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Is there a general consensus on margins to use when treating SCCIS or BCC with ED&C?

3 Answers
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Dermatology · University of Washington School of Medicine
Answered on

ED and C is a procedure that is done largely by 'feel'. Tumor is generally softer and more friable than normal skin, and is therefore more susceptible to removal with moderate pressure from a semi-sharpened curette. Generally speaking, I don't obsess over margins when ED and C'ing a low-risk skin ca...

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Dermatology · Stephen B. Tucker M.D.
Answered on

The literature says that vigorous curettage has a very high cure rate, >95%. I will only curette if the basal cell carcinoma (BCC) is superficial or clearly nodular, with telangiectasia and friability. I use various-sized curettes depending on whether there are focal areas that appear deeper. I make...

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Mednet Member
Dermatology · Dermatology & Laser Center
Answered on

I’m not sure there is a generally recommended specific margin to remove with ED/C of BCC or SCC. But some margin should be taken. It makes sense to take about the same margin that you would if you were going to excise the lesion, since the objective is the same - to clear the lesion. So, for a relat...

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