This morning Bob went to his Mohs surgeon who performed Mohs skin cancer removal surgery in the office. When the surgery was done, samples of the edges of the excision were sent to the lab to see if all the cancer cells has been removed. They had not.
His Mohs surgeon did a second surgery in the office to remove as much of the basal cell cancer as he could, but the Mohs surgeon cannot go deep on neck surgeries due to the nerves, muscles and arteries that are there.
What his Mohs surgeon did find is that the basal cell cancer is entwined around a muscle. This is going to require a neck surgeon and a plastic surgeon. Bob is now waiting to hear from the other two surgeons who are going to consult and let him know when they can do the surgery. It was originally scheduled with the plastic surgeon for tomorrow, but because this needs more complicated surgery, it looks like Bob will have to wait. It all depends on what the other two doctors decide and what their schedules look like.
The risk with the deeper surgery is that they might have to take part of a nerve which would cause some facial numbness or pins-and-needles sensations, or they may have to take part of a muscle which could cause problems with shoulder shrugging.
Right now, this is what Bob's neck looks like.
Bob is tired, but we went to lunch at Olive Garden because he hadn't
had anything to eat since last night. Now he's just exhausted and wants
Thank you to everyone who sent love, hugs and prayers. We appreciate it. As soon as we know more, we'll update everyone.