Your dermatologist should be able to deal with this cancer. You do not need to undergo MOH surgery. I have had 7 skin cancers so far, 3 treated by MOH surgery, 2 treated via a biopsy, and 2 treated with a topical cream. As long as it is not melanoma, you are okay.

Walter Reed is treating my basel cells via MOH surgery. I'm on immuno suppressants, so maybe the derm doctors want to be extra sure it's gone?

my dermatologist did not 'deal with' it himself.

'Doctors use Mohs surgery (also called Mohs micrographic surgery) to treat skin cancer. The goal is to remove as much of it as possible while saving the healthy tissue around it. Layers of skin are removed one at a time and examined under a microscope until all the cancer is gone. This reduces the chance of needing future treatments or surgery.' https://www.webmd.com/melanoma-skin-cancer/mohs-surgery#1

that I had MOHS on a squamous cell on my nose. Despite the discomfort of the healing process, it was really a nonevent, with there being NO evidence that it was ever there at this point.

That one formed above my collarbone along the front of my neck, atop scar tissue from neurosurgery after an accident. It grew back, so had to get the MOHs procedure which was difficult due to the location. Hoping they don't have to do that on top of my head (I would lose hair follicles and have a bald spot probably) but will do whatever the doctors say within reason.

They are referring me to an ENT with seems odd, but I guess they handle head and neck stuff.

once it was biopsied. I was traveling.

It grew back, and I had it rediagnosed. Now it's Basel, so, a misdiagnosis. MOH's surgery was performed. It's gone.

Make that derm appt and please don't worry.

I have compromised health....immunosuppressants....but my worry was for nothing, and Squamous doesn't spread that fast anyway. Good on you for being proactive, though!

He has basal cell almost all the time, has had squamous cell several times, and melanoma once. Some of his cancers are on his scalp (also face, neck, and arms). From my experience with him, I want to reassure you. They will take good care of you, and you will be fine. Try not to worry.

bad news is I've got staples in the top of my head that hurt like the dickens.

For a number of months it was just an annoying red mark that refused to disappear. Sometimes it would flare up angry red then sputter out to a pale splotch. Right before I went to the dermatologist, the area became really nasty. Looked as if someone had put out a cigarette on my face.

Ultimately I had it removed with Mohs surgery, as well as a basal cell growth on the ridge of my left ear.

That was five years ago. Though I've had two additional skin cancers since (one basal cell, one melanoma) I've had no recurrence in the original areas.

The Mohs surgery is very good and you have the results the day of the procedure. They'll shave the area down until the margins are clear and clean, and then stitch you up. There's little pain other than the numbing agents. After the first or second needle, you don't feel the rest.

Good to have these nasties treated early. For my own part, I think I'm paying the price of having spent most of childhood on the Jersey shore. The sun will have its revenge.