Regular Excision and Closure

-The cancer is cut out in an elliptical (football) shape with 5mm margins all around the tumor. The wound is the then stitched close with two layers of suture. The specimen is sent out to the lab to confirm that it has been removed.
-All types of squamous cell carcinomas
-Any location
-Time: 20-30 minutes
-Cure rate: 95%

Mohs Surgery

-The cancer is cut out layer by layer until every edge and the bottom of the removed area is cleared of cancer. Each specimen is removed, processed, and evaluated on site, so you know the cancer is out before the wound is closed.
-All types of squamous cell carcinomas
-Any location, but primarily done on the face
-Advantages:
-Only skin that must be removed is removed. This results in a smaller resulting defect that should lead to a smaller scar.
-Margin clearance is achieved around the edges of the entire specimen, including the deep edge. This is better than regular excision and closure where only portions of the edges are examined.
-Time: 1-4 hours, or more
-Cure rate: 97-99%

Electrodessication and Curettage (EDC)

-The cancer is scraped out and the base is burned. This cycle is repeated 2-3 times.
-Squamous Cell Carcinoma In Situ ONLY
-Done on the body
-Advantage: fast
-Disadvantage: round, white / pink scar
-Time: 5 minutes
-Cure rate: over 95%

Aldara or Efudex Cream

-The cancer is treated with a cream daily for 6-12 weeks.
-Squamous Cell Carcinoma In Situ ONLY
-Any location
-Advantage: little to no scarring
-Disadvantage: 6-12 weeks
-Cure rate: over 90%

Radiation Therapy

-The cancer is treated with superficial radiation for 8-16 treatments (4-6 weeks).
-Typically reserved for patients who are unable to undergo surgical excision
-Any location