Waiting Too Long for Mohs Surgery?

I would definitely contact the Mohs surgeon and try to get in sooner. If that doesn't work, your referring doctor can make the call. Aside from concerns about the potential risks or agressiveness of this kind of cancer, you are particularly concerned about it. If a patient or referring doctor is particularly concerned, we'll see the patient right away. That way if appropriate we can put their concerns at ease or try to schedule them sooner. Regarding squamous cell carcinomas on the scalp, these can be more agressive or difficult to treat so an earlier consultation is a good idea from this standpoint.

The most common tumor treated with Mohs surgery is basal cell carcinoma. This is typically slow-growing (over months to years) and has nearly no chance of spread to distant parts of the body. For BCC, therefore, a wait of a few weeks for treatment is likely to have no or minimal impact on outcome. Squamous Cell Carcinoma (SCC) can also be slow-growing but in some cases can grow quickly and spread beyond the skin. As a general rule, I try and see patients with an obviously growing SCC within 1-2 weeks and try and arrange the surgery if posssible in that time frame as well if the lesion is actively growing or has other concerning pathologic features. If the lesion has been present for many months or even years and is clearly growing slowly there is likely less urgency. In a case like yours if there is any evidence of growth, I would encourage being seen relatively soon to minimize the size of the defect and surgery needed.