If you would like to submit a blog post for consideration, please email email@example.com
[2 min read] Surgery vs curettage & imiquimod for nodular BCC
Nodular basal cell carcinoma (BCC) is most often treated with surgical excision. However, interest is increasing in minimally invasive treatments for these low-risk skin cancers. A new study reviewed the effectiveness of surgical excision compared with curettage and imiquimod cream in treating nodular BCC.
One hundred and forty-five patients with nodular BCC were included in a randomised, controlled non-inferiority trial, where they were randomly assigned to either a curettage and imiquimod cream group (73 patients) or a surgical excision group (72 patients).
The Dutch study found that the proportion of patients free of recurrence after 12 months was 86.3 per cent (63 out of 73) for the curettage and imiquimod group and 100 per cent (72 out of 72) for the surgical excision group. The difference in efficacy was −13.7 per cent favouring surgical excision.
Researchers concluded that non-inferiority of curettage and imiquimod cream could not be concluded. Given the still high efficacy of curettage and imiquimod cream and the indolent growth pattern of nodular BCC, they determined that curettage and imiquimod could still be a valuable treatment option with the possibility to prevent overuse of excisions. However, it cannot replace surgical excision.
Learn more about skin cancer medicine in primary care at the next Skin Cancer Certificate Courses.
One comment on “[2 min read] Surgery vs curettage & imiquimod for nodular BCC”
Dear Health Cert Admin,
ThNk you for posting my passion on the subject master.
And it has been almost year when I attended a seminar in Sydney Harbour arranged webinar. We have unusual circumstances and life has become challenging. The focus to undertake studies is getting distracted. Commitment to such studies with no active participation in real world of working in the environment even as an observer or working as a non clinical member is not applicable in wester education. Without productivity or generating finances as an adult it is very hard to just sit on a computer and take life as reading the blogs. They are very interesting. How to balance life? I am New Zealan Ltd citizen and I don’t get any kind of benefit. I have to keep working. And these challenge is incredibly overwhelming. This where I am. Don’t know hope and pray circumstances will change for better. And that I quickly join to take all the interesting courses you have. It is Gods will and I pray that I will overcome my circumstances to serve our community with the valuable knowledge and skills. I am so humbled by your precious information you are posting regularly on social media. Thanks