I have two basal cells on my cheek & under my eye. My dermatologist wants to do Mohs surgery. What are my options?
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Skin cancer treatments
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Mohs reconstruction options
Stephen Weber MD, FACS
Denver Facial Plastic Surgeon
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"This answer has been solicited without seeing this patient and cannot be held as true medical advice, but only opinion. Seek in-person treatment with a trained medical professional for appropriate care."
Options for Treatment of Skin Cancers
Mohs surgery will provide the highest cure rate (98.5-99% for previously untreated basal cell carcinoma) and preserve the greatest amount of surrounding healthy tissue. If you have Mohs surgery, the American College of Mohs Surgery recommends that you see a fellowship-trained Mohs surgeon. That person will have completed a 1-2 year fellowship in Mohs surgery, including Mohs surgery, dermatopathology and reconstruction.
Another option could be radiation therapy, which is useful for certain situations where the patient or the skin cancer location might be better served in a non-surgical manner. We have a radiation oncologist on staff at our center and provide a form of radiation therapy referred to as electronic brachytherapy as an option for our patients. Best option is to discuss the situation further with your dermatologist and tell him or her about your concerns. Good luck.