Non-Melanoma Skin Cancers
If you are diagnosed with non-melanoma skin cancer, which make up the vast majority of skin cancers, your board-certified dermatologist will design a treatment plan specifically designed for you. Treatment options include:
Standard Excision is the removal of a skin cancer along with some of the healthy skin tissue around it (margin). For this procedure, a local anesthetic is used to numb the area. After the cancerous area is removed, the incision is closed with stitches. If the incision is large, sometimes a skin graft or flap is required. Reconstructive surgery may be needed if the excision surgery creates a scar.
Scraping and Burning
This technique is usually reserved for small lesions generally not on the face.
Local anesthesia is administered, the growth is gently scraped off with a tool with a sharp, ring-shaped tip, and then the tumor site is burned with a small needle.
Liquid nitrogen is applied to the growth with a spray device or cotton-tipped applicator. This freezes the tissue without requiring any cutting. This treatment is usually for pre-cancerous lesions and for the very earliest most superficial skin-cancer lesions. This treatment will result in some short-term blistering, and occasionally, long-term permanent discoloration leaving the skin white.
Mohs surgery is the most effective treatment for the most common non-melanoma skin cancer such as basal cell and squamous cell carcinoma. The Mohs procedure involves surgically removing skin cancer layer by layer and examining the tissue under a microscope until healthy, cancer-free tissue around the tumour is reached (called clear margins).
Each Forefront Dermatology Mohs surgeon is specially trained as a cancer surgeon, pathologist, and reconstructive surgeon and this results in Mohs surgery having the highest success rate of all skin cancer treatments – up to 99 percent.
Because of Mohs surgery high success rate, most patients require only a single surgery.