Despite conventional therapies having high cure rates for skin malignancies, a number of patients are opting to manage their skin cancers with CAM.
Patients with dermatological conditions more heavily utilize CAM than the general population, with 12-month prevalence figures of 49% versus 36% in 2002 and 85% versus 38% in 2007. Self-reported use of CAM from surveys across North America, Europe, and Australia shows a high level of use with 35 to 69% of respondents having used CAM in the preceeding 12 months. IntroductionĬomplementary and alternative medicines (CAM) encompass a wide range of popular health interventions. This may explain the incongruous case study reports of excessive scarring, deformity, and treatment failure. Based upon an analysis of in vitro constituent cytotoxicity, in vivo post black salve histology, and experience with Mohs paste, black salve is likely to possess normal tissue toxicity with some cancer cell lines being relatively resistant to its effects. This review explores four health claims made by black salve vendors, investigating its natural therapy credentials, tumour specificity, and equivalence to orthodox medicine in relation to skin cancer cure rates and cosmesis. As a minimally regulated space, the quality and accuracy of this information vary considerably. Patients are increasingly utilizing the Internet as a source of health information. Although promoted as a safe and effective alternative to conventional management by its proponents, limited clinical research has been undertaken to assess its efficacy and potential toxicities. Black salve is a topical escharotic used for the treatment of skin cancer.
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