other treatments can you advise that would leave me with the least amount of scarring?


Bryan K. Chen, MD
7 months ago

Squamous cell skin cancers can be treated with simple excision, Mohs surgery (tissue sparing surgery), a scrape & burn procedure (ED&C) and in some cases, freezing with liquid nitrogen.  The excision procedures (simple excision and Mohs) will tend to leave linear scars whereas the scrape & burn tend to leave flat whitish scars.  A linear scar in the long run may be less noticeable than a flat white scar.  If your squamous cell skin cancers are superficial, they may respond well to topical therapeutic agents including 5-Fluorouracil or Aldara which would be ideal since scarring would be minimal with these nonsurgical treatments.  It is not appropriate, however, to treat invasive squamous cell skin cancers with creams.

I hope this helps.

Good luck.

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