Tangential excision (saucerization) of small basal and squamous cell skin cancers with formalin horizontal (en face) comprehensive margin histopathologic evaluation.

BACKGROUND

Mohs surgery is not appropriate for all skin cancer removals. D&C has an unacceptable recurrence rate of 10-20%. A simple method of skin cancer removal is needed to fill the gap. Tangential excision is a more accurate, safer, and more time-efficient method to treat small basal cell and squamous cell skin cancers.

OBJECTIVE

Detail the process of performing tangential excision of skin cancers.

METHODS

A practitioner has performed this technique for 30 years. His experience is described here.

RESULTS

Tangential excision (saucerization) is an excellent method used to treat small skin cancers.

CONCLUSION

This technique should be considered as a better choice than D&C for the treatment of skin cancers which are not appropriate for Mohs surgery.