Focus On Eyelid Skin Cancers: Early Detection And Treatment
Your eyes can focus on a tiny splinter in the finger of a squirming child, a stop sign in the distance or stars blinking light-years away. You can roll your eyes, flirt with them, do a double-take and express joy or despair without words. When you think about how amazing your eyes are, wouldnt you do anything to protect them?
Strong bony sockets called orbits encase and safeguard your eyes. The thin tissue surrounding them, however, including your upper and lower eyelids, is extremely vulnerable to damage from the suns ultraviolet rays. Because of that, nonmelanoma skin cancers on and around the eyelids are common.
A big hat and UV-blocking sunglasses can help, and so can sunscreen if you actually use it around your eyes. Many people stop short of the eye area when applying products, mainly because of sensitivity concerns. Even among those who use sunscreen on their faces regularly, the most often-missed spots are around the eyelids, according to a small British study. For advice on what type of sunscreen to use around your eyes, see this Ask the Expert article.
Basal Cell Carcinoma Treatment
After a doctor examines the carcinoma, a biopsy is needed to confirm the cancer. If tumor cells are visible, treatment is required. Treatment will vary based on the type, size, depth, and location of the carcinoma as well as individual patient concerns. The cancer is most commonly treated through surgery on an outpatient basis in a physicians clinic or office.
A doctor will usually choose from the following main forms of treatment:
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How Is Basal Cell Carcinoma Diagnosed
The first step in diagnosing BCC will be a visual inspection from a dermatologist. Theyll check your skin head-to-toe to look for any skin growths or discolorations. Theyll also ask about your medical history, including family history of skin cancers.
If your dermatologist finds any discolorations or growths of concern, theyll take a biopsy of the skin. To do this, theyll inject a numbing agent into the skin before removing a small sample of the lesion for testing. The biopsy will be viewed under a microscope to look for skin cancer.
Your dermatologist will remove the growth if BCC is found. If you have an aggressive form of BCC, your doctor may take a biopsy of your lymph nodes to check for metastasis.
Treatment for basal cell carcinoma involves removing the growth. Your doctor will recommend a treatment depending on the type of BCC you have, the size of the lesion, and the location of the lesion. Treatment options include:
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The Risks The Causes What You Can Do
Basal cell carcinoma is caused by damage and subsequent DNA changes to the basal cells in the outermost layer of skin. Exposure to ultraviolet radiation from the sun and indoor tanning is the major cause of BCCs and most skin cancers.
Understanding what causes BCC and the factors that increase your risk of getting it can help you prevent the disease or detect it in its earliest stages, when its easiest to treat.
These factors increase your BCC risk:
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Epidemiology And Etiology Of Bcc
The incidence of BCC is higher in more equatorial latitudes than in polar latitudes. The intermittent intense exposure to ultraviolet radiation is one of the most important known risk factors of BCC. Short-wavelength UVB radiation plays a more important role in BCC formation than long-wavelength UVA radiation . UVB radiation damages DNA and its repair system, and changes the immune system resulting in progressive genetic alterations that lead to the formation of neoplasms. Mutations in the TP53 tumor-suppressor gene induced by UV have been found in about 50% of BCC cases. The mutations which play a significant role in cutaneous carcinogenesis activate hedgehog intercellular signaling pathway genes, including patched , sonic hedgehog and smoothened. Ptch-1 mutations promote the development of eyelid BCC. de Gruijl et al found that long-term exposure to UV radiation may induce Ptch-1 mutations and thus promote the development of BCC. Other risk factors for the development of BCC include sun bed use, family history of skin cancers, immunosuppression, previous radiotherapy and chronic exposure to toxic substances.
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If Youre Using Google Adwords To Promote Your Brand You Might Find That You Need The Ability To Manage Your Campaigns Offline Every Now And Then Fortunately You Can Do That With The Adwords Editor
A Complete Overview of the AdWords Editor
Thats because AdWords Editor is a downloadable application. It runs on your local workstation, not in the cloud.
When youre done making local edits and back online, you can synchronize the changes you made in AdWords editor with your AdWords account.
Also, AdWords Editor can save you time. Thats because it enables you to mass-edit and bulk create campaigns, ad groups, and keywords.
If you want to learn how to maximize your productivity with AdWords Editor, read on.
Google Adwords Editor Interface
Once you download the AdWords Editor application, you will want to spend some time getting familiar with the interface. The Google AdWords Editor interface, pictured below, is intuitive and includes the following items.
- Tool Bar: The toolbar is at the top of the page and allows you to both see and upload recent changes. You can also view analytics for your campaign.
Tree View: The tree view, located on the left side of the screen, lists all the campaigns and ad groups in your account. You can select the account you wish to update within the tree view.
Main Tabs: The main tabs include Keywords, Ads, Ad Groups, Targeting, Extensions, and Campaigns. You can move from tab to tab to see information related to that particular campaign item. For example, under the Keywords tab, you can add, delete, and research other keyword opportunities. You can also make multiple changes to your targeted keywords all at once.
Data View: When you click on any of the main tabs, the contents and details of your account are displayed in an organized layout.
Edit Panel: When you select any information in the edit panel, you can easily edit the information within the selected row.
With an AdWords Editor account, you can effortlessly make changes to your ad campaigns and upload your changes all at once, instead of having to make slight changes one-by-one in the AdWords system.
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Basal Cell Carcinoma On Lower Eyelid Surgery And Recovery
May 10, 2017
When you hear that you have basal cell carcinoma on your eyelid it is scary. Let me jump to the end my story has a happy ending. Whew! A few weeks ago I shared the beginning of my story with basal cell carcinoma on the lower eyelid. Ill be honest, it was a scary procedure. And doubly scary because it was all performed on my eye! Spoiler alert everything turned out fine and my eye looks great. Unless youre uncomfortably close to my face, youd never know that anything was done to my lower eyelid, let alone that more than a third of it was removed. In case youre facing basal cell carcinoma on the lower eyelid, let me tell you all about my experience with the surgery and recovery.
About the time that I had my complicated appendectomy, I noticed a stye on my lower eyelid. I was busy healing from the apendectormy and so I didnt worry much about the stye since Ive had them before. A couple of months later, I had some unusual reactions associated with my stye that caused me to go to my family practice doctor. Two different doctors in the practice saw my stye and treated it as a normalstye. Finally I was referred me to an ophthalmologist. As soon as the ophthalmologist saw my stye, he suspected that it was basal cell carcinoma .
Pigment Basal Cell Carcinoma
The pigmentation can be found in different clinical versions of basal cell carcinoma including nodular, micronodular, multifocal and superficial BCC, and the color varies from dark brown to black . Histology showed nests of basaloid cells, abundance of melanin and melanophages, and moderate inflammatory infiltrate. The melanocytes are located among tumor nests, while the melanophages are present in the stroma. The differential diagnosis has to be made with malignant melanoma.
An irregular, periphery spreading erosive pigmented plaque on head of a 78 years old woman
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Adwords Editor User Interface
The UI in AdWords Editor is pleasantly intuitive. If youre already familiar with AdWords campaign structure, you shouldnt have any problem using it.
In the upper, left-hand corner of the screen youll see the campaign hierarchy in a pane labeled Campaigns. At the top of that hierarchy youll see your account displayed as your Gmail address.
Expand that by click on the twistie. Below it, youll see your campaigns.
Keep in mind: youll see campaigns that arent running any more. Thats okay, though, because thats what you would see if you were in the AdWords platform.
In other words, AdWords Editor is mimicking the cloud application. Thats what you want.
Basal Cell And Squamous Cell Carcinomas
Basal cell carcinoma and squamous cell carcinoma are the most common types of cancer, but also the least likely to spread. In particular, BCCs rarely spread beyond the initial tumor site. However, left untreated, BCCs can grow deeper into the skin and damage surrounding skin, tissue, and bone. Occasionally, a BCC can become aggressive, spreading to other parts of the body and even becoming life threatening. Also, the longer you wait to have your BCC treated, the more likely it is to return after treatment. Like BCCs, SCCs are highly curable when caught and treated early. However, if left to develop without treatment, an SCC can become invasive to skin and tissue beyond the original skin cancer site, causing disfigurement and even death. Over 15,000 Americans die each year from SCCs. And even if untreated carcinomas dont result in death, they can lead to large, open lesions on the skin that can cause discomfort, embarrassment, and infection.
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Manifestations Of The Tumor
BCC arises from basal cells of the epidermis. It is characterized by a pearly edge and a pink color. Sometimes, it can present as ulceration and bleeding. The tumor size is positively correlated with age. The distance to the center of the tumor from the medial area is greater when the diameter is larger. In a large series of 56 patients with orbital invasion by periocular BCC, visible or palpable mass was found in all the patients. Other common manifestations included mass fixation to orbital bone , limitation of ocular motility and globe displacement . A visible or palpable mass was observed in only 35.7% patients, with no bone fixation and no orbital signs. Other possible symptoms included immobile lids, epiphora and ptosis.,
What Is Eyelidbasal Cell Carcinoma
Eyelidbasal cell carcinoma is one of the malignant eyelid tumours. It is a skin cancer. Around the eye it is known as periocular basal cell carcinoma . It is more common in older patients on the lower eyelid although it can appear around the nose in the area known as the medial canthus, the upper eyelid or anywhere on the skin. Commonly it is known as a rodent ulcer. It is a slow growing tumour that rarely spreads to the lymph nodes or other parts of the body. With increased sun exposure and an increasing older population the incidence of BCC is about 1%.
There are different clinical variants of BCC including:
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An Introduction To The Adwords Editor Layout
For advertisers who are completely new to AdWords Editor lets take a quick look at the layout of the tool.
In the above image, you can see the standard layout of a populated AdWords Editor when you first enter the tool. Across the top, you have the toolbar. In the toolbar area, you can perform actions such as opening or adding accounts and downloading your data from AdWords to analyse.
Just beneath the toolbar, in the left upper column is the tree view. This shows the account tree where you can select the account, campaign or AdGroup you wish to view or edit. You can expand or close a section by clicking its adjacent arrow.
Below this area, you can see the type list. Here you can click items such as keywords to view info for your selected account e.g. after selecting a campaign in tree view you would select keyword in type list to see keyword data for that campaign.
In the central area under the toolbar, you have your data view. This is all the relevant data for the sections you chose in tree view and type list.
Under this section, you find the edit panel. You can select a row of data in data view above and click edit in edit panel or by typing directly in selected row.
Now that you know your way around lets look at some of the AdWords Editor basics to help you get started.
So Whats New In Adwords Editor 12
First impressions are, as is so often the case, guided by aesthetics. Editor has a new look that aligns it with the rest of Googles product suite, which is a surprisingly late alteration for a company so committed to consistent cosmetics.
The importance of this contemporary mien is confirmed by Googles own announcement, which led with: AdWords Editor 12 offers a fresh look and new features.
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Plastic Surgery To Reconstruct The Eyelid
After your eyelid tumor has been removed, ophthalmic plastic and reconstructive surgeons at the Byers Eye Institute reconstruct your eyelid using oculoplastic surgery. We have surgeons with years of training in this ophthalmologic subspecialty, which focuses on plastic and reconstructive surgery of the eye, eyelid, eye socket and surrounding structures.
Ophthalmic plastic and reconstructive surgeons complete extensive ophthalmology training and an additional fellowship in plastic and reconstructive surgery to gain a thorough understanding of the eye structure and function. That means our oculoplastic surgeons have unique expertise and skills to reconstruct the eyelid and restore its delicate structure and complex function.
The Experts Guide To Ppc Chapter : Adwords Editor
Many advertising managers handle multiple accounts, often with thousands of keywords, and making appropriate changes to those accounts in the online AdWords interface would be tedious.
Fortunately, AdWords offers a first-party offline bulk editor that makes it much easier to handle multiple accounts in a simpler, more consistent interface. Although some changes are still best performed online, the options available in AdWords editor are a free way to create manage medium and large campaign setups.
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Ability To Copy & Paste
Any Editor user can easily copy ad groups or groups of keywords and paste them into different campaigns or even different accounts, allowing you to quickly duplicate campaigns and then activate in real-time. This is useful in the case of implementing geo-targeting: for example, you may want to have the same campaign running in each geo-targeted location. You simply build out the template campaign, and then copy and paste it to build out the campaign tree and create multiple campaigns at once.
The Clinical Course Of Squamous Cell Carcinoma
Although most patients who develop SCCs have localized disease that can be cured, tumor recurrence, tumor spread to other parts of the body, and death occasionally occurs.
Larger tumors may cause disfigurement as they may penetrate into the underlying tissues causing nerve or muscle damage. SCCs that have spread into the underlying tissue have been resistant to previous therapy or have reoccurred are considered advanced SCCs.
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Using Ads Editor To Create Expanded Text Ads
In this post, Im going to assume you know how to use the Ads Editor. If you dont you may want to go get familiar with it and come back later.
Step 1. Get into Ads Editor
Open your account in Ads Editor and view all of your ads.
Step 2. Export All Ads
Now that you can view all of your ads press Ctrl+A on your keyboard to select all ads. Click on Export As and select Export as expanded text ads.
Step 3. Spreadsheet Magic
Now you have all your ads in a spreadsheet. The spreadsheet is formatted perfectly to add the missing elements and create your Expanded Text Ads.
Your existing Headline will become Headline 1. Headline 2 will be a blank column on the spreadsheet. Your 2 existing description lines will be merged into one column called Description. Basically, all you are missing to create great Expanded Text ads from your existing ads is a second headline and the URL Path 1 and Path 2 .
*Pro tip* If you need help counting characters in your empty columns, say headline 2 , simply add another column to your spreadsheet and use the formula, =len. Then drag that formula to the bottom of your spreadsheet. This formula will count characters and automatically return the values for you. Just dont forget to remove these columns when you upload your new ads.
Step 5. Upload
Now that you have your spreadsheet filled with Expanded Text Ads you can copy and paste them right into Ads Editor.