Basal cell carcinoma medical therapy
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Overview
Basal Cell Carcinoma Medical Therapy
After the suspicious lesion is evaluated, the medical therapy is divided into low-risk and high-risk basal carcinoma patients.
The table below summarizes the characteristics in low-risk and high-risk lesions[1].
H&P | Low Risk | High Risk |
Location/size | Area L <20 mm; Area M <10 mm; Area H <6 mm | Area L ≥20 mm; Area M ≥10 mm; Area H ≥6 mm |
Borders | Well defined | Poorly defined |
Primary vs. recurrent | Primary | Recurrent |
Immunosuppression | (-) | (+) |
Site of prior radiation therapy | (-) | (+) |
Subtype | Nodular, superficial | Aggressive growth pattern |
Perineural involvement | (-) | (+) |
The algorithm below demonstrates a treatment protocol for low-risk patients that can tolerate surgery [2].