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Intralesional Methotrexate: A Cost-Effective, High-Efficacy Alternative to Surgery for Cutaneous Squamous Cell Carcinoma
Journal article

Intralesional Methotrexate: A Cost-Effective, High-Efficacy Alternative to Surgery for Cutaneous Squamous Cell Carcinoma

Ashley Lou Rensted, Alexander Hall, Joseph Giancola and Neel Patel
Cutis (New York, N.Y.), Vol.117(1), pp.E29-E32
01/2026
PMID: 41839016

Abstract

Aged Aged, 80 and over Antimetabolites, Antineoplastic - administration & dosage Antimetabolites, Antineoplastic - economics Carcinoma, Squamous Cell - drug therapy Carcinoma, Squamous Cell - economics Carcinoma, Squamous Cell - pathology Cost-Benefit Analysis Female Humans Injections, Intralesional Male Methotrexate - administration & dosage Methotrexate - economics Methotrexate - therapeutic use Middle Aged Mohs Surgery Skin Neoplasms - drug therapy Skin Neoplasms - economics Skin Neoplasms - pathology Treatment Outcome
Squamous cell carcinoma (SCC) is the second most common type of skin cancer and often is treated surgically. Not all patients are surgical candidates, and sometimes the cost of Mohs micrographic surgery or wide local excision is a barrier for patients. In this study, we explored the use of intralesional methotrexate (IL-MTX) as a treatment for SCC. Our results demonstrate that treatment with IL-MTX could be an excellent option for patients who cannot be treated surgically. However, more research is needed to characterize which lesions are the best candidates for IL-MTX therapy.

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