Wound, Ostomy and Continence Nurses Society (WOCN) Practice Exam

What is the primary treatment for basal cell carcinoma?

1. Surgical excision

2. Topical antibiotics

3. Oral antifungals

4. Chemotherapy

The correct answer is: Surgical excision

The primary treatment for basal cell carcinoma is surgical excision, which involves removing the cancerous tissue along with some surrounding healthy tissue to ensure that all cancer cells are eliminated. This method is highly effective because basal cell carcinoma generally does not spread to other parts of the body, making localized removal a safe and successful option. Surgical excision allows for direct assessment of the tumor margins, which is important in ensuring that the carcinoma is fully excised and reducing the likelihood of recurrence. Other treatment options may exist, such as topical treatments for very superficial forms of basal cell carcinoma or photodynamic therapy, but surgical excision remains the gold standard for most cases due to its comprehensive approach and proven efficacy. The other treatment modalities listed, like topical antibiotics and oral antifungals, are not relevant in the context of treating basal cell carcinoma, as these are used for infections and fungal conditions rather than for cancer treatment. Chemotherapy is typically reserved for more aggressive skin cancers and is not a standard treatment for basal cell carcinoma since the cancer usually behaves in a less aggressive manner.