Electrodessication and curettage for low-risk cutaneous malignancies of the head and neck

Curettage and electrodessication of low-risk cutaneous malignancies provides a minimally invasive alternative to conventional excision. The procedure involves systematic destruction of superficial lesions using variably sized curettes and intervening high voltage, low amperage electric current. This method is limited to small, primary, non-infiltrating lesions located on cutaneous surfaces lacking dense collections of terminal hairs. Benefits include minimal trauma, shorter procedure time, and lower cost. Cure rates are acceptable but may be lower than standard excision or Mohs micrographic surgery. Thus, curettage and electrodessication remains a useful option in the treatment of certain malignancies on the head and neck.