This technique has been  for a long time by dermatologists. The curette scrapes away the soft tissue that comprises the bulk of some skin cancers. This is followed by Electrodessication that allows the doctor to seal off any bleeding and at the same time mop up any residual tumor cells not removed by curetting. The curetted tissue is sent to pathology for further assessment.
This technique is used for certain types of skin cancers e.g. superficial BCCs and solar keratosis, superficial SCCs (intraepidermal carcinoma). In correctly trained hands it has a cure rate of up to 97% on favourable areas of the body, but this can vary depending on the location, type and size of the tumour on the body. It should never be used on a pigmented lesion suspected  to be an aggressive melanoma. Curettage and desiccation also is a good choice for patients who cannot tolerate more involved surgical procedures. With a high cure rate in the treatment of carefully selected skin cancers, this treatment method is efficient and cost-effective.

Risks and Complications 

As with any skin cancer treatment, there are risks associated with curettage and desiccation, though they are minimized in the hands of a qualified doctor. Risks include:

• Pain
• Swelling
• Bleeding
• Scarring
• Crusting
• Cancer recurrence

Aftercare

Most patients can drive themselves home after the procedure. Resulting wound heals slowly by itself and usually results in a flat white scar. Following the treatment the area is dressed with antibiotic ointment and a protective dressing and usually takes couple of weeks to heal, leaving a pink scar which slowly fades to a pale colour over several months. It can take longer to heal on the lower legs.

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