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Intermediate Technical IVT

Curettage and Electrodesiccation

A two-step surgical technique combining tissue scraping with electrical tissue destruction.

Full Definition

Curettage and electrodesiccation (C&E) is a destructive surgical technique commonly used for treating superficial skin cancers, particularly basal cell carcinomas and squamous cell carcinomas in low-risk areas. The procedure involves first using a curette to scrape away the tumor tissue, followed by electrodesiccation to destroy remaining abnormal cells and achieve hemostasis. This cycle is typically repeated two to three times. While effective for appropriate lesions, C&E does not provide tissue for histologic margin assessment.

Usage

Usage note: The standard order is 'curettage and electrodesiccation,' not 'electrodesiccation and curettage.'

In Context

  • "Curettage and electrodesiccation was performed in three cycles for the superficial basal cell carcinoma." — Operative note
  • "The patient was counseled that curettage and electrodesiccation would not provide tissue for margin assessment." — Preoperative consultation note

Also known as

C&E electrosurgical curettage

Contrasted with

excisional surgery Mohs surgery

Don't confuse with

electrodesiccation and curettage simple curettage

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