Thank you for this excellent video Dr. Roth. I was dx yesterday for a basal cell carcinoma on my nose, on my delicate small nostril and referred for MOHS. I am now searching for a provider to discuss SRT treatment. I cared for my 90 year old mother after a fairly large MOHS surgery a few months ago which has still not well healed. The wound care was serious indeed. I don't want any more NEEDLES in my nose, I don't want anyone cutting off slices of my small delicate nostril with a scalpel. I don't want to sit in a business meeting and wonder if clients are staring at my nose and wondering why it is bandaged or a piece of my nose is missing. Thank you for this educational video. I hope I can obtain the SRT option.
My mother was about to face major reconstructive surgery for a SCC that had taken over two thirds of her top lip. A hugely invasive surgery for a lady in her late seventies with a number of pre-existing health conditions. She has just been offered this treatment in lieu of the surgery, as a family we are over the moon. This video has made me very optimistic about there treatment outcome.
I just had Moh‘s surgery on my nose and and it is leaving a scar. I am a little over a month since the surgery. It looks like at this point the cost was $8000. Three months from now, perhaps, the scar will be gone maybe. I am using scaraway as it was recommended by the surgeon. A skin graft was performed using tissue behind my right ear. I wish I had known about this but none of the medical personnel mentioned it as an alternative. Now I know. Thank you!
I wish I could of had this done on my face 6 months ago. I had Mohs and have to live with a scar. This is awesome news to know for future reference. Thanks and God bless you and your family ✝️
I went for a consult today as they are opening an additional derm office that will use Sensus machine for SRT- I was impressed with the technology as I have dealt with Mohs in past a and the facial scarring it leaves- so excited that this is finally available in my area!
I'm starting my first treatment next Thursday. I have 4 different areas with at least 15 sessions each. I'll be going for about 3 months. My dr said we will get to know each other well. lol I have had Melanomo 2 times. The first time in my 20's. I live in Florida and I need to be very careful. I go to the dermatologist 2 x year or more if needed. I have had multiple surgeries for other skin cancers. I am full of scars. I didn't want to go through another surgery. This is my best option.
I had MOHS on a very tiny basal cell on my lip. I will NEVER go through that again.... years of recovery/and dealing with the emotional stress of this scar on my lip that changed my smile and my confidence. It looks better now, but there is no way I would do MOHS again. This sounds amazing. I have another Basal Cell on my lower lip and will definitely do research to find someone near me so I can have this treatment, instead of the invasive MOHS. Thank you for this video Dr. Roth.
I’m going this route right now on my nose. I’ve gone through 15 of 22 treatments so far. I didn’t want to go through the scaring from Mohs surgery. I’ll let you know how it goes. Sorry about your lip.
Does anyone know if, when it comes to a diagnosis of “micronodular” basal cell carcinoma, is treatment with IG-SRT an option as opposed to Mohs? Thank you in advance for your reply.
Dr. William, how does SRT compare to topical cream treatments? Topical creams has a high cure rate but doesn't seem to get recommended as often as other treatments.
Could you tell me the wait time between treatments? (If I came to Florida for the procedure I’m wondering how long I’d have to stay.) thanks for your help!
What dose, energy and fractionation schedule did you use for the last patient? Twice a week or three times. Did you use 70 kV? Are you getting 77280 codes paid?
I had a large BCC directly above my left eye. I decided to have image-guided SRT, which ended up 100% successful. Mohs would have involved scarring, plastic surgery, and all the psychological negativity that goes with the process.
Dr. What are the side effects of Art? I’d think the patient would be at even greater risk of getting skin cancer. Is that correct? Also, I do agree that the outcome for the three cases you presented is astonishing. Thank you very much. I look forward to viewing more of your videos.
@@ChicagoRob2Hi Rob, would you mind sharing how this procedure went please? I’m diagnosed with micronodular BCC and trying to figure out if this is a feasible procedure for me. Thank you.
@@RobertBartko They use ultrasound to assess the depth of the BCC and where to guide the radiation. Each of the 21 sessions lasted about 20 seconds. After the last session, a final ultrasound was given a 100% effective score by the resident Mohs surgeon. It’s been 3.5 years since the last session and all is well.
They perform an ultrasound prior to each session. It’s a highly advanced system. The cancer is clearly visible, including its precise depth, etc. When I had my SRT, I could see the cancerous area shrink after each treatment, until the ultrasound showed zero evidence and normal skin cell structure. I was just certified cancer-free after five years. No marks, no redness, no scar, and zero evidence of what could have been a nightmare with Mohs.
More uncomfortable than a forehead flap after Mohs surgery on the nose? I highly doubt it. I'm convinced some dermatologists are threatened by this treatment as it requires less plastic surgery.
![Superficial Radiation Therapy (SRT) Procedure [Dermatology]](http://i.ytimg.com/vi/KbyLykrRp5A/mqdefault.jpg)
![Superficial Radiation Therapy (SRT) Procedure [Dermatology]](/img/tr.png)
Thank you for this excellent video Dr. Roth. I was dx yesterday for a basal cell carcinoma on my nose, on my delicate small nostril and referred for MOHS. I am now searching for a provider to discuss SRT treatment. I cared for my 90 year old mother after a fairly large MOHS surgery a few months ago which has still not well healed. The wound care was serious indeed. I don't want any more NEEDLES in my nose, I don't want anyone cutting off slices of my small delicate nostril with a scalpel. I don't want to sit in a business meeting and wonder if clients are staring at my nose and wondering why it is bandaged or a piece of my nose is missing. Thank you for this educational video. I hope I can obtain the SRT option.
This treatment prevented disfigurement of my upper lip. I am grateful to all the dermatologist that practice this non invasive procedure!
Did you have any atrophy to your lip?
My mother was about to face major reconstructive surgery for a SCC that had taken over two thirds of her top lip. A hugely invasive surgery for a lady in her late seventies with a number of pre-existing health conditions. She has just been offered this treatment in lieu of the surgery, as a family we are over the moon. This video has made me very optimistic about there treatment outcome.
I just had Moh‘s surgery on my nose and and it is leaving a scar. I am a little over a month since the surgery. It looks like at this point the cost was $8000. Three months from now, perhaps, the scar will be gone maybe. I am using scaraway as it was recommended by the surgeon. A skin graft was performed using tissue behind my right ear. I wish I had known about this but none of the medical personnel mentioned it as an alternative. Now I know. Thank you!
I wish I could of had this done on my face 6 months ago. I had Mohs and have to live with a scar. This is awesome news to know for future reference. Thanks and God bless you and your family ✝️
I went for a consult today as they are opening an additional derm office that will use Sensus machine for SRT- I was impressed with the technology as I have dealt with Mohs in past a and the facial scarring it leaves- so excited that this is finally available in my area!
I'm starting my first treatment next Thursday. I have 4 different areas with at least 15 sessions each. I'll be going for about 3 months. My dr said we will get to know each other well. lol I have had Melanomo 2 times. The first time in my 20's. I live in Florida and I need to be very careful. I go to the dermatologist 2 x year or more if needed. I have had multiple surgeries for other skin cancers. I am full of scars. I didn't want to go through another surgery. This is my best option.
I had MOHS on a very tiny basal cell on my lip. I will NEVER go through that again.... years of recovery/and dealing with the emotional stress of this scar on my lip that changed my smile and my confidence. It looks better now, but there is no way I would do MOHS again. This sounds amazing. I have another Basal Cell on my lower lip and will definitely do research to find someone near me so I can have this treatment, instead of the invasive MOHS. Thank you for this video Dr. Roth.
I’m going this route right now on my nose. I’ve gone through 15 of 22 treatments so far. I didn’t want to go through the scaring from Mohs surgery. I’ll let you know how it goes. Sorry about your lip.
@@garysondrini4911Hi Gary, would you mind sharing an update on how the procedure went? Thank you
So glad of this alternative therapy. Solid choice!
Does anyone know if, when it comes to a diagnosis of “micronodular” basal cell carcinoma, is treatment with IG-SRT an option as opposed to Mohs? Thank you in advance for your reply.
Can a Varian Edge machine be used for Squamish? There are no SRT100 options where I live.
Why arn't we using this on more patients? Are younger, less chronically I'll patients good candidates?
Exactly. I only hear about MOH'S surgery.
Dr. William, how does SRT compare to topical cream treatments? Topical creams has a high cure rate but doesn't seem to get recommended as often as other treatments.
Could you tell me the wait time between treatments? (If I came to Florida for the procedure I’m wondering how long I’d have to stay.) thanks for your help!
What dose, energy and fractionation schedule did you use for the last patient? Twice a week or three times. Did you use 70 kV? Are you getting 77280 codes paid?
Once a day forecast for the pumps. Looks like a great time for us 😊
I had a large BCC directly above my left eye. I decided to have image-guided SRT, which ended up 100% successful. Mohs would have involved scarring, plastic surgery, and all the psychological negativity that goes with the process.
This video. helped me make a decision.
Dr. What are the side effects of Art? I’d think the patient would be at even greater risk of getting skin cancer. Is that correct? Also, I do agree that the outcome for the three cases you presented is astonishing. Thank you very much. I look forward to viewing more of your videos.
Does it work on infiltrating basil cell carcinoma which is more invasive ?
Darn tootin
Worked great with mine.
@@ChicagoRob2Hi Rob, would you mind sharing how this procedure went please? I’m diagnosed with micronodular BCC and trying to figure out if this is a feasible procedure for me. Thank you.
@@RobertBartko They use ultrasound to assess the depth of the BCC and where to guide the radiation. Each of the 21 sessions lasted about 20 seconds. After the last session, a final ultrasound was given a 100% effective score by the resident Mohs surgeon. It’s been 3.5 years since the last session and all is well.
@@ChicagoRob2 I’m so happy for you. Thank you for sharing this with me. ❤️
How do you know you are getting all of the margins? What are the 5 year recurrence rates? Does it work on melanoma as well?
Using biopsies and precision treatment planning. It treats non-Melanoma skin cancers and keloids.
Cure rates are 95%+ >5 year data.
They perform an ultrasound prior to each session. It’s a highly advanced system. The cancer is clearly visible, including its precise depth, etc. When I had my SRT, I could see the cancerous area shrink after each treatment, until the ultrasound showed zero evidence and normal skin cell structure. I was just certified cancer-free after five years. No marks, no redness, no scar, and zero evidence of what could have been a nightmare with Mohs.
Does hair grow back after the removal of keloids
Only on her that.
Wow
My dermatologist is strongly against this type treatment! I was told researcher has shown far more costly and very uncomfortable.
More uncomfortable than a forehead flap after Mohs surgery on the nose? I highly doubt it. I'm convinced some dermatologists are threatened by this treatment as it requires less plastic surgery.
Many doctors are threatened by technology they don't have or are not trained to use. They are also all about whatever makes the most $.
Probably because he doesn’t offer it lol.