Patient Story: Basal Cell Carcinoma Near the Ear Canal Treated with Mohs Surgery

An 85-year-old male patient was diagnosed with a basal cell carcinoma (BCC) located just inside the ear, near the entrance of the ear canal. This location presents unique challenges—due to the tight anatomical space, thin skin, and proximity to cartilage and vital structures. Dr. Lance Henry, Fellowship-trained Mohs Surgeon at Advanced Dermatology & Skin Cancer Center, recommended Mohs micrographic surgery for its precision and effectiveness in such complex areas.

Mohs surgery is particularly valuable for skin cancers in the ear region. It allows for the layer-by-layer removal and microscopic evaluation of tissue until no cancer cells remain. This method ensures full removal of the tumor while sparing healthy surrounding tissue—a vital consideration near the ear canal, where every millimeter of preserved tissue can protect function and appearance.

The procedure was performed in a single stage. Dr. Henry then carefully reconstructed the site to maintain both the shape of the inner ear and the integrity of the ear canal. At one month post-operation, the “after” photo shows excellent healing: natural contour, minimal scarring, and no disruption to ear function.

This case is a clear demonstration of how Mohs surgery can deliver the highest level of cancer treatment while minimizing cosmetic and structural impact, even in high-risk areas. At 85, the patient experienced a smooth recovery and was able to avoid more invasive procedures or hearing-related complications.

Thanks to expert surgical care and early intervention, this patient is now cancer-free and enjoying restored comfort and confidence.

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