Prospective trial of curettage and cryosurgery in the management of non‐facial, superficial, and minimally invasive basal and squamous cell carcinoma

Background: Basal cell carcinoma (BCC) is the most common malignancy. Growth of BCCs leads to local destruction of neighbouring healthy skin and underlying tissue and can result in significant functional and cosmetic morbidity. Objective: To provide guidance to Canadian health care practitioners regarding management of BCCs. Methods: Literature searches and development of graded recommendations were carried out as discussed in the accompanying Introduction. Results: Although BCCs rarely metastasize, they can be aggressive and disfiguring. This chapter describes the natural history and prognosis of BCCs. Risk stratification is based on clinical features, including the site and size of the tumour, its histologic subtype (nodular vs sclerosing), and its history of recurrence. Conclusions: Various options should be considered for BCC treatment, including cryosurgery, curettage, and topical or photodynamic approaches, as well as fixed-margin surgery and Mohs micrographic surgery. Stratification of recurrence risk for individual BCCs determines the most appropriate therapeutic course. RésuméContexte : Le carcinome basocellulaire (CBC) est le cancer le plus répandu. La croissance d'un CBC mène à la destruction locale de la peau saine environnante et des tissus sous-jacents et peut causer une morbidité fonctionnelle et cosmétique importante. Objectif : Fournir des conseils aux professionnels canadiens de la santé au sujet de la gestion des CBC. Méthode : Nous avons procédé à une étude documentaire et à l'élaboration de catégories de recommandations, comme on peut le lire dans l'introduction connexe. Résultats : Le CBC forme rarement des métastases, mais il peut être agressif et défigurant. Ce chapitre décrit l'évolution et le pronostic du CBC. La stratification du risque est fondée sur les caractéristiques cliniques, y compris l'emplacement et la taille de la tumeur, et son sous-type histologique (nodulaire ou sclérosant), et sur les antécédents de récurrence. Conclusion : Diverses options devraient être envisagées dans le traitement du CBC, y compris la cryochirurgie, le curetage et les approches topiques ou photodynamiques, ainsi que la chirurgie à marge déterminée et la chirurgie micrographique de Mohs. La stratification du risque de récurrence de chaque CBC individuel détermine le traitement thérapeutique le plus approprié.

show abstract

“…55,56 Curettage is often combined with cryosurgery, which may improve cure rates relative to cryosurgery alone. 57 …”

Section: Cryosurgerymentioning

confidence: 99%

Non-melanoma Skin Cancer in Canada Chapter 4: Management of Basal Cell Carcinoma

et al. 2015

View full text Add to dashboard Cite

show abstract

“…In carefully selected cases, curettage and cautery provides a cure rate of 91% at five years. 26 However, with increasing diameter, cure rates are significantly decreased. Curettage and cautery should only be used very cautiously and in specific circumstances in small SCCs.…”

Section: Curettage and Cauterymentioning

confidence: 99%

Diagnosis and management of nonmelanoma skin cancer

Angus¹

2017

Prescriber

View full text Add to dashboard Cite

show abstract

“…Basal cell carcinoma (BCC) is the most common cancer in Europe, Australia, and the USA and is showing a worldwide increase in incidence by about 3-10% per annum [1,2]. In the medical literature, it has been reported [3][4][5] that the incidence of BCC on the lower extremity has varied from 1.5% to 7.9%.…”

Section: Introductionmentioning

confidence: 99%

Intralesional cryosurgery for the treatment of basal cell carcinoma in an elderly patient

Har‐Shai

Lurie

et al. 2012

Eur J Plast Surg

View full text Add to dashboard Cite

The incidence of basal cell carcinoma (BCC) on the lower extremities of elderly patients, who have comorbidity, is rising. The surgical technique to treat those skin neoplasms on the legs should take into account difficulties in wound healing, dehiscence, or necrosis of the surgical wound, failed skin grafting, and wound infection due to blood supply and innervation disturbances and reduced quality of the skin. Spray/contact cryosurgery is one of the well-established, older therapies for BCC and is widely used with hardly any contraindications and with a high cure rate. This case report is the first in the medical literature to present a successful removal of two BCCs on the leg of an elderly patient by employing a novel and new intralesional cryosurgery technology.

show abstract

Prospective trial of curettage and cryosurgery in the management of non‐facial, superficial, and minimally invasive basal and squamous cell carcinoma

Abstract: Curettage and cryosurgery is a simple, highly effective, and reliable treatment method for select, low-risk non-melanoma skin cancers.

Cited by 31 publications

References 12 publications

Non-melanoma Skin Cancer in Canada Chapter 4: Management of Basal Cell Carcinoma

Non-melanoma Skin Cancer in Canada Chapter 4: Management of Basal Cell Carcinoma

Diagnosis and management of nonmelanoma skin cancer

Intralesional cryosurgery for the treatment of basal cell carcinoma in an elderly patient

Contact Info

Product

Resources

About