Mohs Surgery vs Radiation for Skin Cancer

When your doctor talks about skin cancers tretmnet, two common options are Mohs surgery and radiation therapy. Both try to remove and kill the cancer cells, but they do it in their own way. Knowing what to expect can make it easier for you to decide what feels right for you

Mohs Surgery

Mohs surgery is a surgery in which the surgeon removes very thin layers of skin layer by layer. All the layers are examined under a microscope for the absence of cancer cells.

• It usually takes a few hours in one day.
• You stay awake, but the area is numbed.
• Often used for cancers on the face, hands, or places where keeping healthy skin matters.
• After surgery, you might need stitches or a small skin graft.
• Healing can take a few weeks.
• It has a high success rate and removes less healthy skin, but some scarring is normal, depending on the size and location of the cancer.

Radiation Therapy

Radiation therapy uses high-energy rays to destroy cancer cells. It does not involve cutting the skin and is done over several sessions.

• Usually given daily for a few weeks.
• The treatment itself does not hurt, but the skin in the treated area can get red, dry, or sensitive.
• Some people feel tired during this period.
• Radiation is often used when surgery is not possible, for older patients, or for cancers in areas that are hard to operate on.

Choosing Between the Two

There is no one right choice for everyone. The decision depends on:

• The type, size, and location of the cancer.
• Your overall health.
• How long the recovery will take and what side effects you might get.
• How your skin will heal.

Both interventions may be effective. Listening to your skin, listening to your doctor, and taking care of yourself in the recovery case can make a huge difference. Be honest with your doctor about what you are comfortable with and what works well with your body.