Mohs Surgery vs. GentleCure vs. Systemic Therapies
For treating nonmelanoma skin cancers such as basal cell carcinoma and squamous cell carcinoma, Mohs surgery, GentleCure (Image-Guided Superficial Radiotherapy – IG-SRT), and Systemic Therapies are three widely used approaches. Each has its advantages, depending on your health profile, the severity of your cancer, and your personal preferences.
Mohs Surgery
- Invasive Procedure: Mohs surgery involves surgically removing the tumor layer by layer and examining each under a microscope until all cancer cells are removed.
- High Cure Rate: It has a cure rate of 98% for basal cell carcinoma and 96% for squamous cell carcinoma.
- Scarring & Recovery: Surgery leaves scars, and 1 in 3 patients may require reconstructive surgery to repair the skin. Recovery can involve wound care and a healing period that could last several weeks.
- Best for Complex Cases: Mohs surgery is often preferred for complex or aggressive skin cancers, especially those located in sensitive areas of the body.
GentleCure (IG-SRT):
- Non-Invasive Treatment: GentleCure offers a non-invasive approach, using low-dose X-ray energy to target and destroy cancer cells without the need for cutting or anesthesia.
- 99% Cure Rate: It has a high cure rate of 99% for both basal and squamous cell carcinomas.
- No Scarring: Unlike surgery, GentleCure leaves no visible scars and preserves the appearance of healthy skin, making it ideal for cosmetically sensitive areas.
- Minimal Downtime: Treatment requires 3-5 sessions per week over 4-7 weeks, but there’s no recovery time or impact on daily activities. Side effects are usually mild, such as redness or slight swelling.
- Multiple Tumors: Up to three tumors can be treated at once, offering a quick and effective solution for patients with multiple lesions.
Systemic Therapies
- Medication-Based Treatment: Systemic therapies include chemotherapy, targeted therapy, and immunotherapy, which are delivered through the bloodstream to attack cancer cells throughout the body.
- Lower Cure Rate: Cure rates for systemic therapies range from 61% to 84%, depending on the type and stage of cancer, as well as the therapy used.
- Side Effects: Systemic therapies can cause a variety of side effects, such as fatigue, skin irritation, hair loss, and potential long-term health impacts depending on the specific medication.
- Best for Advanced Cases: These therapies are often recommended for patients with advanced skin cancer, especially when surgery or radiotherapy is not an option. They can also be used alongside other treatments for more comprehensive care.
Comparing Treatment Modalities
Mohs Surgery | GentleCure (IG-SRT) | Systemic Therapies | |
Procedure Type | Invasive (cutting, stitches needed) | Non-invasive (no cutting, painless) | Medication-based, delivered through bloodstream |
Cure Rate | 98% for basal, 96% for squamous | 99% for both basal and squamous | 61% to 84%, depending on therapy |
Scarring | Scarring likely, potential need for reconstructive surgery | No scarring, natural skin regrowth | No scarring, but potential side effects on skin and body |
Recovery Time | Longer recovery with wound care | No recovery time, minimal side effects | Varies; some treatments last weeks to years, side effects may last longer |
Number of Tumors Treated | Typically one at a time | Up to three tumors simultaneously | Entire body or multiple areas targeted at once |
Side Effects | Possible pain, infection, and disfigurement | Mild redness, swelling, no disfigurement | Side effects include fatigue, skin reactions, hair loss, and long-term risks |
Ideal for | Complex cases, large or aggressive tumors | Non-surgical, cosmetic-friendly treatment | Advanced cases or those unsuitable for surgery or radiotherapy |
Which Treatment Option Is Right for You?
The best treatment option depends on several factors, including the type and stage of your skin cancer, your health, and your preferences:
- Mohs surgery may be right for you if you’re dealing with larger or more complex tumors, or if your cancer is in a sensitive area where maximum precision is needed.
- GentleCure is ideal if you prefer a non-invasive treatment option with no scarring and minimal impact on your daily life.
- Systemic therapies may be the best option for those with advanced cancer or who prefer a medication-based approach and are open to potential side effects.
At Reno Tahoe Dermatology, we’re here to help you make the most informed decision about your skin cancer treatment. Contact us to schedule a consultation and discuss which treatment option is best for your unique situation.
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Ready for a skincare transformation? At Reno Tahoe Dermatology, we’re dedicated to helping you achieve your most radiant skin. Whether you’re seeking advanced medical dermatology solutions, the latest in cosmetic treatments, expert esthetician services, or innovative weight loss and body sculpting options, our team is here to guide you on your journey. Proudly serving Reno, Sparks, Spanish Springs, Sun Valley, and Lake Tahoe, we’re your local experts in dermatological excellence. Don’t wait to start your journey to beautiful, healthy skin. Contact us today and let us tailor a treatment plan just for you!