Cure Rates of Superficial Basal Cell Carcinom (BCC) Following 1 Versus 3 Cycles of Electrodessication and Curettage (ED&C)



Status:Recruiting
Conditions:Skin Cancer, Cancer
Therapuetic Areas:Oncology
Healthy:No
Age Range:18 - Any
Updated:5/27/2013
Start Date:May 2008

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Cure Rates of Superficial Basal Cell Carcinoma Following 1 Versus 3 Cycles of Electrodessication & Curettage: A Randomized Prospective Study


This is a prospective, randomized clinical trial conducted at the Unviersity of Wisconsin
(UW) Dermatology Clinic located at 1 S. Park Street, Madison, WI 53715. There are no
controls. Subjects meeting eligibility criteria are randomly divided into one of two
treatment groups (ED&C x 1 cycle or ED&C x 3 cycles) using computer generated random
numbers. One cycle of ED&C is defined according to standard technique currently employed. It
involves scraping away the tumor with a curette (ring- shaped instrument) and then burning
the curetted site with a small electric needle (electrodessication). During Visit 1, the
surgical site is marked, local numbing medication is injected, and 1 or 3 cycles of ED&C
is/are performed by board-certified dermatologists or a dermatology resident under the
direct supervision of a board certified dermatologist. All follow-up visits (3, 6, 9, and 12
months after Visit 1) include skin evaluations by the physician who performed the ED&C. The
lesion site is examined, measured, and photographed for clinical evidence of recurrence, as
defined by a new lesion within the previously treated site. If there is evidence of possible
tumor recurrence at the treated surgical site during Visit 2, 3, 4 or 5, then the lesion
will be biopsied using a shave procedure.


Inclusion Criteria:

- Untreated, biopsy proven superficial type basal cell carcinoma (BCC-S) on the trunk
and/or extremities

- Age greater than 21

- Women with childbearing potential (including those who are pregnant/lactating)

- Able to provide written informed consent

Exclusion Criteria:

- Aggressive histology on initial biopsy (i.e. morpheaform, infiltrative, desmoplastic,
or purely micronodular)

- Prior history of BCC or other skin cancer at the same location

- Lesion > 2 cm

- Patients with basal cell nevus syndrome

- Transplant patients

- Immunocompromised patients

- Recurrent BCC

- Greater than 2 BCC-S on the trunk and/or extremities

- Prisoners

- Allergy to lidocaine or epinephrine
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