Electrodesiccation and curettage

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Electrodesiccation and curettage, abbreviated EDC and E+C, is a procedure in which:

  1. The lesion is cut-off (sent to pathology).
  2. The surgical site is cauterized using electricity (electrodesiccation).
  3. The electrodesiccated tissue is scrapped off (curettage).

General

  • EDCs are typically done by family physicians and dermatologists for non-melanoma skin cancers.[1]
  • The practise is not without controversy.[1][2]

Limitations of the technique are:

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Skin, Right Shoulder, Biopsy with Curettage and Electrodesiccation (CED): 
	- BASAL CELL CARCINOMA, margin status assessed clinically during CED. 
Right Upper Lip, Biopsy with Curettage and Electrodesiccation (C+E): 
	- INVASIVE SQUAMOUS CELL CARCINOMA (well-differentiated), margin status assessed clinically during C+E. 
Skin Lesion, Right Midline Back, Curettage and Electrodesiccation (C&E): 
	- BASAL CELL CARCINOMA, margin status assessed clinically during C&E. 

References

  1. 1.0 1.1 Goldman, G. (Jul 2002). "The current status of curettage and electrodesiccation.". Dermatol Clin 20 (3): 569-78, ix. PMID 12170889.
  2. Reschly, MJ.; Shenefelt, PD. (Jul 2010). "Controversies in skin surgery: electrodessication and curettage versus excision for low-risk, small, well-differentiated squamous cell carcinomas.". J Drugs Dermatol 9 (7): 773-6. PMID 20677531.