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.
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