Treatment of Skin Cancer by Robert G. Freeman M.D. (Glen), John M. Knox M.D. (auth.)

By Robert G. Freeman M.D. (Glen), John M. Knox M.D. (auth.)

Although epidermis melanoma is the commonest kind of melanoma and offers a consis­ tent challenge in reputation, in therapy, and in prevention, it always doesn't obtain as a lot awareness as different extra lethal sorts of melanoma. still, loads of growth has been made towards figuring out its reason and organic habit in addition to towards spotting and treating early cancerous and pre-cancerous lesions. brand new physicians are extra conscious of early lesions and sufferers are looking for their suggestion on many small epidermis blemishes. furthermore, clinicians are exploring new moda­ lities of therapy, together with chemotherapy. a few of these tools are extremely simple and potent for removing early lesions, and we're quickly coming near near the time during which the single purposes for a demise as a result of dermis melanoma should be loss of a patient's cooperation or a physician's errors in administration. crucial components in bettering the healing cost of epidermis melanoma are a radical wisdom of its reason and organic habit and an knowing of the restrictions of every modality of treatment.

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0 Basal cell epitheliomas Surgery < 2 em. 0 were treated with either surgery or irradiation the cure rate dropped to about 92 per cent. This was not true with curettage and electrodesiccation; however, the perfect Results with Squamous Cell Cancers 39 Table 6. Basal Cell Epithelioma Radiation Radiation Total 1 Year 2 Years 3 Years 4 Years 5 Years 156 144/144 128/130 112/115 104/107 93/97 Basal cell epithelomias Radiation < 2 em. 4 Radiation> 2 em. 3 treatment record shown in Table 4 for large basal cell epitheliomas reflects a selection of cases.

81, 225-234 (1960). [6] KNOX, J. , T. W. LYLES, E. W. SHAPIRO, and R. D. MARTIN: Curettage and electrodesiccation in treatment of skin cancer. Arch. Dermat. 82, 197-204 (1960). [7] WILLIAMSON, G. , and R. JACKSON: Treatment of basal cell carcinoma by electrodesiccation and curettage. Can ad. med. Assoc. J. 86, 855 (1962). [8] SWEET, R. : The treatment of basal cell carcinoma by curettage. Brit. J. Dermat. 75,137-158 (1963). [9] SIMPSON, J. : The treatment of rodent ulcers by curettage and cauterization.

One per cent xylocaine is usually used because of the immediate anesthesia produced, long duration of action, low allergenicity, and failure to cross-react in procaine-sensitive patients. Any local anaesthetic, however, may be used satisfactorily. 2. Biopsy. After the area is anesthetized, a 6 or 8 mm. curet is used to remove the bulk of the lesion (Fig. 23). We most frequently use the pfaard or Fry type of curet with a sharp cutting blade, although the Orentreich curet is also popular. Fig. 23.

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