Is This the Right Path I Should Take For Excision of Keratocanthoma?

July 26, 2012
Asked By:juliesheehy

Is Moh's Surgery Appropriate Following Plastic Surgery Doing an Excision of a Keratoacanthoma with Skin Grafts and Cartilage Removal of the lower right side of nose; now with path. report showing 'squamous cell ca' at the deeper and most lateral margins. The surgeon had me see a ENT plastic surgeon and they both want to do a 'crane procedure' involving excising tissue from the area until all margins are clear and taking a 'flap' from the forehead and attaching to end of . They told me Moh's in not a good choice for this spot. But told me I'm facing 3-4 surgeries and reconstruction and may lose my nose and possibly AN EYE! I asked the ENT plastic surgeon if the squamous cell ca had invaded an eye(like he said it MAY); would radiation or chemo or some other non-removal of eye work. He said skin ca (squamous cell) doesn't respond well to radiation or chemo; but rather surgical removal. They want to do the 'crane procedure' excising all ca margins until clear and then bringing a 'flap' down from my forehead to attach to end of excised area on nose for blood supply. Is is too late for Moh's if the ca has already

Answers (3)

From board-certified doctors and trusted medical professionals
MOST RECENT
September 24, 2012

Answer: A keratoacanthoma is not a SCC

Steven Swengel, MDDermatologic Surgeon, Board Certified in Dermatology
Book a consultation
MOST RECENT
September 24, 2012

Answer: A keratoacanthoma is not a SCC

Steven Swengel, MDDermatologic Surgeon, Board Certified in Dermatology
Book a consultation
October 22, 2012

Answer: Keratoacanthoma of nose

October 22, 2012

Answer: Keratoacanthoma of nose

July 26, 2012

Answer: Keratocanthoma is not an invasive SCC

July 26, 2012

Answer: Keratocanthoma is not an invasive SCC

FIND THE RIGHT
TREATMENT FOR YOU

Recommended reading

Mohs Surgery

Everything you need to know about Mohs Surgery

  • 98% worth it
  • 237.0k reviews
  • Avg cost: $2,800
Learn More
ADVERTISEMENT
FIND THE RIGHT
TREATMENT FOR YOU
ADVERTISEMENT