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Non-melanoma Skin Cancer: Primary Non-surgical Therapies and Prevention Strategies

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Non-melanoma Skin Cancer of the Head and Neck

Abstract

Patients with non-melanoma skin cancer (NMSC) may be managed non-surgically on the basis of relevant tumour and patient factors. This chapter presents non-surgical treatment options for the two most common NMSCs—basal cell carcinoma (BCC) and squamous cell carcinoma (SCC). The management of Merkel cell carcinoma (often non-surgically) is discussed in Chap. 6. Excision, although considered the gold standard, is not always possible or considered the best option (Box 4.1). Numerous topical (e.g. 5-fluorouracil [5-FU], imiquimod) and intralesional (e.g. methotrexate, interferon) [1] options, as well as other modalities are widely available, often with ill-defined criteria for using them. Additionally, because the evidence to support these treatments is predominantly low-level with long-term follow-up (≤5 years) lacking, clinicians need to consider various issues before using any recommendation.

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Correspondence to Malcolm A. Buchanan BSc, MBChB, PhD, FRCS .

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© 2015 Faruque Riffat, Carsten E. Palme, Michael Veness, Rehan Kazi, Raghav C. Dwivedi

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Buchanan, M.A., Levin, B., Veness, M. (2015). Non-melanoma Skin Cancer: Primary Non-surgical Therapies and Prevention Strategies. In: Riffat, F., Palme, C., Veness, M. (eds) Non-melanoma Skin Cancer of the Head and Neck. Head and Neck Cancer Clinics. Springer, New Delhi. https://doi.org/10.1007/978-81-322-2497-6_4

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  • DOI: https://doi.org/10.1007/978-81-322-2497-6_4

  • Publisher Name: Springer, New Delhi

  • Print ISBN: 978-81-322-2496-9

  • Online ISBN: 978-81-322-2497-6

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