What is the best treatment for superficial multifocal basal cell carcinoma?

Skin cancer: There are different techniques to remove skin cancer. The technique that has the highest cure rate and that spares the most normal tissue is called mohs micrographic surgery. This method allows the cancer to be traced out under the microscope by examining the entire periphery of the excised tumor. If any roots are seen the excision and microscopic checking continues until tumor free plane obtained.

Creams work well: Superficial basal cell carcinoma often responds to several prescription creams that your plastic surgeon or dermatologist can write for you. Either Imiquimod cream or 5-fluorouracil cream can eradicate the skin cancer though the creams have to be used for at least 3-4 weeks and will cause sores to develop as the cancer cells are eradicated. Once stopped the area heal without scarring.

Mohs surgery: Mohs surgery is the gold standard for treatment of skin cancers with highest cure rate (99%). It is important that you verify that your mohs surgeon is recognized as a fellowship-trained surgeon. Only members of the american college of mohs surgery (acms) are fellowship trained to perform mohs surgery and are listed on their website directory. The link to the acms is: http://www.Mohscollege.Org/.

Aldara (imiquimod): I would review the pathology myself, and if it is truly superficial basal cell cancer, i would typically put down the scalpel and recommend topical Imiquimod or Aldara (imiquimod) which for superficial bcc has a cure rate equal to what you can get with mohs, but seldom leaves a scar and costs about 10% as much.