Is Mohs Surgery Necessary for a Minimally Invasive Squamous Cell on Bridge of Nose?

Even if the squamous cell carcinoma is superficially invasive, Mohs surgery is proven to provide the highest chance of cure in the central face but many are adequately treated without Mohs.  Your doctor who took the biopsy might be the best physician to determine if it needs Mohs as they saw it before the biopsy and can speak with the pathologist who read the slide. Then a determination can be made as to the suitability for Mohs surgery.

Mohs would be a good indication for this type of tumor based on two characteristics: location and tumor. Mohs would be indicated in locations where preservation of healthy tissue is important and lack of adjacent lax or loose tissue for repair. This would include the nose, eyelids, lips, ears, genitalia.  Regarding tumor type, an invasive squamous cell carcinoma on the nose is best handled by Mohs surgery to decrease the risk of recurrence of this tumor, which is more problematic when it recurs.

Mohs surgery is ideal for Squamous cell carcinoma of the nose. The are other ways to treat this cancer such as radiation or excision. The best way however is with Mohs surgery. Mohs surgery will enable the highest cure rate with most likely a smaller defect than traditional excisional surgery.