Hi Pam, I had Mohs surgery on the top of my head for a Squamous cell carcinoma that went undetected until it got quite large. Originally diagnosed as actinic keratosis and treated with cortisone cream. After the second cut I felt hustled out of the office because it was closing time. Tests came back negative, margins clear, CT scan showed no evidence of lymph node or other problem. Genetic test came back "intermediate" risk , (fair skin) so radiation therapy recommended. I declined. Radiation on the top of my head didn't sound appealing. I am scheduled for CT scan in 3 mo. I am very interested to hear how you made out with your plastic surgeon and radiation therapy. Hope everything is going well for you. Margaret