Page 24 - PowerPoint Presentation

NMSC Management

Surgical excision

 To achieve the best cure rate, up to 95%

 Excision with adequate circumferential and

deep margins

BCC: 2-3mm

SCC

4mm for low-risk tumours

6mm for high-risk tumours, i.e. in sun-

exposed areas like lip or ear, size >2cm,
>4mm thick, poor differentiation, perineural

involvement and host immunosuppression

Specimen must be oriented so as to assess

margins status

Frozen section to ensure margin clearance

before reconstruction

Specimen photo of an
excised BCC that was
stitched superiorly at 12

o’clock for orientation