I went to Mohs surgeon yesterday to have squamous removed from my left forearm. The first thing he said is we're not doing Mohs today. Because of the location of where the squamous is he said insurance would not, most likely, pay for it. He took his time in explaining the options for removal--pro's and cons. He recommended what is called an incisional open wound method.
They will send the tissue to the pathologist and should hear back in about a week. In the unlikely scenario that he did not get it all then insurance will allow him to do Mohs--beginning where he left off. The cleaning and bandage changes are to be done daily and it is kept covered for 5-6 weeks. I was not prepared for this but the surgeon travels from practice to practice and would not be back at this location until the end of June so needed to make a decision then and there. Hope I made the right decision. I did wonder this: If he is qualified to look at tissue to see if he "got it all" using Mohs why could he not look at what he just removed to determine the same?
Also, I asked him if there is any connection to LP and Squamous. He said yes, but only where there is LP present, there is a higher instance of developing Squamous. He is the only dermatologist who had even seemed knowledgeable about this subject. We live, we learn. Thanks for the prayers.