Conditions Treated
Our Team
Patient Resources
Contact Us

Basal Cell Carcinoma Recurrence After Mohs: All Your Questions, Answered

Request a Visit
Basal Cell Carcinoma Recurrence After Mohs All Your Questions, Answered

Basal cell carcinoma is a type of skin cancer that can recur after undergoing Mohs surgery. It is essential to recognize the possibility of recurrence, know the early signs and symptoms, and what to do if it does happen.

In this article, we'll discuss questions about whether basal cell carcinoma can recur after Mohs surgery, what are the signs and symptoms of the recurrence, and how to properly manage it if it happens. By understanding these topics, you'll be adequately prepared in case of recurrence.

Can Cancer Come Back After Mohs Surgery?

A recurrence of cancer following a Mohs procedure can be either local or distributed - meaning that it may affect nearby tissue or spread to other parts of the body such as the lymph nodes.

The risk of recurrence will depend on the type and stage of cancer, the number of excisions required during your procedure, and whether any remaining tumor cells were not removed from your site effectively.

Patients who have undergone Mohs surgery should continue to monitor their skin regularly in order to detect any signs or symptoms that may point towards a recurrence.

This could include changes in size or shape of existing lesions, new lesions, itching, burning or tenderness at the area treated with Mohs Surgery. If any such signs or symptoms appear then you should consult your doctor immediately.

Your doctor may also recommend regular check-ups in order to make sure that no new growth has appeared since your procedure was completed.

Although there is always a possibility that cancer can come back following treatment, catching any recordings right away could potentially save your life by allowing for earlier diagnosis and a more effective course of action.

How Quickly Can Cancer Return After Mohs Surgery?

As Mohs surgery is one of the best skin cancer treatments available, it’s not uncommon for people to wonder how long it takes for the cancer to return after their procedure.

Unfortunately, there is no definitive answer as this can vary from patient to patient. Factors that influence recurrence rates include the type and stage of the skin cancer, and whether or not it had already spread beyond where it was first found.

Studies have shown that local recurrences after Mohs surgery are fairly rare; however, even with this in mind, doctors typically advise patients to keep a close eye on their surgical site over the following weeks and months. In some cases, recurrence can happen as soon as three months post-procedure if successful excision has not been achieved at the surgical site.

To reduce the risk of cancer coming back faster than usual, consider speaking to your doctor about preventative measures such as nonsurgical therapies that target remaining abnormal cells or radiation therapy (RT) which uses high-energy rays or particles to kill abnormal cells in an effort to prevent them from continuing to grow or spreading further.

Ultimately, like with most medical procedures/treatments, you should pay close attention to unusual changes in your body after a Mohs surgery such as new lumps or bumps near your defect area so you can stay on top of any potential illnesses or diseases that may develop over time. Make sure you make follow up appointments with your doctor and report any new symptoms immediately since once detected early on it may be possible for them to help you avoid undue health complications down the road.

Can Basal Cell Carcinoma Come Back After Mohs Surgery?

When it comes to skin cancer, especially Basal Cell Carcinoma (BCC), one important treatment option is Mohs surgery. It’s often viewed as the gold standard for BCC treatment and due to its success rate, many people who are diagnosed with this form of cancer opt for it. But can BCC come back after Mohs Surgery?

The good news is that in most cases, the answer is “no.” That’s because Mohs surgery has an extremely high success rate – up to 99% – when it comes to removing all of the visible tumor cells at once. This means that once you have had the tumor successfully removed using Mohs surgery, there’s almost no chance that it will return.

That said, Basal Cell carcinoma recurrence after Mohs is possible and should be a concern if any skin changes or suspicious spots appear near where the previous tumor was located. If this happens, you should see your doctor immediately in order to rule out recurrence and get proper treatment if needed.

It’s also important to know that even after successful removal of BCC with Mohs Surgery, there may still be cancerous cells remaining on your body that are not yet visible or cancerous enough for detection and treatment at this time. 

For this reason, routine follow-up appointments with your dermatologist are recommended so they can keep an eye out for any potential recurring tumors or suspicious lesions that could indicate a recurrence of BCC down the line .

While it is possible for Basal Cell Carcinoma to come back after Mohs Surgery , this occurrence is incredibly rare due to its high success rate in treating BCC effectively once and for all.

If any worrisome symptoms arise or changes appear around where the previous tumor was located, seek medical attention right away in order to begin appropriate treatment if needed. Remember to stay vigilant by scheduling regular check-ups with your dermatologist each year in order to catch any potential signs of recurrence early on when they are much more easily treated.

How Often Does Basal Cell Carcinoma Reappear After Mohs Surgery?

How likely is it that removed BCC tumors will reappear after Mohs surgery?

Generally, for primary BCC tumors that have not invaded neighboring tissues, recurrence rates after a single Mohs procedure are extremely low – 1% to 2% depending on the severity of the condition.

For patients who have had more than one type of BCC or a large tumor, however, recurrence rates increase up to around 25%. Even in these cases though, BCC growths generally remain under control if regular follow-up care is provided as recommended by your doctor.

In some cases, recurrence may poor outcomes can be related to skill level of the physician performing the procedure. A skilled and experienced Mohs surgeon can reduce BCC recurrence rates significantly by taking extra care during the surgical process.

This includes leaving thicker margins around cancerous cells so that any regrowth potential is reduced. Additional features like taking multiple levels per specimen or double staining can also aide in perfectly removing cancerous cells and reducing risk of regrowth.

Overall, basal cell carcinoma can typically be removed effectively via Mohs surgery with an extremely low chance of recurrence being experienced afterwards – especially when performed by a skilled professional who takes extra care when needed.

Can Squamous Cell Return To Same Area After Mohs Surgery?

What's the chance for squamous cell carcinoma to return to the same site after Mohs surgery? Fortunately, when done correctly under experienced hands, the efficacy rate of Mohs surgery in treating squamous cell carcinoma is reported at 99%, making it one of the most successful treatments for this type of skin cancer.

And even if there’s a slim chance that some remaining cancer cells were missed during surgery and left behind at the site, relatively speaking, these cells are considered “inactive” as long as normal growth patterns such as immobility don't reappear after your initial recovery period.

So there's no need to panic or rush back into getting another round of treatment – regular check Ups (every 3-6 months) with your doctor should be fine in ensuring that all is still well.

However, while rare cases exist which show tumor recurrence even though it had been successfully treated once before with Mohs Surgery - It's important to note that complete remission can be achieved with follow-up care.

What Are the Chances of Melanoma Returning After the Mohs Procedure?

The Mohs Procedure has a skin cancer treatment rate of nearly 99 percent for early melanoma.

The chances of melanoma returning after a Mohs micrographic surgery procedure—a type of surgery to remove skin cancer tissues—depends on several factors.

The most important factor is whether or not all of the cancer cells were removed. If all of the cancerous tissue was removed, there is only a small chance for the melanoma to return.

Other factors that may affect your chances for a successful outcome include the size and depth of the tumor before it was removed, your age, underlying medical conditions, and the margin at which it was excised by your physician. 

Those with deeper tumors may be more likely to experience skin cancer recurrence than those with small superficial tumors. The younger you are, the higher chance that additional treatment may be needed because they tend to grow faster since cell repair processes do not work as well in older people.

Fortunately, modern medical equipment has made it easier for physicians to see affected skin during surgery clearly and completely remove affected tissue layers without having to disrupt too many healthy surrounding tissues. 

Until recently, doctors had to rely on manual milestone measurements in order to determine whether or not an area is clear from carcinomas---now these measurements can be done with precision using lasers and other imaging technologies resulting in less scarring around the treatment area and improved outcomes overall.

What Is the Likelihood of Getting Cancer Back After It Was Removed by a Mohs Surgery?

Cancer recurrence after a Mohs surgery is a real possibility, however the likelihood of it happening largely depends on the type and stage of cancer and also the skill and accuracy of the Mohs surgeon.

The recurrence rate for skin cancer that was successfully removed during Mohs surgery is quite low – around 1%-2% in most cases. However, this can be higher depending on factors such as if the cancer cells have spread to nearby tissue or lymph nodes, and if it is an aggressive form of cancer such as melanoma or basal cell carcinoma.

When Mohs surgery successfully removes all visible traces of cancer from a patient’s skin, there is still a small chance that remaining undetected cancer cells can return at some point down the road.

In most cases this risk is very low, but for those with more serious forms of skin cancer it may contract again even after removal. Patients should discuss this risk with their certified Mohs surgeon before undergoing treatment and make sure they are following proper post-op care tips from their physician in order to reduce their likelihood of recurring cancer.

Risk Factors Affecting Recurrence of Basal Cell Carcinoma After Mohs Surgery

Recurrent tumor of basal cell carcinoma can be caused by inadequate protection from sunlight or low precision in the surgery of the lesion in areas such as the body, arms, feet, head, neck, hands, legs, or genital organs.

The sun's ultraviolet radiation is a major risk factor for basal cell carcinoma, so it is important to wear protective clothing such as hats, long-sleeved shirts, and sunglasses to reduce your exposure.

Any residual tumor cells may also lead to recurrence if the surgery to remove the lesion is not performed precisely.

These risk factors should be taken into consideration when going through Mohs surgery for Basal Cell Carcinoma as it increases the risks of recurrence compared to patients without these factors involved; this could gravely affect outcomes and lead to further treatment needed if recurrences occur.

Therefore it's important to discuss these risk factors with your dermatologist before undergoing Mohs Surgery so an appropriate pre- and post operative care plan is planned out in order to avoid any potential problems down the line related to recurrence.

Most Likely Cause of Recurrent Basal Cell Carcinoma After Mohs

Some of the most likely causes of recurrent BCC include inadequate tissue margin clearance after surgery, repetitive UV exposure, and genetic predisposition/mutations in skin cell growth regulation.

In some cases, it may develop because cancer cells were missed during initial surgery (incomplete excision) or because the tumor had spread beyond what was initially visible to the surgeon.

To reduce this risk, surgeons should maintain healthy excision margins around tumors and periodically check for signs of post-surgical recurrence.

Moreover, dermatologists suggest reducing sun exposure and wearing sunscreen when outdoors to minimize UV-mediated stimulation of melanin production and reduce the chances of DNA mutation that can lead to recurrence.

Certain gene mutations/mutated alleles associated with more aggressive forms of BCC may also put patients at higher risk for recurrent disease.

Genetic counseling and regular screenings for those with a family history of BCC can provide helpful genomic information that can inform medical decision making about future surgeries or therapeutic plans.

Those who are immunocompromised need to take special care to protect their skin and be mindful when choosing treatments since diminished immunity can make them particularly vulnerable to developing recurrent BCSC after surgery.

Best Tips and Practices to Reduce Chance of Recurrence

To reduce the recurrence of this cancer after Mohs surgery, it is important to take additional steps to lower your risk as much as possible.

Keep an eye on any and all changes in your skin's appearance including small bumps or lesions that may appear around the site where you underwent surgery. These are potential signs of a new basal cell carcinoma forming, so contact your doctor immediately if you start to see any such changes.

It’s also very important to wear sunscreen every day and ensure that it has an SPF factor of at least 30 or higher, as well as UVA/UVB protection. This creates a barrier against ultraviolet radiation from sunlight, which can damage skin cells and increase your risk for skin cancer.

In addition to daily sunscreen application, seek shelter from direct sunlight whenever possible – especially during peak hours (10am-2pm). Try to find shade or use umbrellas when outdoors and wear sun-protective clothing like wide-brimmed hats and light layers of clothing made with synthetic fibers that block UV rays more effectively than other materials.

Take caution when using products like spray tans or tanning beds; both expose your skin to artificial levels of radiation which significantly increases risk for developing skin cancer after Mohs surgery.

By following these basic safety measures coupled with periodic screening tests by your dermatologist, you can effectively reduce recurrence rates after Mohs surgery for basal cell carcinoma.


At Dermatology and Skin Health, we understand that patients undergoing Mohs surgery for treating basal cell carcinoma may have concerns about recurrence.

We are dedicated to providing our patients with options that both meet their needs and address their concerns. Our team of experienced physicians are knowledgeable and trained on the latest treatments, technologies, and processes specifically related to skin malignancies.

With compassion, dedication and expertise in Mohs surgery, Dermatology and Skin Health is dedicated to helping our patients achieve effective, lasting treatment outcomes. So if you have any questions or concerns regarding basal cell carcinoma recurrence after Mohs surgery, contact us today.

Related Posts