The cream does have a place in treating skin cancer. But a lot of the cancers I see are the deeper, more serious forms of basal cell, and those tumors won't respond at all to the cream.
Aldara (imiquimod), a cream originally created to treat genital warts, has been used successfully on some basal cell skin cancers. But is it a miracle cure? "Aldara is a wonderful medicine if used properly," says Dr. Christenson of the Mayo Clinic. "But its success rate for superficial basal cell carcinomas is only about 80 percent. If I were to treat you surgically, the efficacy would be about 95 percent."
Dr. Kriegel of Mount Sinai in New York agrees, saying, "The cream does have a place in treating skin cancer. But a lot of the cancers I see are the deeper, more serious forms of basal cell, and those tumors won't respond at all to the cream." Aldara also takes weeks to work and has side effects. Both doctors say it would be great to have a cream that makes surgery obsolete. "But," says Dr. Kriegel, "it's just not there yet."