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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Planning To Have Mohs Surgery, Biopsy Report Showed Basosquamous Carcinoma On Cheek, Had Prior Basal Cell Cancers Removed. Advice?

I have a biopsy report indicating I have basosquamous carcinoma on my left lateral cheek near my hairline. I am planning to have Mohs surgery on 5/8 but want to know if I should first have the path report evaluated by someone else (ie Stanford or UCSF). I have had 2 prior basal cell cancers removed from other areas and was expecting this to be the same. Now that I ve read about the potential for this type of cancer to become metastatic, I m scared. Please provide any guidance you can.
Tue, 19 Jun 2012
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Oncologist,  's  Response
Dear Bizuras,
Since you are prone to have basal cell carcinoma, it is quite possible that you have cancer of the left cheek again. There is no harm if you get the review of the biopsy.
I hope you have gone through the tumor board to explore other modes of treatment like brachy therapy on your cheek. Doing surgery means removal of complete buccal mucosa along with buccal mucles followed by reconstruction using a graft from other part of the body which will be cosmatically not good.
Get yourself examined at a very good Oncological centre to have the opinion on best treatment.
Dr. Ticku
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Planning To Have Mohs Surgery, Biopsy Report Showed Basosquamous Carcinoma On Cheek, Had Prior Basal Cell Cancers Removed. Advice?

Dear Bizuras, Since you are prone to have basal cell carcinoma, it is quite possible that you have cancer of the left cheek again. There is no harm if you get the review of the biopsy. I hope you have gone through the tumor board to explore other modes of treatment like brachy therapy on your cheek. Doing surgery means removal of complete buccal mucosa along with buccal mucles followed by reconstruction using a graft from other part of the body which will be cosmatically not good. Get yourself examined at a very good Oncological centre to have the opinion on best treatment. Dr. Ticku