Recurrent Basal Cell Carcinoma
Basal cell carcinomas are the most common type of skin cancer, according to the American Cancer Society. These cancers develop within the basal cell layer of the skin, in the lowest part of the epidermis.
Patients who have had basal cell carcinoma once have an increased risk of developing a recurrent basal cell cancer. Basal cell cancers may recur in the same location that the original cancer was found or elsewhere in the body. As many as 50 percent of cancer patients are estimated to experience basal cell carcinoma recurrence within five years of the first diagnosis.
Basal cell carcinomas typically grow slowly, and it is rare for them to metastasize or spread to nearby lymph nodes or other parts of the body. But early detection and treatment are important.
After completing treatment for basal cell carcinoma, it is important to perform regular self-examinations of the skin to look for new symptoms, such as unusual growths or changes in the size, shape or color of an existing spot. Skin cancers typically develop in areas of the body that are exposed to the sun, but they may also develop in areas with no sun exposure. Tell your oncologist or dermatologist about any new symptoms or suspicious changes you may have noticed.
- Have a history of eczema or dry skin
- Have been exposed to high doses of UV light
- Had original carcinomas several layers deep in the skin
- Had original carcinomas larger than 2 centimeters
What Are The Risk Factors For Actinic Keratosis
UV rays from the sun and from tanning beds cause almost all actinic keratoses. Damage to the skin from UV rays builds up over time. This means that even short-term exposure to sun on a regular basis can build up over a lifetime and increase the risk of actinic keratoses. Some people are more at risk than others, including:
People with pale skin, blonde or red hair, and blue, green, or gray eyes
People with darker skin, hair, and eyes who have been exposed to UV rays without protection
People with suppressed immune systems
People with rare conditions that make the skin very sensitive to UV rays, such as albinism or xeroderma pigmentosum
Less Common Types Of Skin Cancer
This is a rare form of skin cancer that develops in the skins blood vessels and causes red or purple patches. It often attacks people with weakened immune systems, such as individuals with AIDS, or in people taking medications that suppress their immune system, such as patients whove received organ transplants.
Merkel cell carcinoma
Merkel cell carcinoma causes firm, shiny nodules that occur on the surface or just beneath the skin and in hair follicles. Merkel cell carcinoma most often appears on the head, neck and torso.
Sebaceous gland carcinoma
This rare but aggressive cancer develops in the skins oil glands. Sebaceous gland carcinomas which usually appear as hard, painless nodules can develop anywhere, but frequently occur on the eyelid, where they can be mistaken for other eyelid problems.
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Prognosis Of Basal Cell Carcinoma
Treatment of basal cell carcinoma is nearly always successful, and the cancer is rarely fatal. However, almost 25% of people with a history of basal cell carcinoma develop a new basal cell cancer within 5 years of the first one. Thus, anyone with one basal cell carcinoma should have a yearly skin examination.
Yes A Skin Injury Can Indeed Develop Into Cancer Says A Dermatologist
There are three main types of skin cancer: melanoma, squamous cell carcinoma and basal cell carcinoma.
Can an injury to the skin lead to cancer?
The answer is a resounding yes, says Dr. Rebecca Tung, MD, director of the dermatology division at Loyola University Health System, Chicago.
A past injury to the skin such as trauma from an accident which formed a scar, a vaccination site scar or even past exposure to radiation or caustic chemicals which resulted in scar formation can potentially turn into a skin cancer over time.
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Is An Actinic Keratosis Serious
It may seem like identifying and treating AKs is more trouble than its worth. After all, theres nothing wrong yet, right? Its true an AK is a precancer and may never become malignant. But theres no way of knowing for sure that a lesion on your skin is an AK, and not a skin cancer. Even if it is just an actinic keratosis, assuming it wont become cancerous is an unnecessary gamble. If youre concerned you might have an actinic keratosis, you owe it to yourself to make an appointment with your doctor.
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Getting The Best Treatment
The good news is, weve taken the stress out of seeing a dermatologist. You dont have to look far for excellent dermatology services. Best of all, theres no waiting.
In many parts of New York and throughout the country, patients often wait weeks before they can see a board-certified dermatologist and receive a diagnosis, much less actual treatment.
Thats no longer necessary.
At Walk-in Dermatology, patients can see a board-certified dermatologist seven days a week. Our dermatologists will evaluate your skin and answer all your questions. We will work with you to set up a treatment plan to address your skin condition and get at the root of your issue all convenient to your schedule.
No more waiting days or even weeks to see a dermatologist. Walk-in Dermatology is here for you. We are open and ready to help you regain healthy skin that positively glows with a youthful look.
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When To Seek Medical Care For Skin Cancer
Many people, especially those who have fair coloring or have had extensive sun exposure, periodically check their entire body for suspicious moles and lesions.
Have your primary health care provider or a dermatologist check any moles or spots that concern you.
See your health care provider to check your skin if you notice any changes in the size, shape, color, or texture of pigmented areas .
If you have skin cancer, your skin specialist or cancer specialist will talk to you about symptoms of metastatic disease that might require care in a hospital.
Occupational Radiation And Chemical Exposure
Occupational exposure to radiation and some chemicals in health care or industrial settings may increase the risk for melanoma. However, the evidence for this increased risk is not very strong. Airline pilots have been found to have an increased risk for melanoma. It is uncertain, however, whether this higher risk is from excessive exposure to ionizing radiation at high altitudes, or because they have more opportunity to spend time in sunny regions.
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What Is A Basal Cell
One of three main types of cells in the top layer of the skin, basal cells shed as new ones form. BCC most often occurs when DNA damage from exposure to ultraviolet radiation from the sun or indoor tanning triggers changes in basal cells in the outermost layer of skin , resulting in uncontrolled growth.
What Is The Prognosis Of Nodular Basal Cell Carcinoma Of Skin
- In general, the prognosis of Nodular Basal Cell Carcinoma of Skin is excellent, if it is detected and treated early. However, if it metastasizes to the local lymph nodes, the prognosis is guarded or unpredictable
- In such cases of metastatic BCC, its prognosis depends upon a set of several factors that include:
- Stage of tumor: With lower-stage tumors, when the tumor is confined to site of origin, the prognosis is usually excellent with appropriate therapy. In higher-stage tumors, such as tumors with metastasis, the prognosis is poor
- The surgical resectability of the tumor
- Overall health of the individual: Individuals with overall excellent health have better prognosis compared to those with poor health
- Age of the individual: Older individuals generally have poorer prognosis than younger individuals
- Whether the tumor is occurring for the first time, or is a recurrent tumor. Recurring tumors have a poorer prognosis compared to tumors that do not recur
- Response to treatment: Tumors that respond to treatment have better prognosis compared to tumors that do not respond so well to treatment
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Infiltrative Basal Cell Carcinoma
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Infiltrative basal cell carcinoma occurs when a tumor makes its way into the dermis via thin strands between collagen fibers. This aggressive type of skin cancer is harder to diagnose and treat because of its location. Typically, infiltrative basal cell carcinoma appears as scar tissue or thickening of the skin and requires a biopsy to properly diagnose.
To remove this type of basal cell carcinoma, a specific form of surgery, called Mohs, is used. During a Mohs surgery, also called Mohs micrographic surgery, thin layers of skin are removed until there is no cancer tissue left.
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Superficial basal cell carcinoma, also known as in situ basal-cell carcinoma, tends to occur on the shoulders or the upper part of the torso, but it can also be found on the legs and arms. This type of cancer isnt generally invasive because it has a slow rate of growth and is fairly easy to spot and diagnose. It appears reddish or pinkish in color and may crust over or ooze. Superficial basal cell carcinoma accounts for roughly 15%-26% of all basal cell carcinoma cases.
What About Other Treatments That I Hear About
When you have cancer you might hear about other ways to treat the cancer or treat your symptoms. These may not always be standard medical treatments. These treatments may be vitamins, herbs, special diets, and other things. You may wonder about these treatments.
Some of these are known to help, but many have not been tested. Some have been shown not to help. A few have even been found to be harmful. Talk to your doctor about anything youre thinking about using, whether its a vitamin, a diet, or anything else.
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What Are The Possible Complications Of Nodular Basal Cell Carcinoma Of Skin
The complications of Nodular Basal Cell Carcinoma of Skin could include:
- If the tumor becomes big, develops into a firm mass and ulcerates, it can get secondarily infected with bacteria or fungus
- Metastasis to regional lymph nodes can occur. The tumor can also infiltrate into surrounding structures
- Nodular BCC of Skin can cause cosmetic issues, since these skin tumors can cause large ulceration
- Recurrence of the tumor after a period of time recurrence is frequently common with large tumors
- Side effects of chemotherapy and radiation
What Causes Squamous Cell Cancer
Most squamous cell skin cancers are caused by repeated and unprotected skin exposure to ultraviolet light from sunlight and tanning beds.
Risk factors for developing squamous cell skin cancer include:
- Ultraviolet light exposure
- Having light-colored skin
- Excisional biopsy: removes the entire tumor
- Incisional biopsy: removes only a portion of the tumor
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How Is Nodular Basal Cell Carcinoma Of Skin Treated
In general, the treatment of Basal Cell Carcinoma of Skin depends upon a variety of factors including:
- The subtype of BCC
- The location of the tumor
- The number of tumors
- The size of the tumor
- Whether the tumor has metastasized
A combination of treatment methods may be used to treat Nodular Basal Cell Carcinoma of Skin. The type of surgery may include:
- Shave biopsy of skin: This procedure is used for small tumors. There is no requirement of sutures after the surgery
- Excision of tumor: In this procedure, the tumor and surrounding tissue are removed with clear margins. Depending upon the amount of skin removed, surgical sutures may be necessary
- Mohs surgery: In this procedure, the tumor is removed layer by layer precisely, until clear margins are achieved. Each layer removed is examined under a microscope through a âfrozen sectionâ procedure, for the presence of residual tumor
In most cases, a surgical removal of the entire tumor is the preferred treatment option. This can result in a cure.
Other techniques to treat this skin cancer may include:
- Cryotherapy: Here the tumor tissue is destroyed through a freezing technique. Typically liquid nitrogen is used to freeze the tumor
- Topical creams, such as 5-fluorouracil cream and imiquimod cream, are two examples that can be used for topical treatment. These creams may be applied for several weeks, which slowly destroys the tumor
Can You Die From Basal Cell Carcinoma
Death from either basal cell or squamous cell cancers is quite rare. Statistics for these types of skin cancer arent tracked by cancer registries, so its difficult to have specific numbers, but its thought that less than 2,000 people in the U.S. die from both basal cell and squamous cell carcinomas each year.
These deaths are predominantly in elderly people who have not had their skin checked in a long time and cancer has grown quite large.
Considering there are over 4 million diagnosed cases of basal cell carcinoma each year in the U.S. , the risk of death from this form of skin cancer is quite low.
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Do Basal Cell Carcinoma And Melanoma Look Different
The first sign of basal cell carcinoma is usually a small white or flesh-colored skin bump that grows slowly and may bleed. On the other hand, the first sign of melanoma is often a noticeable change in a mole, such as:
- Asymmetry. The shape of one half of the mole does not mirror the other half.
- An irregular border. The edges of the mole may be ragged, notched or blurred, with the pigment appearing to spread into the surrounding skin.
- Uneven coloring. The mole may display shades of black, brown, tan, white, gray, red, pink or blue.
- An increase in diameter. There is a change in size, usually an increase. Melanomas can be tiny, but most are larger than the size of a pea .
- Evolution. The mole has changed over the past few weeks or months.
A skin biopsy is the only way to diagnose basal cell carcinoma or melanoma. A physician can remove a small portion of suspicious tissue, then send it to a lab to be analyzed under a microscope for evidence of cancer. Therefore, it is important to promptly discuss any unusual skin changes with a physician.
If you have been diagnosed with basal cell carcinoma or melanoma, a skin cancer specialist at Moffitt Cancer Center can offer a second opinion after reviewing your lab work, biopsies and images. Or, if you have a suspicious skin lesion, you can have it checked at Moffitt with or without a referral. To request an appointment, call or submit a new patient registration form online.
Can Basal Cell Carcinoma Turn Into Squamous Cell Carcinoma
cellscontrol,cancell skin cancer:in theepidermiscellmovesquamous cells
Basal cell carcinoma accounts for more than 90 percent of all skin cancers in the United States and is the most common of all cancers. Typically, it is a slow-growing cancer that seldom spreads to other parts of the body. Squamous cell carcinoma also rarely spreads, but does so more often than basal cell carcinoma.
Secondly, how do you know if squamous cell carcinoma has spread? A biopsy is the only way to tell for sure if you have skin cancer and what kind it is. In rare cases basal and squamous cell skin cancer can spread to the nearby lymph nodes Ask your doctor if your lymph nodes will be tested.
In this way, which is worse squamous or basal cell cancer?
Though not as common as basal cell , squamous cell is more serious because it is likely to spread . Treated early, the cure rate is over 90%, but metastases occur in 1%5% of cases.
How long can you wait to treat basal cell carcinoma?
Radiation therapy generally isnt recommended for patients under age 50 because of the risk of developing a new skin cancer at the site in 1015 years. Low-risk superficial basal cell carcinoma can be treated with ointments, including 5-FU and imiquimod , which are applied daily for several weeks or months.
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How Is Nodular Basal Cell Carcinoma Of Skin Diagnosed
Some of the tests that may help in diagnosing Nodular Basal Cell Carcinoma of Skin include:
- Complete physical examination with detailed medical history evaluation
- Examination by a dermatologist using a dermoscopy, a special device to examine the skin
- Woodâs lamp examination: In this procedure, the healthcare provider examines the skin using ultraviolet light. It is performed to examine the change in skin pigmentation
- Skin or tissue biopsy: A skin or tissue biopsy is performed and sent to a laboratory for a pathological examination, who examines the biopsy under a microscope. After putting together clinical findings, special studies on tissues and with microscope findings, the pathologist arrives at a definitive diagnosis
- Differential diagnosis of other tumors should be ruled out hence, biopsy is an important diagnostic tool
Many clinical conditions may have similar signs and symptoms. Your healthcare provider may perform additional tests to rule out other clinical conditions to arrive at a definitive diagnosis.
What Is The Treatment For Squamous Cell Cancer
Treatment for squamous cell cancer may include one or more of the following:
- Excision: removes the entire tumor
- Curettage and electrodesiccation: cancer is removed by scraping it with a long, thin instrument with a sharp looped edge on one end and the area is treated with an electric needle to destroy any remaining cancer cells
- Mohs surgery : removes one layer of skin at a time, samples are checked for cancer, and the process is repeated until there are no cancer cells in the skin sample. Process can be slow but can leave more tissue intact.
- Lymph node surgery
- Lymph node dissection: many nodes are removed
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