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Can Basal Cell Carcinoma Cause Fatigue

How Do People Find Bcc On Their Skin

Basal and Squamous Cell Skin Cancers: Treatment including Mohs Surgery Video – Brigham and Womens

Many people find it when they notice a spot, lump, or scaly patch on their skin that is growing or feels different from the rest of their skin. If you notice any spot on your skin that is growing, bleeding, or changing in any way, see a board-certified dermatologist. These doctors have the most training and experience in diagnosing skin cancer.

To find skin cancer early, dermatologists recommend that everyone check their own skin with a skin self-exam. This is especially important for people who have a higher risk of developing BCC. Youll find out what can increase your risk of getting this skin cancer at, Basal cell carcinoma: Who gets and causes.

Images used with permission of:

  • The American Academy of Dermatology National Library of Dermatologic Teaching Slides.

  • J Am Acad Dermatol. 2019 80:303-17.

Cancer Symptoms What Cancers Cause High Platelets

What Are Symptoms and Signs?

A symptom is an indication of disease, illness, gash, or that something is not right in their own bodies. Symptoms are felt or noticed by a person, but were not able to easily be noticed by anyone else. For example, chills, weakness, achiness, shortness of breath, and a cough are possible symptoms of pneumonia.

A sign is also an indication that something is not right in their own bodies. But signeds are defined as observances made by a doctor, nurse, or other health care professional. Fever, rapid breathing pace, and abnormal breathing announces heard through a stethoscope are possible indicates of pneumonia.

The presence of one evidence or sign were not able to present enough information to suggest a motive. For example, a rash in a child could be a symptom of a number of things including lethal ivy, an infectious disease like measles, an infection limited to the skin, or a menu reaction. But if the rash is checked together with other signalings and indications like a high fever, chills, achiness, and a absces throat, then a doctor can get a better picture of the illness. In many cases, a patients clues and indications do not render enough evidences by themselves to determine the cause of an illness, and medical measures such as x-rays, blood tests, or a biopsy may be needed.

How Does Cancer Produce Signs and Symptoms?

How Are Signs and Symptoms Helpful?

General Cancer Signs and Symptoms

Specific Cancer Signs and Symptoms

What Can I Do To Help Maintain My Weight And Build Strength

Along with taking any medicines your doctor prescribes, there are many things you can do to help your body stay strong. Good, balanced nutrition and proper hydration are very important:

Eat a balanced diet, and be sure to include protein to protect lean body mass. Beef, pork, poultry, tofu and soy nuts are excellent sources of protein. So are dairy products try some Greek yogurt, which is higher in protein than regular yogurt. For more information on nutrition during treatment, read CancerCares fact sheet title The Importance of Nutrition During Treatment.

Increase the number of calories you eat. Choose nutritious foods that you enjoy. If appetite is a problem, try eating smaller, more frequent meals make milkshakes, smoothies, and purees, which may be easier to digest and add milk or protein powder to your foods.

Drink plenty of liquids throughout the day. Water is best, but you can also get fluids from soups, popsicles and sports drinks.

Keep a journal. Keeping details of the side effects that you experience will help your health care team. Having a health care journal or notebook will allow you to keep all of your health information in one place. If you are experiencing constipation, it may be helpful to keep a journal detailing:

  • Physical activities you do and how they affect your mood and energy level
  • Your diet
  • Fluid intake and type of fluid
  • Medications youre currently taking

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Warning Signs Of Basal Cell Carcinoma That You Could Mistake As Harmless

  • Warning sign: A pink or reddish growth that dips in the centerCan be mistaken for: A skin injury or acne scar

    A pink or reddish growth that dips in the center

    The BCC on this patients cheek could be mistaken for a minor skin injury.

  • Warning sign: A growth or scaly patch of skin on or near the earCan be mistaken for: Scaly, dry skin, minor injury, or scar

    A growth or scaly patch of skin on or near the ear

    BCC often develops on or near an ear, and this one could be mistaken for a minor skin injury.

  • Warning sign: A sore that doesn’t heal and may bleed, ooze, or crust overCan be mistaken for: Sore or pimple

    A sore that doesn’t heal, or heals and returns

    This patient mistook the BCC on his nose for a non-healing pimple.

  • Warning sign: A scaly, slightly raised patch of irritated skin, which could be red, pink, or another colorCan be mistaken for: Dry, irritated skin, especially if it’s red or pink

    A scaly, slightly raised patch of irritated skin

    This BCC could be mistaken for a patch of dry, irritated skin.

  • Warning sign: A round growth that may be pink, red, brown, black, tan, or the same color as your skinCan be mistaken for: A mole, wart, or other harmless growth.

    A round growth that may be same color as your skin

    Would you recognize this as a skin cancer, or would you dismiss it as a harmless growth on your face?

  • Why It Is Done

    Skin Cancer Dermatologist, Dr. Keith Knoell, Valley ...

    Radiation therapy may be used:

    • If you are older than 60.
    • For skin cancers that are too large or deep to be treated with surgery or with surgery alone.
    • For skin cancers in places that are hard to treat with surgery, such as the eyelid, ear, or nose.
    • For skin cancers that have come back after surgery .
    • To relieve symptoms but not to cure the skin cancer .

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    Mohs Microscopically Controlled Surgery

    Because skin cancer cells often have spread beyond the edges of the visible patch on the skin, doctors sometimes use a special surgical technique to make sure they remove all of the cancer. In this technique, called Mohs microscopically controlled surgery or Mohs micrographic surgery, doctors first remove the visible tumor and then begin cutting away the edges of the wound bit by bit. During surgery, doctors examine pieces of tissue to look for cancer cells. Tissue removal from the area continues until the samples no longer contain cancer cells. This procedure enables doctors to limit the amount of tissue removed and thus is especially useful for cancers near such important sites as the eye.

    After removing all of the cancer, doctors decide how best to replace the skin that has been cut away. They may bring the edges of the remaining skin together with sutures or use a skin graft or skin flap. Or they may place dressings on top of the wound and let the skin heal on its own.

    Mohs surgery reduces recurrence rates for skin cancers. This surgery is useful for basal cell and squamous cell cancers but is less often used for melanoma.

    Genetic Mutations In People With High Numbers Of Skin Cancers

    To do the study, the researchers looked at 61 people who were treated at Stanford Hospital and Clinics for a higher-than-average number of basal cell carcinomas: an average of 11 diagnoses per person during a 10-year period:

    • about 75% of the people in the study were men
    • the average age was about 69
    • about 97% of the people were of European descent

    The researchers collected saliva samples from each person in the study and performed genetic testing to look for mutations in 29 genes that help repair DNA damage. Mutations in these genes are linked to many other types of cancer.

    The researchers found that 19.7% of the people in the study had mutations in 12 DNA repair genes, including:

    • APC
    • PALB2

    In comparison, about 3% of people in the average population have mutations in those genes.

    “We found that about 20 percent of the people with frequent basal cell carcinomas have a mutation in one of the genes responsible for repairing DNA damage, versus about 3 percent of the general population. That’s shockingly high,” said Kavita Sarin, M.D., Ph.D., assistant professor of dermatology at Stanford and senior author of the study.

    Mutations in the BARD1, BRCA1, BRCA2, CDH1, CHEK2, MSH6, NBN, and PALB2 genes are associated with a higher risk of breast cancer.

    When looking at the cancer history of the people in the study, the researchers found that 34.4% had a personal history of another cancer besides basal cell carcinoma, including:

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    What Are The Signs And Symptoms Of Basal Cell Carcinoma

    Basal cell carcinoma is a type of skin cancer that can show up on the skin in many ways. Also known as BCC, this skin cancer tends to grow slowly and can be mistaken for a harmless pimple, scar, or sore.

    Common signs and symptoms of basal cell carcinoma

    This skin cancer often develops on the head or neck and looks like a shiny, raised, and round growth.

    To help you spot BCC before it grows deep into your skin, dermatologists share these 7 warning signs that could be easily missed.

    If you find any of the following signs on your skin, see a board-certified dermatologist.

    Why Do Weight And Muscle Loss Happen

    Basal cell carcinoma educational video

    One cause is the cancer itself. For example, in an effort to fight the cancer, the body produces substances called cytokines. These substances can lead to weight loss, muscle loss, and a decrease in appetite. Another common cause is the treatments for cancer. Radiation and chemotherapy often cause a decrease in appetite. They can also lead to side effects such as nausea, vomiting, and mouth sores, which can affect your ability to eat normally, further contributing to weight and muscle loss. Fatigue is also a factor, since the decreases in exercise and other physical activities that happen when youre not feeling well can contribute to muscle loss. For more information on treatment side effects like fatigue and mouth sores, read CancerCares booklet titled Understanding and Managing Chemotherapy Side Effects.

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    Medication For Squamous Cell Cancer

    At NYU Langone, people with advanced squamous cell carcinoma may receive chemotherapy along with targeted drugs to help shrink the cancer. Chemotherapy drugs are usually given through a vein with intravenous infusion and may include medications such as cisplatin, 5-fluorouracil, or doxorubicin. Doctors usually give chemotherapy for squamous cell carcinoma once every few weeks, over a period of several months.

    People with weakened immune systems, including those who have had an organ transplant and are taking immunosuppressive medications, may benefit from retinoids, medications related to vitamin A, or capecitabine, a chemotherapy drug taken by mouth. These medications may help prevent squamous cell cancers from growing rapidly and spreading further.

    Enhancing Healthcare Team Outcomes

    An evidence-based approach to basal cell cancer

    Basal cell cancer is relatively common. Patients often first present to the primary care provider with complaints of an abnormal skin lesion. When diagnosed early, it has an excellent prognosis, but if there is a delay in diagnosis, the tumor can advance and lead to significant morbidity. Basal cell cancer is best managed by an interprofessional team that includes a dermatologist, mohs surgeon, plastic surgeon, nurse practitioner, primary care provider, and a dermatopathologist. Basal cell carcinomas typically have a slow growth rate and tend to be locally invasive. Tumors around the nose and eye can lead to vision loss. In most cases, surgical excision is curative. However, because recurrences can occur, these patients need long-term follow up.

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    What Is Cancer Fatigue

    Fatigue is often confused with tiredness. Tiredness happens to everyone — it’s a feeling you expect after certain activities or at the end of the day. Usually, you know why you are tired and a good night’s sleep solves the problem.

    Cancer-related fatigue is one of the most common side effects of cancer and its treatment. It is not predictable by tumor type, treatment, or stage of illness. Usually, it comes on suddenly, does not result from activity or exertion, and is not relieved by rest or sleep. It is often described as “paralyzing” and may continue even after treatment is complete.

    How Can A Patient Manage Cancer

    Basal cell carcinoma

    Patients with cancers and those who are on cancer treatment may need to make a few lifestyle changes to cope up with side effects such as tiredness.

    • Physical activity: Staying or becoming physically active can help relieve fatigue. The type and level of physical activity may change during and after cancer treatment. Some people may benefit from working with a physical therapist. Doctors may usually discuss with patients how to be physically fit during and after cancer treatments.
    • Counseling: Behavioral therapy may help patients to cope up with tiredness. It usually helps patients by reframing thoughts and improving sleep during cancer treatment.
    • Stress relievers: Evidence suggests that mindfulness practices, yoga, massages, music therapy, meditation, and acupuncture may reduce tiredness in cancer survivors.
    • Diet: Doctors usually prescribe a healthy diet that includes nutrients and vitamins. Alternatively, few supplements may also be prescribed.

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    Questions About Skin Cancer Risk Factors And Prevention

    How can I reduce my risk of getting skin cancer?

    Exposure to UV radiation is the primary cause of cell damage that may lead to skin cancer. One important way to reduce your risk of skin cancer is to avoid sun exposure when possible and/or protect yourself from damaging rays. Consider following these tips:

    What is ultraviolet radiation?

    UV radiation is among several types of light emitted by the sun. It’s also a carcinogen. Most of the UV light that reaches the earth is UVA, the long-wave ultraviolet rays that penetrate the skin more deeply than UVB rays. These strong rays can reach the skins deepest layers, where melanocytes are located. Melanocytes absorb UVA, producing the pigment melanin, which darkens the skin. But too much UVA may damage melanocytes, potentially causing melanoma. UVB rays are not nearly as prevalent or potent, but they may burn the outer layers of skin.

    How do I examine myself for skin cancer?

    More Pictures Of Basal Cell Carcinoma

    While the above pictures show you some common ways that BCC can appear on the skin, this skin cancer can show up in other ways, as the following pictures illustrate.

    Scaly patch with a spot of normal-looking skin in the center

    On the trunk, BCC may look like a scaly patch with a spot of normal-looking skin in the center and a slightly raised border, as shown here.

    Basal cell carcinoma can be lighter in some areas and darker in others

    While BCC tends to be one color, it can be lighter in some areas and darker in others, as shown here.

    Basal cell carcinoma can be brown in color

    Most BCCs are red or pink however, this skin cancer can be brown, as shown here.

    Basal cell carcinoma can look like a group of shiny bumps

    BCC can look like a group of small, shiny bumps that feel smooth to the touch.

    Basal cell carcinoma can look like a wart or a sore

    The BCC on this patients lower eyelid looks like a wart* in one area and a sore** in another area.

    If you see a spot or growth on your skin that looks like any of the above or one that is growing or changing in any way, see a board-certified dermatologist.

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    What Is Skin Cancer

    Cancer can start any place in the body. Skin cancer starts when cells in the skin grow out of control.

    Skin cancer cells can sometimes spread to other parts of the body, but this is not common. When cancer cells do this, its called metastasis. To doctors, the cancer cells in the new place look just like the ones from the skin.

    Cancer is always named based on the place where it starts. So if skin cancer spreads to another part of the body, its still called skin cancer.

    The skin

    Ask your doctor to use this picture to show you where your cancer is

    Basal Cell Carcinoma Prognosis

    Treatment of Basal Cell Carcinoma (BCC)

    Most basal cell carcinomas are cured by treatment. Cure is most likely if treatment is undertaken when the lesion is small.

    About 50% of people with basal cell carcinoma develop a second one within 3 years of the first. They are also at increased risk of other skin cancers, especially melanoma. Regular self-skin examinations and long-term annual skin checks by an experienced health professional are recommended.

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    When Is It Used

    Primary radiation therapy may be used for

    • older patients with large cancers
    • patients with health problems who cannot have surgery
    • tumours in areas which are hard to remove surgically, for example, on the eyelids, ears, or nose
    • cancers that have come back after surgery and have become too large or too invasive to be removed with more surgery
    • relieving symptoms

    Primary radiation therapy can cure small nonmelanoma skin cancers and can delay the growth of more advanced cancers.

    In some cases, radiation therapy is used after surgery as additional therapy to kill small deposits of cancer cells that may not have been removed during surgery, or to lower the risk of cancer recurring after surgery. Radiation may also be used to treat nonmelanoma skin cancer that has spread to the lymph nodes or other organs.

    A patient receiving radiation therapy will likely visit a medical facility with special x-ray equipment between 15 and 30 times. Recovery times vary depending on the location of the cancer and the amount of radiation used.


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