Basal Cell Carcinoma - How can the skin Dr. Know how deep the basilcell has grown. I have begging?

Hi, from my experience, the first step is surgery. You'll want a dermatologist trained in Mohs and reconstructive surgery or who works with a plastic surgeon. Check with your insurance to see if and how they cover it. Insurance will usually allow Mohs on the face. With Mohs, they will take the lesion one layer at a time, freeze it, and examine it under a microscope. They will do that until the lesion is removed with acceptable clean margins. My sister had a basal cell on her temple that was misdiagnosed by her GP for three years taken care of with Mohs. The good thing about basal is it is slow and it rarely spreads through the body. I recently had a deep excision biopsy on my neck and have another surgery next week for another cancerous spot. With excision biopsy, they have a formula or guideline of how much to take based on the original biopsy report, then it is sent out for a final diagnosis and to make sure there are clean margins. It was made very clear to me that I will always have skin cancer and I have to go every six months for the rest of my life. My husband recently underwent a vermilionectomy with mucosal advancement for squamous cell on the lip and is currently undergoing radiation therapy. You guys have already been through the cancer ringer and I understand your fear and his reluctance. I don't know anything about the medication, but hopefully I helped a little and maybe someone will come along and answer your medication question.