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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Treatment For Basal Cell Carcinoma With Fibrosis?

I had a nodule removed from my right forearm. Earlier diagnosed as a picker s node or something like that but after removal, there was a final diagnosis of basal cell carcinoma, nodular, with fibrosis. The dermatologist wants to do Mohs surgery on it now. However, I had a second opinion and this dermatologist suggest that this does not constitute or fulfill criteria for Mohs…however, it does need to be removed. Can I wait because I cannot afford Mohs?
Tue, 27 Jan 2015
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Oncologist, Surgical,  's  Response
Firstly, you do not need MOhs surgery. Mohs is reserved for skin cancers that are present in an area where you want to remove minimum skin such as the face. On the forearm this is not a concern and a simple wide excision of the skin around the nodule with a 1 cm margin is all that is required. However, it is mandatory that you undergo this excision else the cancer will return.
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What Is The Treatment For Basal Cell Carcinoma With Fibrosis?

Firstly, you do not need MOhs surgery. Mohs is reserved for skin cancers that are present in an area where you want to remove minimum skin such as the face. On the forearm this is not a concern and a simple wide excision of the skin around the nodule with a 1 cm margin is all that is required. However, it is mandatory that you undergo this excision else the cancer will return.