Treatment FAQ

skin cancer treatment curettage after treatment what to expect

by Melisa Hermann Published 2 years ago Updated 2 years ago
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What to expect after The wound should heal within a few weeks, leaving a small, flat, round, white scar. Some people may have cryotherapy after curettage to destroy any remaining cancer cells.

Risks of curettage and electrodesiccation
Pain, swelling, crusting or bleeding at the affected site. Scarring that can be painful and itchy long term. Recurrence of cancer. Additional treatment necessary.

Full Answer

What is curettage and cautery for skin cancer?

Apr 16, 2021 · Curettage and Electrodesiccation. In this treatment, the doctor first injects a medicine to numb the area. Then the skin tumor is removed by scraping it with a long, thin instrument with a sharp looped edge on one end (called a curette ). The area is then treated with an electric needle (electrode) to destroy any remaining cancer cells.

Can skin cancer return after electrodesiccation and curettage?

When the area has been cleaned, your doctor will bandage the wound. The wound can appear crusty and ooze fluid for as long as six weeks after the procedure. Recovery from curettage and electrodesiccation You will be able to drive yourself home after a curettage and electrodesiccation procedure.

How will healing after skin cancer surgery happen?

Basal Cell Carcinoma of the Skin. Patients should visit the doctor for a complete skin examination every 6–12 months. Squamous Cell Carcinoma of Skin. If the cancer did not spread to any lymph nodes or other parts of the body: For the first 2 years, patients should visit the doctor every 3-12 months. For the 3rd year, patients should visit ...

What happens when you have a skin cancer removal?

Dec 17, 2021 · What Should You Expect After Treatment? After your skin cancer treatment, you will be given aftercare instructions to care for the treatment area for the next two to three weeks, which is about as long as it will take for your skin to recover.

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How long does it take to heal after curettage?

The wound from curettage will take approximately 2–3 weeks to heal over. The scar will initially be red and raised but usually reduces in colour and size over several months.

How do you care for a wound after a curettage and Electrodesiccation?

Electrodesiccation and Curettage Wound Care Instructions
  1. Clean the wound daily with antibacterial soap and water.
  2. After cleansing, apply a thin coat of Polsporin or Vaseline to the area (do NOT use Neosporin, which may cause an allergic reaction) and bandage every day until the wound is healed.

What happens after skin cancer excision?

Recovery Plan

After skin excision, you may have stitches until your wound heals. This might result in a scar that should fade as the wound heals. The rate at which cancer wound heals mostly depends on its size. Generally, most wounds take an average of 1-3 weeks to heal.
Dec 5, 2019

How long does a skin cancer removal take to heal?

Most wounds take 1 to 3 weeks to heal. If a large area of skin was removed, you may have a skin graft. In that case, healing may take longer. Some soreness around the site of the wound is normal.

How do I take care of my skin after cauterization?

Treat the area as though it were a burn:
  1. Keep the wound and dressing completely dry for 48 hours.
  2. After 48 hours you may remove the dressing and wash the area with soap and water gently but do not soak in a bath.
  3. Do not use a strong shower jet directly to the area.
  4. After wetting pat dry – do not rub.

How long does Electrodesiccation take to heal?

A wound from Electrodesiccation and Curettage (ED&C) typically takes 2-3 weeks to heal. If the treatment is performed on the lower extremities, the wound can take 2-3 months to fully heal. ED&C may be performed more than once if additional cancerous cells present themselves in the same area.

What should I do after excision?

Rest the area. If the procedure was on your arm or leg, keep the limb elevated. Avoid stretching the area or any heavy lifting/exercise until the wound has been checked by a doctor or nurse and the stitches removed (up to two weeks later). If the wound is sore, take paracetamol and/or codeine.

What should I do after skin excision?

Skin lesion removal-aftercare
  1. Keep the area covered for the first 24 to 48 hours after stitches have been placed.
  2. After 24 to 48 hours, gently wash the site with cool water and soap. ...
  3. Your provider may recommend the application of petroleum jelly or an antibiotic ointment on the wound.

Does an excision hurt?

Does an excision hurt? You can expect minimal pain for 24-48 hours, easily controlled with Ibuprofen and Tylenol. If necessary, you can also use cold compresses to alleviate any swelling or tenderness.

What size is a large basal cell carcinoma?

A size larger than 3 cm has been described as a high-risk feature [13]. Notwithstanding the foregoing, this risk factor has been more accurately defined as 1 cm for head and neck tumors and more than 2 cm in other body areas [11].Feb 3, 2015

What happens after melanoma removed?

When cancer cells are found in the removed lymph node, the stage of the cancer changes. This is called restaging. Because cancer is found deeper than the skin, more surgery may be needed. Also, another treatment that can kill the cancer cells may be added to your treatment plan.Oct 27, 2021

What happens after squamous cell surgery?

You may experience some localized swelling and bruising, which may not be at its worst until three to four days after surgery. Some swelling and bruising is normal and should improve within a week.

What is the curettage procedure?

Curettage and electrodesiccation is also used for patients who have a precancerous skin condition called actinic keratosis. Because some of these patients will eventually develop squamous cell carcinoma, your doctor may recommend a curettage and electrodesiccation to remove the precancerous cells. This procedure can produce a nasty scar, so it is ...

What are the risks of curettage?

Complications can include: Pain, swelling, crusting or bleeding at the affected site. Scarring that can be painful and itchy long term. Recurrence of cancer.

Can you cure hair follicle cancer?

If cancer has developed in the hair follicle, a curettage and electrodesiccation may not be effective in removing the tumor. Areas of the body such as the head, armpits, scalp or beard are not typically treated with a curettage and electrodesiccation.

What is a curettage and desiccation?

A curettage and electrodesiccation, also known as a curettage and desiccation, is a skin cancer treatment used to remove basal cell and squamous cell carcinomas. During the procedure, your doctor will scrape the affected skin surface with a curette (a spoon-shaped instrument). After successfully removing the cancerous tissue, ...

What is the curettage and electrodesiccation procedure?

Curettage and electrodesiccation is also used for patients who have a precancerous skin condition called actinic keratosis. Because some of these patients will eventually develop squamous cell carcinoma, your doctor may recommend a curettage and electrodesiccation to remove the precancerous cells.

How many times do you have to bandage a cancerous wound?

Your doctor will scrape the cancerous cells and then burn the area. Depending on how deep the cells are, your doctor may repeat these steps two to three times. When the area has been cleaned, your doctor will bandage the wound.

Can you drive home after a curettage?

You will be able to drive yourself home after a curettage and electrodesiccation procedure. Before you leave the office, your doctor will give you detailed instructions on how to care for your wound. It is important to follow these instructions to prevent infection.

Can you do a curettage in your doctor's office?

It can be performed in your doctor’s office. It can be used to treat several tumors in one visit. Curettage and electrodesiccation cures 91% to 97% of low-risk basal cell carcinoma (BCC) and 96% of low-risk squamous cell carcinoma (SCC). 1,2 Experienced doctors have the best cure rates.

How long does it take for a C&E wound to heal?

The wound can take 2 to 3 weeks to heal. 7 C&E leaves a scar, which is typically flat and round. 5,7,9. Possible risks of C&E include: 8. Pain.

What is a curette needle?

You will feel a pin prick from the needle. 3 It stings as the medication is injected. A curette is a long, thin instrument with a loop on one end. Tumor tissue is soft and can be scraped away easily with a curette.

What is a curette?

A curette is a long, thin instrument with a loop on one end. Tumor tissue is soft and can be scraped away easily with a curette. The first tissue that your doctor scrapes off will be sent to a lab for examination. 4 Your doctor will use an electric needle, called an electrode, to cauterize any remaining cancer cells.

What is cauterizing a wound?

Cauterizing means burning a wound. This is done to destroy the tissue and stop the bleeding. (Another word for cauterize is desiccate, which is where the procedure gets its name.) C&E minimizes damage to healthy skin. 5. Your doctor will repeat the process of scraping and cauterizing.

Can C&E be used for actinic keratosis?

C&E can also be used to treat actinic keratosis. 2 Actinic keratosis is a precancer, which forms when cells in the epidermis begin to grow abnormally. Up to 10% of actinic keratoses become SCC. 5 For this reason, your doctor might recommend treating actinic keratosis.

How long after C&E can you get a pathologist report?

The pathologist’s report will not be available until days after the C&E. If the tumor turns out to be high-risk, you may need a second procedure. Re-treatment is necessary to be sure that all the cancer cells are gone. 1 The pathologist will not be able to assess the edges ( margin) from the sample. 1.

What is the procedure for a curettage?

During the procedure, the doctor first cleans the skin then applies a numbing medication.

What is the process of removing cancer cells and stopping bleeding?

Electrodesiccation is a technique that uses electrical currents to cauterize or seal the skin, removing remaining cancer cells and stopping any bleeding.

How to get a syringe removed?

What can I expect during the procedure? 1 During the procedure, the doctor first cleans the skin then applies a numbing medication. 2 Once the area is numb, the doctor uses a curette to scrape away abnormal cells, which are sent to a laboratory for testing. 3 Once the tissue has been removed, the skin is cauterized to kill off any remaining cancer cells and stop the bleeding. 4 The doctor may need to repeat the process several times. If there’s more than one area of concern, a C&E may be performed on multiple parts in one treatment. 5 When finished, the doctor covers the wound with a bandage and provides after-care instructions on how often to change the dressing, when and how to clean the wound, and when to return for a follow-up appointment. There are typically no stitches required.

What is curettage and electrodesiccation?

Curettage and electrodesiccation is an outpatient procedure, typically performed in a doctor’s office rather than in a hospital. While it may sound uncomfortable, a local anesthetic is used to numb the area. During the procedure, the doctor first cleans the skin then applies a numbing medication. Once the area is numb, the doctor uses a curette ...

What is the treatment for basal cell carcinoma?

For patients diagnosed with these types of skin cancer, a doctor may recommend a treatment known as curettage and electrodesiccation (C&E).

What is the procedure called to remove cancerous skin?

Curettage and electrodesiccation is a medical procedure that removes abnormal skin growths—both cancerous and precancerous tissue. Curettage means to scrape away cells or skin with a small instrument known as a curette, a handheld tool with a sharp looped edge.

How does a curette work?

During the procedure, the doctor first cleans the skin then applies a numbing medication. Once the area is numb, the doctor uses a curette to scrape away abnormal cells, which are sent to a laboratory for testing.

What is cautery and curettage?

Curettage and cautery for skin cancer. Curettage and electrodessication (or cautery) is used to treat some BCCs and squamous cell carcinoma in situ (Bowen’s disease). It is usually done by a dermatologist.

What is the instrument used to remove cancer?

The doctor will give you a local anaesthetic and then scoop out the cancer using a small, sharp, spoon-shaped instrument called a curette. Low-level heat (electrodessication or cautery) will be applied to stop the bleeding and destroy any remaining cancer.

How to heal after skin cancer surgery?

The tips and tricks for healing after skin cancer surgery (once the natural healing, stitches, or skin grafts are complete ) vary from physician to physician. Keep in mind there are different types of scars, each with their own unique set of characteristics. Some scars can be darker than others or appear more raised or puffy. Some scars will become lighter over time or be seemingly invisible after the surgery. Here are some natural remedies for post-operative care that have proven effective for different types of scars. 3

Can skin cancer heal itself?

Natural healing after skin cancer surgery is possible for wound locations that are small like the ear or top of the scalp. As it heals naturally, the soft tissue around the wound contracts and closes, therefore creating less visible scars than stitches.

What happens to the skin after an excision?

During an excision, the skin is numbed with a local anesthetic, the tumor is cut out with a surgical knife, and the remaining skin is stitched back together. Left to heal on its own, an excision will leave a scar.

What is the tool used to remove cancer?

With this treatment, a doctor will use a curette to remove the cancer. A curette is a long, thin instrument with a sharp looped edge that acts as a scraper. After this tool is used, the area is treated with an electric needle called an electrode that destroys the remaining cancer cells.

What is a curette used for?

After this tool is used, the area is treated with an electric needle called an electrode that destroys the remaining cancer cells. Like an excision, this will leave a scar. It’s typically used for basal and squamous cell cancers that are superficial — or, confined to the top layer of the skin.

What is the procedure called when you have cancer on your face?

Also known as Mohs micrographic surgery or MMS , this type of surgery is occasionally used when there is a high risk of the cancer returning after treatment, when the exact extent of the cancer is unknown, or when there is a goal to save skin (like in cancers near the face or fingers). During this procedure, a surgeon will remove a thin layer of skin then examine it under a microscope. If cancerous cells are found, additional layers will be removed until the samples are free of cancer cells.

What is the procedure to bind a wound together?

Stitches. When the wound is too large to heal on its own, the next simplest procedure calls for using stitches to bind the wound together. Depending on how deep the skin cancer was, either a single layer or multiple layers of stitches on top of one another are used.

Can skin cancer return after surgery?

Skin cancers can return even after this procedure. 5  Regardless, you should continue regular skin exams with your physician as surveillance for skin cancer.

What is the treatment for skin cancer?

If you've been diagnosed with a skin cancer, your physician may have presented you with various treatment options, such as skin cancer excision, Mohs micrographic surgery, cryotherapy, and electrodesiccation and curettage (abbreviated as ED&C, EDC or ED+C). For certain types of skin cancers, the electrodesiccation and curettage may be selected.

What is electrodesication and curettage?

Electrodesiccation and curettage are a procedure performed in the office setting by dermatologists and other physicians for treatment of pre-cancers and skin cancers. The procedure consists of scraping and "burning" away from the unwanted growth. This procedure is often used for thin, well-defined cancers which are also relatively small in ...

How to scrape a tumor?

First, your surgeon will use a sharp curette to scrape the tumor. There is a textural difference between cancer and the normal skin which helps guide your surgeon in terms of the extent of scraping. 3  Next, a device with a needle-like metal tip is used to dry out the tissue using an electric current, in a procedure called electrodesiccation.

How long does a wound stay in place after a stent removal?

After the procedure, you will have a depressed wound. The wound is often covered with an ointment and covered with a bandage which will stay in place for 24-48 hours depending on your surgeon’s recommendation.

Can lidocaine be injected into the skin?

This should be the only time you feel pain. Most commonly, lidocaine with or without epinephrine is injected directly into the skin. Let your surgeon know if you have ever had a bad reaction to numbing medication. 2 .

How to take care of skin cancer after surgery?

1. Follow Dr. Krathen’s instructions – it is critical to adhere to his guidance for post-operation care strictly. 2. Limit activities – it is essential to limit the level of activities for about two weeks after surgery to avoid stretching the wound. 3.

How long does it take for a cancer wound to heal?

The rate at which cancer wound heals mostly depends on its size. Generally, most wounds take an average of 1-3 weeks to heal.

How to take care of a wound?

How to Take Care of the Wound? 1 You will have a dressing on your wound, which protects it and enhances healing. Dr. Krathen will tell advise on healthy ways of taking care of it. 2 If you have stitches, Dr. Krathen will give you an appointment to have them removed. 3 Wash the wound daily with fresh warm, soapy water, and pat the wound dry. Avoid using alcohol or hydrogen peroxide.

What is skin excision?

Excision of skin cancer is a type of surgery carried out to remove a cancerous tumor from your skin. Skin cancer occurs as a result of uncontrolled growth and the development of abnormal cells in the skin. There are several types of skin cancers, but the three most common are the following: basal cell carcinoma, squamous cell carcinoma, ...

What is the procedure to remove a tumor from the skin?

Excision of skin cancer is a type of surgery carried out to remove a cancerous tumor from your skin. Skin cancer occurs as a result of uncontrolled growth and the development of abnormal cells in the skin.

Why is it important to protect the skin of an operation?

Protect the operated skin part from direct sun. This is important because the sun produces UV waves that are capable of darkening or discoloring the scar. As it might be challenging to keep out of the sun completely, Dr. Krathen may encourage the use of sunscreen as well as keep the skin operated area covered.

Can you continue blood thinners after skin cancer surgery?

Krathen about it. He will advise on whether to continue with the drugs or not. In general, one should continue prescribed blood thinners before, during, and after skin cancer surgery.

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