Skin cancer surgery

Skin cancer Microchapters
Patient Information
Overview
Historical Perspective
Classification Melanoma Basal cell carcinoma Squamous cell carcinoma of the skin Actinic keratosis Bowen's disease Keratoacanthoma Dermatofibrosarcoma protuberans Merkel cell carcinoma Kaposi's sarcoma Angiosarcoma Cutaneous B cell lymphoma Cutaneous T-cell lymphoma Sebaceous gland carcinoma
Pathophysiology
Causes
Epidemiology & Demographics
Risk factors
Screening
Diagnosis
Treatment
Prevention

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

Most skin cancers can be treated by removal of the lesion, making sure that the edges (margins) are free of the tumor cells. These excisions provide the best cure for both early and high-risk disease.

Treatment

For low-risk disease, radiation therapy and cryotherapy (freezing the cancer off) can provide adequate control of the disease; both, however, have lower overall cure rates than surgery.

Moh's Microsurgery is a technique used to remove the cancer with the least amount of surrounding tissue and the edges are checked immediately to see if tumor is found. This provides the opportunity to remove the least amount of tissue and provide the best cosmetically favorable results. This is especially important for areas where excess skin is limited, such as the face. Cure rates are equivalent to wide excision. Special training is required to perform this technique.

In the case of disease that has spread (metastasized) further surgical or chemotherapy may be required.

References

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