Current Basal and Squamous Cell Skin Cancer Management
Bernardino M Mendez1, James F Thornton1
1From the Department of Plastic Surgery, University of Texas Southwestern Medical Center.
Plastic and Reconstructive Surgery
|August 28, 2018
Summary
This article guides plastic surgeons in managing nonmelanoma skin cancers like basal cell carcinoma and squamous cell carcinoma. It covers diagnosis, risk stratification, treatment options, and reconstructive techniques for better patient outcomes.
Area of Science:
- Dermatology
- Oncology
- Plastic Surgery
Background:
- Increasing incidence of nonmelanoma skin cancers (NMSCs) necessitates updated management strategies.
- Demand for effective oncologic control and aesthetic reconstruction in NMSC cases is rising.
- Plastic surgeons require comprehensive knowledge for diagnosing and treating these common skin malignancies.
Purpose of the Study:
- To provide a foundational understanding for accurate diagnosis, staging, and treatment of NMSCs.
- To present various management options, including surgical and non-surgical therapies.
- To discuss reconstructive approaches for soft-tissue defects resulting from NMSC treatment.
Main Methods:
- Risk stratification of basal cell carcinoma and squamous cell carcinoma based on clinical and histological features.
- Review of surgical margins and alternative treatments like Mohs surgery, electrodissection, topical agents, cryotherapy, photodynamic therapy, and radiation.
- Discussion of adjuvant therapies for advanced disease and patient education on prevention.
Main Results:
- Characterization of NMSCs into low- and high-risk categories.
- Understanding of diverse treatment modalities tailored to lesion risk and patient factors.
- Development of strategies for reconstructive planning post-oncologic clearance.
Conclusions:
- Accurate risk assessment is crucial for selecting appropriate NMSC treatments.
- A range of therapeutic options, from topical agents to surgery and radiation, are available.
- Comprehensive management includes oncologic control, adjuvant therapies, and meticulous reconstruction.
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