When faced with a possible SCC, it's important to determine which lesions are superficial squamous cells and which ones are deep and aggressive. "I think the best skin cancer surgeon uses multiple modalities, including Mohs, radiation, and imiquimod, depending on the individual patient," Dr. Rapini said.
The patient on the left has recurrent squamous cell carcinoma with satellite nodules and would not be a good candidate for Mohs surgery. The image on the right shows pseudocarcinomatous hyperplasia in a previous biopsy site of a Spitz nevus. Photos courtesy Dr. Ronald P. Rapini
The best skin cancer surgeon uses multiple modalities, including Mohs, radiation, and imiquimod. DR. RAPINI