Nose Surgery for Skin Cancer: Improved Techniques
Nose surgery for skin cancer may be less extensive when performed at an early stage when compared to late stage nose skin cancer. There are several types of skin cancer. In all types of cancer, first it is important to know the signs.
Skin Cancer Signs
Each type of skin cancer is associated with particular signs. The following provides a list of some of the signs associated with various types of skin cancer.
- Colored, brown, scaly or hard lesion
- Red nodule
- Mole change in size, color, shape, or feel
- Red or purple skin patches
- Any usual skin characteristic
Nose Surgery for Skin Cancer
Often, an interdisciplinary approach is the best approach to skin cancer diagnosis and treatment. Dermatologic surgeons may work hand in hand with plastic surgeons, general surgeons and other physicians in the diagnosis and treatment phase of care. An interdisciplinary approach is designed to leverage the aesthetic outcome as well as reduce the risk of misdiagnosis or cancer re-occurrence. Interdisciplinary care is particularly valuable prior to biopsy for the preservation of healthy skin. For example, some plastic surgeons may use a prescription topical medication which, when applied, may signify cancer when cancer is present. There are several types of treatments that may be used to treat nasal skin cancer, including:
Mohs surgery is touted to be an optimal modern approach to skin cancer treatment for tumors more than 2 cm in size, small treatment areas and those with irregular borders or usual patterns. Mohs surgery is micrographic surgery involving the delicate extraction of cancerous skin at a microscopic level to ensure accuracy and caution for the preservation of healthy skin. A skin grafting approach may be performed at a microscopic level to restore healthy skin. According to cancer.gov, the success rate of Moh’s surgery is 96%.
Traditionally, surgeons may excise the tumor through a frozen or permanent sectioning approach. The recurrence rate associated with these approaches ranges from nearly 13% to 25%. Radiation may be an alternative approach that does not involve skin grafting. Radiation may be used following any surgical approach as well. The CO2 laser may be used to remove precancerous and superficial types of cancer on the nose. There is also Topical fluorouracil (5-FU) treatment that may be used to treat superficial cancer types, but this method is not fool proof when compared to other methods. Photodynamic therapy has also been found to be useful in the treatment of nasal skin cancer. Finally, there are clinical trials being conducted to identify safe and effective alternative treatments for nose cancer.
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