Basal cell tip of nose. Which treatment should I choose?
I recently had a biopsy for a lesion near the tip of my nose that turned out to be a basal cell CA. I had this spot for several years, but since three different doctors said that it didn't look like anything bad, I chose to ignore it. Bad decision on my part! Anyway, the spot became more pronounced about two months ago, and then started bleeding easily, so I knew something was up. My family doctor then referred me directly to a plastic surgeon, who examined the lesion, took a small biopsy, and told me that if it was a cancer, he would remove it via surgical excision, with frozen sections done while I was in the OR to be certain the margins were clear. This is not a Moh's surgery, but he said it would accomplish the same thing.
I am scheduled for surgery at the end of the month. Since it is impossible to determine the amout of tissue that will need to be removed, the plastic surgeon can't tell me what procedure he will perform to close the wound. Due to the location of the cancer, it sounds like a forehead flap may be necessary. This whole thing scares the heck out of me, on so many different levels. While I am confident that the plastic surgeon will be able to do a good job on reconstruction, I am wondering if I should attempt to find a doctor who does an actual Moh's. If a major reconstruction is needed, does losing less tissue (Moh's) change the outcome?
Thanks in advance to anyone who can give me advice. And, best of luck to all of you who are going through this.