Apparently there is another chemo cream that could be applied after the areas heal from having been annoyed by the current cream. There is a possibility that the other cream also won't do the job of destroying all the cancer cells. At that point surgery is the only option left for getting rid of the cancer.
Bob could opt for the surgery without trying the 2nd chemo cream. Surgery might also involve skin grafting because there isn't any loose skin on the scalp that can be pulled over the area from which the cancer would be excised.
Edit - I forgot to mention that the doc froze some precancerous spots on Bob's face with liquid nitrogen (like he did to me last week) so Bob has red spots on his face that should be scabbing over within the next week.


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