Skin Cancer, Nonmelanoma

Surgery

Surgery is the most common and most successful method of treating nonmelanoma skin cancer. The goals of surgery are to:

• Remove the entire skin cancer and a margin of healthy skin tissue around the cancer to reduce the chance of recurrence.
• Preserve nearby skin tissue that is free of cancer and minimize scarring after surgery.

Surgery Choices

The main types of treatment for nonmelanoma skin cancer include:

• Complete excision. Excision removes the skin cancer along with some healthy skin tissue around it (margin).
• Curettage and electrosurgery. Curettage uses a spoon-shaped instrument (curette) to scrape off the skin cancer. Electrosurgery with an electric current may be done after curettage to burn the skin tissue to control bleeding and destroy any remaining cancer cells.
• Mohs micrographic surgery. The Mohs procedure removes skin cancer one layer at a time and examines these layers under a microscope immediately after they are removed. This method allows for a close examination of each layer of skin to identify skin margins that are free of cancer during the surgery. Mohs surgery is also advised for certain skin cancers when the highest cure rate is needed while sparing as much healthy tissue as possible.⁶
• Cryosurgery. Cryosurgery destroys the skin cancer by freezing it with liquid nitrogen.
• Laser surgery, which is not commonly used. Lasers destroy surface (superficial) nonmelanoma skin cancers and actinic keratoses with an intense beam of light. The laser beam can also be used as a scalpel to remove (excise) a skin cancer. Currently, laser surgery is an expensive form of treatment.

Each type of treatment has advantages and disadvantages. Discuss your options with your doctor.

What To Think About

If squamous cell carcinoma has spread to the lymph nodes, surgery to remove the affected lymph nodes (lymphadenectomy) may be done. Radiation or chemotherapy may be recommended after surgery.

Go to previous section	Go to top of page	Go to next section
Author:	Bets Davis, MFA	Last Updated: October 14, 2008
Medical Review:	Kathleen Romito, MD - Family Medicine Alexander H. Murray, MD, FRCPC - Dermatology
© 1995-2009 Healthwise, Incorporated. Healthwise, Healthwise for every health decision, and the Healthwise logo are trademarks of Healthwise, Incorporated.This information does not replace the advice of a doctor. Healthwise disclaims any warranty or liability for your use of this information. Your use of this information means that you agree to the Terms of Use. How this information was developed to help you make better health decisions.