Management

• avoid excess sun exposure (sunblock)

• careful follow-up for recurrence and second primaries every 4—6 months

• Excisional Curettage with Electrodesiccation: most common treatment modality, ideal for small (<2 cm) solid-type, contraindicated for morphea lesions

• Cryosurgery: intense cold causes tissue necrosis, requires freeze-thaw-freeze technique for deeper destruction of tissue, requires a 5 mm margin, may be considered for small (<1 cm) lesions

• Scalpel Excision: should have 4 mm margin with primary reconstruction (consider intraoperative frozen sections)

• Radiation Therapy: may be considered where cosmetic outcome is important (eyelid, nose, lip) or nonoperable candidates, advanced stages may be followed by surgical salvage

Was this article helpful?

0 0

Post a comment