The patient is a 70 yo woman who had a nasal bulb lesion biopsied in September 2010. This was an ill-defined area and two, 2-mm biopsies were taken. One showed a superficial and nodular BCC ang the other a melanocytic nevus. This was probably a collision lesion. The patient elected to wait and see what developed.
Today, April 29, 2010, the exam shows a residual lesion with arborizing blood vessels on dermoscopy. This lesion requires definitive treatment either with micrographic surgery or radiotherapy and the patient is leaning towards the former.
Question: With re: Moh's surgery, what kind of closure you you recommend?
Hi
ReplyDeleteI might sound too conservative, but a trial of Cryosurgery followed by Imiquimod 5% cream 5 times a week, might be relevant.
Best regards
Dr Manish Pahwa
Max Hospitals, New Delhi, India
This is really a informative post. I was looking for something like this and you gave me what i wanted to know.
ReplyDeleteSkin Cancer Treatment