Key Treatment

Mohs surgery (3 studies, n = 2660) is the "gold standard" but is not needed for all basal cell carcinomas. Recurrence rate was 0.8 to 1.1. Systematic review also showed the following (Thissen et al., 1999) (SOR: A):

Surgical excision (3 studies, n = 1303): recurrence rate was 2 to 8. Mean cumulative 5-year rate was 5.3. Recommended margins are 4 to 5 mm.

Curettage and desiccation (6 studies, n = 4212): recurrence rate was 4.3 to 18.1. Cumulative 5-year rate was 5.7 to 18.8. Three cycles of curettage and desiccation can produce higher cure rates then one cycle.

Cryosurgery (4 studies, n = 796): recurrence rate was 3.0 to 4.3. Cumulative 5-year rate (3 studies) was 0 to 16.5. Superficial BCC is effectively treated with imiquimod 5% cream (Gollnick et al., 2005) or 5-FU cream (Gross et al. 2007) (SOR: B).

Figure 33-82 Sclerosing basal cell carcinoma. © Richard P. Usatine and The Skin Cancer Foundation)

Figure 33-83 Pigmented nodular basal cell carcinoma. ©J Richard P. Usatine.)

Natural Treatments For Psoriasis

Natural Treatments For Psoriasis

Do You Suffer From the Itching and Scaling of Psoriasis? Or the Chronic Agony of Psoriatic Arthritis? If so you are not ALONE! A whopping three percent of the world’s populations suffer from either condition! An incredible 56 million working hours are lost every year by psoriasis sufferers according to the National Psoriasis Foundation.

Get My Free Ebook


Post a comment