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To the Editor.—
In his recent article in the Archives, titled, "Basal Cell Carcinoma of the Nailbed" (108:828, 1973), Dr. Saul Hoffman described an ulcerating type of basal cell on the right thumb that recurred after curettage and grenz rays treatment. Following this therapy because of a recurrence, amputation of part of the right thumb was performed to remove the tumor.I would suggest that this type of lesion could be successfully treated by monitored cryosurgery using either a C-21 spray unit or a CE-8 cryosurgical unit. In either instance, the carcinoma as well as the surrounding tissue could be frozen to —25 C with a double freeze-thaw cycle, causing destruction of the tumor with subsequent healing over the next several weeks.I would submit that for a patient who does not wish to undergo amputation this would be a viable alternative.
Ragucci BD. Cryosurgery Treatment of Carcinoma. Arch Dermatol. 1974;109(5):735. doi:10.1001/archderm.1974.01630050069023
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