Specific treatment for skin cancer will be determined by your child's physician based on:
your child's overall health and medical history
extent and type of the disease
your tolerance for specific medications, procedures, or therapies
expectations for the course of the disease
your opinion or preference
There are several kinds of treatments for skin cancer:
Surgery is a common treatment for skin cancer. It is used in most treated cases. Some types of skin cancer growths can be removed very easily and require only very minor surgery, while others may require a more extensive surgical procedure. Surgery may include the following procedures:
Using liquid nitrogen, cryosurgery uses an instrument that sprays the liquid onto the skin, freezing and destroying the tissue.
curettage and electrodesiccation
This common type of surgery involves scraping away skin tissue with a curette (a sharp surgical instrument), followed by cauterizing the wound with an electrosurgical unit.
A scalpel (sharp surgical instrument) may be used to excise (cut out) and remove the growth. The wound is usually stitched or held closed with skin clips.
Mohs' microscopically controlled surgery
This type of surgery involves excising (cutting out) a cancer, layer by layer. Each piece of excised tissue is examined under a microscope. Tissue is progressively removed until no tumor cells are seen. The goal of this type of surgery is to remove all of the malignant cells and as little normal tissue as possible. It is often used with recurring tumors (those that come back after treatment).
Laser surgery uses a narrow beam of light to remove cancer cells, and is often used with tumors located on the outer layer of skin.
X-rays are used to kill cancer cells and shrink tumors.
Other types of treatment include the following:
Chemotherapy uses drugs to kill cancer cells.
topical chemotherapy - chemotherapy given as a cream or lotion placed right on the skin to kill cancer cells.
systemic chemotherapy - chemotherapy administered orally (by mouth) or intravenously (IV or into a vein).
Immunotherapy of melanoma is a complex type of treatment involving various approaches to boost the body's own immune system, helping it to slow the growth of the cancer.
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