I had a lesion removed from my left ear (superior helix) that pathology says is Matrical Carcinoma. My dermatologist has never seen this. He is researching what to do other than biopsy more tissue to get clear margins. There is little on the web about this. How concerned should I be? Other than removing it, what other follow up treatment should I consider? The Doctor said it can metastasize but thinks it was caught early. Advice?
Hi, Thanks for writing in. The recent treatment of metrical or biometrical carcinoma is as follows. The most widely reported treatment for biometrical carcinoma is wide local excision with clear tumor margins. There is technique known as Mohsmicrographic surgery which is also an excellent treatment option. Currently, there is no consensus on surgical management, and standard excisional margins have not been defined. Adjuvant radiation therapy may be necessary postexcision. Chemotherapy has been used in cases of extensive tumor invasion and in cases of metastasis. Please do not worry.