Anyone had GentleCure (IM-SRT) for Basal Cell Carcinoma?

Hello, I am new here. I had a spot on my leg for 10+ years. My dermatologist was never concerned, treated for eczema, dry skin etc. Last fall I finally asked for a biopsy and it came back positive for superficial BCC. I had 2 courses of fluorouracil each 3 weeks and then another two courses of Aldera for 6 weeks each, because the lesion had not gone away. I finished the 2nd course of Aldera in February. At my follow up appointment I asked for another biopsy because the lesion was still there and had minimal improvement. It came back positive again for superficial BCC. She wanted to do another 6 week course of Aldera. When I asked if there were other options because this previously did not work, she suggested ed &c. Has anyone had a similar situation? I am concerned about having a significant scar on my lower leg and was wondering if there were other options.

@hbashur1, have you considered getting a second opinion? How are you doing?

I am on my last week of GentleCure radiation for a basal cell on my right temple. I have had MOHS surgery for basal cells on my face in the past and didn't want anymore scarring. So far the treatment is going well. I'm red and irritated at the site but am assured that the redness will go away after treatment. I've noticed in just the past few days that I am feeling fatigued. Has anyone else felt fatigue during treatment?

@basal: I'm glad to hear you're nearing the end of your treament. Several years ago I underwent radiation for a skin cancer on my face although I honestly can't recall if it was Gentle Cure and what, if any, my side effects were. However, since radiation does affect cells that require energy to rebuild cells this often does result in a general feeling of fatigue that even rest doesn't help to mitigate. Your body is in essence working overtime to restore healthy cells - and that can feel exhausting while it's occuring. Give yourself time - even up to a few weeks following completion - to start to feel like your baseline self. It's usually a gradual process.

Can you check back in mid-September or so with an update?

@grammato3
Thank you for your response. You're right about the fatigue even rest doesn't help to mitigate it. Yes, I would be happy to check back in mid-September with an update.

If ultrasound was used before each treatment it was Gentle Cure. Finished my 21 treatment almost 6 weeks ago. No redness anymore. Site tip of nose was squamous cell insitu better known as Bowens disease and sidewall of nose was a nodular basal cell with before treatment a depth of 1.5mm. This one had a lot less redness. Still a little pink on the sidewall. Go on Tuesday for post treatment check where dermatologist will make sure both resolved after the ultrasound image checks to make sure lots of bright yellows and greens and no black spots left. Since there is scattering which creates inflammation during the treatments. Hoping it clears me completely from any other treatments. They would do nothing now but a follow up in a few months of another ultrasound. Since the inflammation can linger. Hope this helps.

@basal Yes, i had the full course of 7 weeks of Gentle Cure for a rather large spot on my nose. I, too, got fatigued. It wasn't too bad, but I did notice it from time to time. It will go away. The treatment area also got very red and inflamed but after two months that has died down. It's only a faint shadow now, and I am expecting it to fade completely. It does take time though. Good luck to you.

@cw17 Thank you for sharing your experience with the Gentle Cure. I just finished my 20 treatments and have a very red, inflamed area which I'm told will fade. The fatigue is getting better. I return in 5 weeks for a final ultra-sound to be sure the basal cell is gone. I have previously had several MOHS surgeries on my face and opted for the Gentle Cure to eliminate scarring. I'm waiting for the treatment area to settle down and fade before I give this process a thumbs up. Besides the irritation and itching from the radiation it has been painless. Thank you for your good wishes. I'm glad to hear your process went so well.

Thank you. My site (one side of my nose) got beet red and very inflamed for quite some time. It was itchy too. The hydrochloric acid seemed to aggravate it, so I discontinued and they gave me silver something (used for burn injuries) and an antibiotic cream to calm it down. You might ask them for something to calm the site. I, too, have to go back in several weeks to see if we got everything. Hoping for the best. I am curious that you had scarring with MOHS. Supposedly they are so good that scarring is minimal. I didn't want to take a chance because it's my face, and that's why I went with Gentle Cure. Let us know how you do!