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Doctor insights on: Why Is Mohs Surgery The Gold Standard For Treating Skin Cancers

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Why is mohs surgery the gold standard for treating skin cancers?

Why is mohs surgery the gold standard for treating skin cancers?

I disagree: It is appropriate for squamous and basal cell carcinomas. But i would never advise a patient with melanoma to undergo moh's surgery. Melanoma patients should be referred to a surgical oncologist trained in treatment melanoma. ...Read more

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Dr. Barry Rosen
4,342 doctors shared insights

Cancer (Definition)

Cancer is a group of diseases that is characterized by uncontrolled cell growth leading to invasion of surrounding tissues that spread to other parts of the body. Cancer can begin anywhere in the body and is usually related to one or more genetic mutations that allow normal cells to become malignant by interfering with internal cellular control mechanisms, such as programmed cell death or by preventing ...Read more


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Mohs micrographic surgery is the gold standard for treating skin cancers. What qualifies a doctor to

Mohs micrographic surgery is the gold standard for treating skin cancers. What qualifies a doctor to

Fellowship training : While all dermatologists receive training in their residency in mohs surgery, physicians who are certified by the american colleage of mohs surgery received an additional 1-2 years of post residenct training in which they specialized in this technique. During their fellowship, mohs surgeons perform on average 1000 skin cancer surgery and similar number of complex reconstruction. ...Read more

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How effective is Mohs surgery for treating melanoma?

How effective is Mohs surgery for treating melanoma?

Fair: Mohs surgery has been used successfully int treating cutaeous basal cell and squamous Ca. The treatment of melanoma is best handled by wide resection with at least 1 cm. margin to guarantee no recurrence. If nodular the lesion may also require node dissection. Arsenical paste applied to melanoma has been occasionally used by not all agree it is the best approach, no more than fulguration was. ...Read more

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Is surgery the only effective treatment for esophageal cancer?

Is surgery the only effective treatment for esophageal cancer?

No: There are multiple therapies available for esophageal carcinoma, including surgery, chemotherapy, radiation, laser, photo-dynamic therapy, and other. For curative intent, with appropriately selected patients, surgery is still the best chance for cure. ...Read more

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Is surgery the best treatment for esophageal cancer?

Is surgery the best treatment for esophageal cancer?

Maybe: Therapy for esophageal cancer is dependent on the stage. There are IV relative stages. In the physically fit patient, the upfront therapy for stage i and iia is surgery. For stages iib and iii, the therapy of choice is chemoradiation followed by surgery. For stage iv, chemotherapy +/- radiation and no surgery. In the patient in poor physical condition, chemoradiotherapy without surgery. ...Read more

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Which hospitals are considered the best for curing skin cancer?

Which hospitals are considered the best for curing skin cancer?

Hospitals do not: Care for patients, doctors do. Your choice of doctor is more important than your choice of hospital. The best doctor may be a dermatologist or plastic surgeon, but the most important factor is that you have confidence in and feel comfortable with the doctor you choose. ...Read more

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How effective is skin grafting for treating melanoma?

How effective is skin grafting for treating melanoma?

Not a treatment: Skin grafting is not a treatment for melanoma. There are multiple treatments available depending on the extent of the disease. Excision of the melanoma whether via traditional surgery or Moh's excision can leave a defect or gap in the skin and skin grafting is often used to fill that defect and recreate the barrier function of your skin. ...Read more

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What is the most effective treatment for prostate cancer patients?

What is the most effective treatment for prostate cancer patients?

Stage for Stage in : Disease confined to prostate, "cure" is similar; side effects very different: surgery v. Radiotherapy. Subtypes of each and claims of superiority more likely due to cherry picking. Get honest facts for sexual function, continence, bladder and rectal injury. ...Read more

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How effective is a laparoscopic surgery for treating colon cancer?

Depends: Laparoscopic surgery is highly effective for removing all or portions of the colon. Treatment of the cancer is dependent on how early/advanced the disease process is. It is a good idea to be in a location where a multidisciplinary approach to the cancer can be done - experienced laparoscopic surgeons, oncologists, radiation oncologists, and diagnostic radiologists can all help. Hope this helps! ...Read more

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What is the typical treatment for invasive colorectal and pancreatic cancer?

What is the typical treatment for invasive colorectal and pancreatic cancer?

Depends on stage: Colon ca: stage 1 (surgery, no chemo), stage 2 (surgery, usually no chemo), stage 3 (surgery, chemo), stage 4 (chemo, surgery and radiation only for symptom control). Pancreas staging is often defined functionally as "resectable" (surgery as primary treatment), "borderline/unresectable" (neo-adjuvant chemo and surgery if possible), advanced/metastatic (chemo). Details too advanced for answer limit. ...Read more

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Which one is the best treatments for anaplastic throat cancer ?

Which one is the best treatments for anaplastic throat cancer ?

Anaplastic thyroid: Anaplastic thyroid cancer is rare however it is a very agressive type of thyroid cancer. The best treatment is surgery- with total removal of the thyroid gland and resection of the lymph gland on the neck around it. Radiation therapy following surgery is given for local control.For advance stage- chemo vs. Clinical trials using medicine eg- sorafenib/tyrosine kinase inhibitor or m-tor inhibitor ...Read more

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What is the cure for skin cancer when removal doesn't work?

What is the cure for skin cancer when removal doesn't work?

Options: Further excision to obtain negative margins is always an option. Radiation can be effective for hard to cure skin cancers. Discuss with your surgeon. ...Read more

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What is cure rate for dcis, nuclear type3 post lumpectomy and radiation treatment?

What is cure rate for dcis, nuclear type3 post lumpectomy and radiation treatment?

High cure rate: The prognosis for dcis after lumpectomy and adjuvant radiation therapy is great. The average cure rate is more than 95% (of course small tumor size, low grade, clear margins tend to ahve better outcome than high grade or positive margins). At your age (46 yo) and with high grade dcis, you should discuss with your oncologist about the use of tamoxifen to further decreease the chance of recurrence. ...Read more

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Is curing cancer an interest of the fda? Are doctors and scientists closer to a cancer cure? Or is cancer to complex?

Is curing cancer an  interest of the fda? Are doctors and scientists closer to a cancer cure? Or is cancer to complex?

Curing Cancer: Cancer is a broad term referring to many difference disease processes. In short, cancer is the uncontrolled division and spread of cells. A single cure for every different kind of cancer would be extremely unlikely because different cells and different genes are involved. That is why some cancers have excellent treatments (most thyroid cancer) and others are much more difficult (pancreatic). ...Read more

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What is the treatment for class 4 colon cancer spread to liver? Is chemotherapy an only option?

What is the treatment for class 4 colon cancer spread to liver? Is chemotherapy an only option?

No: If there are only a few cancer areas (nodules) surgery may be an option. Depends on the number and location of the cancerous nodules, a surgeon should review a CAT scan of the liver. ...Read more

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What is the recommended best age for laser eye surgery?

What is the recommended best age for laser eye surgery?

Not sure: I would assume you want to make sure your vision is stable before embarking on the surgery. ...Read more

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How effective is a wedge resection for treating lung cancer?

How effective is a wedge resection for treating lung cancer?

Reasonable: Surgical resection is the best option for lung cancer cure, if the cancer can be removed in its entirety. The amount of lung to be resected depends on the patients ability to tolerate the removal of a substantial amount of tissue. Breathing tests are performed prior to surgery to figure this out. Removal of a lung, lobe, segment, or wedge can all lead to cure. A lobe is preferred. ...Read more

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What is the newest biomedical approach to heart cancer?

What is the newest biomedical approach to heart cancer?

Heart CA is rare: Heart cancers are rare, cancers develop in tissues that grow and multiply , one reason cancers rarely develop in heart, from connective tissues myxomas can develop . It is possible to place a mechanical heart till cadaver heart donor is available , i don't know it was ever done. ...Read more

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Dr. M. Christine Lee
60 doctors shared insights

Mohs Surgery (Definition)

Mohs surgery is a skin cancer surgery technique that allows 100% evaluation of the tumor margins (edges & depth). It involves 3 steps: 1. Tumor removal 2. Pathological evaluation 3. Reconstructive surgery. The three steps are often done by one physician who can do all three steps in the office on the same day (most of the time). It is done ...Read more