Cancer

Question 1

Basal cell carcinoma

Answer 1

• For small & low risk BCCs
-Topical agents
• Imiquimod cream
• 5-flourouracil cream
- Cryotherapy
- Electrosurgery
• Electrodessication & curettage
- Surgical excision
• For high risk BCCs
- Moh’s micrographic surgery:
• A microscopically controlled surgery in difficult sites which could have high risk of recurrence.

Question 2

Squamous cell carcinoma

Answer 2

● For very small SCC at a low risk area (low risk for recurrence):
- Topical chemotherapy
•imiquimod cream
•5-flourouracil cream
-Surgical excision.
• Excision with primary closure, skin flaps, or grafting.
●For large SCC & for SCC at high risk areas for recurrence:
- Moh’s micrographic surgery Radiotherapy
-If surgery is not feasible in metastatic cases.

Question 3

Melanoma

Answer 3

For early melanoma:
- Surgery
- Wide local excision.
For advanced melanoma:
- Chemotherapy
- Radiotherapy