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View Full Version : radiation v.s. mohs surgery


lonershark
09-29-2007, 11:22 AM
I was diagnosed with bcc (got results back friday and scheduled for radiation monday) but with all that I am reading on this forum, it sounds like most people with bcc perfer mohs surgery. could someone tell me what the pro's and con's of each are? This is my first bout with any type of cancer and I am concerned.

dj1960
10-12-2007, 06:16 AM
I only know about Moh's and it's the only way I would go. I have had 4 Moh's surgery's (at different times) for BCC and all have been successful. One thing about Moh's is that they keep working until there are no signs of cancer left. They wouldn't let me go until they got a clear reading and a couple of them took a whole day but it was completely worth it. All of mine were stitched and the doctor did a wonderful job. Hardly any scars and what scars I do have I don't really care because I know the cancer is gone. Good luck on whatever route you choose.

lonershark
10-12-2007, 08:40 PM
thank you for replying. My bcc is right on the bridge of the nose, so I talked to a radioligist and a surgeon and they both agreed that because of where the bcc was that radiation is the better route to go. If surgery there would be extensive plastic surgery involved. I started radiation last tuesday and they say it is going well. I guess now only time will tell. Thanx again.

lonershark
11-02-2007, 10:06 PM
thank you for replying. My bcc is right on the bridge of the nose, so I talked to a radioligist and a surgeon and they both agreed that because of where the bcc was that radiation is the better route to go. If surgery there would be extensive plastic surgery involved. I started radiation last tuesday and they say it is going well. I guess now only time will tell. Thanx again.



almost done, only 3 treatments left (22) total). nose is a little sore, and nose is very dry, (i use a lot of moisturizer) and occasional blood when blowing nose. But if this is only problem I have, I would still go with radiation, but only because of location (on nose) biggest problem is nose is very dry and inconvenience of 22 treatments ( 5 days a week, treatment is only about 2 minutes each time I go in) But it looks like there will be no scarring or no major plastic surgery. If I had to go thru this again (both surgery and radiation is about 98% cure) because the bcc is on the face, I would talk to a surgeon and a radiologist to get both opinions.

katykat55
11-07-2007, 02:20 PM
I had BCC removed from just by my right eye about 6 yrs or so. The advantage is they can get it clear to the roots with minimal healthy tissue damage. You can't even tell where it was taken. I did research into the Mohs and it is definitely a specialization with additional training on top of the usual residency.
Can't speak to the pros/cons of radiation.

lonershark
11-07-2007, 07:34 PM
almost done, only 3 treatments left (22) total). nose is a little sore, and nose is very dry, (i use a lot of moisturizer) and occasional blood when blowing nose. But if this is only problem I have, I would still go with radiation, but only because of location (on nose) biggest problem is nose is very dry and inconvenience of 22 treatments ( 5 days a week, treatment is only about 2 minutes each time I go in) But it looks like there will be no scarring or no major plastic surgery. If I had to go thru this again (both surgery and radiation is about 98% cure) because the bcc is on the face, I would talk to a surgeon and a radiologist to get both opinions.
finally last day of radiation treatments, nose is a little sore and very dry. It looks like my nose has a very dark sun tan, or a burn. friend says it looks like I was running behind a stopped camel. Dr. says should heal up fine.

Boxerluver
11-12-2007, 03:41 PM
Thanks for posting this because I was scheduled for MOHS and I didn't know radiation was an option. I also have a disease which can cause pretty bad scarring. I had bcc's on my back and on all 3 sites they are swollen and look awfull. This one is on my face and I have been very concerned about the scaring. I will talk to my onchologist about the radiation.

Thanks
Melissa

lonershark
11-12-2007, 07:43 PM
Thanks for posting this because I was scheduled for MOHS and I didn't know radiation was an option. I also have a disease which can cause pretty bad scarring. I had bcc's on my back and on all 3 sites they are swollen and look awfull. This one is on my face and I have been very concerned about the scaring. I will talk to my onchologist about the radiation.

Thanks
Melissa

Good Luck and hope everything goes well for ya, whichever way you decide to go, surgery or radiation. I am thru with my radiation now, and right now my nose looks like I have a serious sunburn on it. Peeling and a little swelling, but looks like it is healing well. ;)

Boxerluver
11-13-2007, 03:01 PM
Is there any chance of any long term problems from the radiation or is it just localized and once it heals you are fine. I don't know much about radiation and don't want to do something that has overkill. My bcc is on my temple near my eye and another consideration with doing the MOHS was if he severed one of my facial nerves because of the location. So that is a major issue for me because if that happens I'd have to have more surgery to in his words"tack up my face".

Melissa

lonershark
11-16-2007, 08:43 AM
Is there any chance of any long term problems from the radiation or is it just localized and once it heals you are fine. I don't know much about radiation and don't want to do something that has overkill. My bcc is on my temple near my eye and another consideration with doing the MOHS was if he severed one of my facial nerves because of the location. So that is a major issue for me because if that happens I'd have to have more surgery to in his words"tack up my face".

Melissa

I was told there is no after effects of the radiation,(but I could have a white area on my nose, where the radiation burnt up the pigment, but they said this would go away also). but they were only referring to my nose. I have also read in one of these forums that there is something called radiation splash or something like that, if the radiation was closer to the eyes, that could effect your eyesight. I do not know anything more about it though. I would definetly get a second opinion. In radiation there is some overkill, they use what they call a margin of safety, meaning depending on the type and size of the bcc, they figure how much radiation you need, then add a margin to that. Gives you better odds of no reoccurence. I know this won't help you much, but that is all I really know about this, because I never had the surgery. Only your doctor can give you the specifics of your bcc, depending on location and whatever factors they use to determine what is best for you..wish you the best of luck, let us know how things are going throughtout your treatment.

lonershark
11-27-2007, 07:38 AM
[QUOTE=lonershark;3309729]I was told there is no after effects of the radiation,(but I could have a white area on my nose, where the radiation burnt up the pigment, but they said this would go away also). but they were only referring to my nose. I have also read in one of these forums that there is something called radiation splash or something like that, if the radiation was closer to the eyes, that could effect your eyesight. I do not know anything more about it though. I would definetly get a second opinion. In radiation there is some overkill, they use what they call a margin of safety, meaning depending on the type and size of the bcc, they figure how much radiation you need, then add a margin to that. Gives you better odds of no reoccurence. I know this won't help you much, but that is all I really know about this, because I never had the surgery. Only your doctor can give you the specifics of your bcc, depending on location and whatever factors they use to determine what is best for you..wish you the best of luck, let us know how things are going throughtout your treatment.[/QUOTE






new reply: I was wrong in thinking there would be no scar. side of nose ended up with deep scar about 1/2 inch long. I have not seen doctor yet to see if he plans on fixing this or I will probably just live with it.I don't think it is that bad. Also there is a dark half moon shape area over the bridge of my nose, but that will eventually go away. It looks like a deep sun tan.