Dermatology Questions? Ask an Online Dermatologist.
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How big is the Basal Cell Carcinoma and where is it located?
In that case you have nothing to worry about, the doctor is being cautious which is always a good thing. You will have a little discomfort 4-6 hours after the procedure but this usually wears off over 24-48 hours and a painkiller like Advil 400 mg can be taken if required. And recovering from a concussion is not a problem as far as the planned procedure goes.
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Very similar to a biopsy
Not really the burning is quite superficial (till the papillary dermis) and the pain after is very similar to what you feel after a biopsy since the same group of nerves are involved.
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Each physician treats BCC a little differently - waiting and watching is definitely an option if the biopsy margins are clear and the intention was to remove the entire lesion during biopsy and not just take a piece from the edge.
Your foot rash looks like Discoid Eczema. This needs treatment with prescription strength steroid creams.
This report is just the gross description, does not include the biopsy report. I see though that this was a shave biopsy which is why your doctor wants to go in and clean up the remaining area. I would support this line of approach even if the margins were clear on biopsy - there can be skip areas on a shave biopsy since very little dermis is included and sometimes BCC nests are found a bit removed from the epidermis (superficial layer of skin) and may be missed on a shave biopsy.
No Econazole will not hurt matters if this is not fungal.
Right I see it - normally the histopathology report is much more descriptive than that. Anyways it says the margins are narrowly free and given the fact it was a shave biopsy and not an excision biopsy, I strongly second the ED&C procedure.
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