How serious is basal cell skin cancer?

Basal cell cancer is the most common form of skin cancer, accounting for nearly 80% of all skin cancers. Basal cell cancers arise from abnormal basal cells in the skin. It is rarely fatal, but it can be locally aggressive.

How long does it take basal cell cancer to spread?

The cancer is the result of cumulative damage of years spent in the sun, and may take 20 years to manifest. Although it's often more common in older people, it can occur in younger adults, too. Basal cell carcinoma spreads very slowly and very rarely will metastasize, Dr. Christensen says.

What is the life expectancy of someone with basal cell carcinoma?

Survival for most non-melanoma skin cancers is excellent. The 5-year relative survival for BCC is 100%. This means that, on average, all of the people diagnosed with BCC are just as likely to live at least 5 years after their diagnosis as people in the general population.

What is the best treatment for basal cell carcinoma?

Basal cell carcinoma is most often treated with surgery to remove all of the cancer and some of the healthy tissue around it. Options might include: Surgical excision. In this procedure, your doctor cuts out the cancerous lesion and a surrounding margin of healthy skin.

What will happen if basal cell carcinoma is left untreated?

Untreated BCCs can become locally invasive, grow wide and deep into the skin and destroy skin, tissue and bone. The longer you wait to get treatment, the more likely it is that the BCC will recur, sometimes repeatedly. There are some highly unusual, aggressive cases when BCC spreads to other parts of the body.

BASAL CELL SKIN CANCER: WHAT YOU SHOULD KNOW| DR DRAY

How quickly should a basal cell carcinoma be removed?

SCC's are removed within 2-4 weeks and melanoma are excised within 1 week. BCC's are slow to move and most of my patients have had them from 2 months to 5 years so waiting 1-3 months should be ok. It also depends on the location and if its near a vital structure like the eye or lips, I would remove it quickly.

Do you need chemo for basal cell carcinoma?

Basal cell carcinoma very rarely reaches an advanced stage, so systemic chemotherapy is not typically used to treat these cancers. Advanced basal cell cancers are more likely to be treated with targeted therapy.

How deep do they cut for basal cell carcinoma?

A 3-mm surgical margin is sufficient for BCC excision.

Can basal cell turn into melanoma?

Basal cell carcinoma does not progress into melanoma. Each is a separate and distinct type of skin cancer. Basal cell carcinoma is the most common form of skin cancer and one of two major nonmelanoma skin cancer types (the other is squamous cell carcinoma).

How long does it take to recover from basal cell carcinoma surgery?

The doctor scrapes a little beyond the edge of the cancer to help remove all the cancer cells. The wound is then covered with ointment and a bandage. A scab will form over the area. The wound may take 3 to 6 weeks to heal.

Should all basal cell carcinoma be removed?

When detected early, most basal cell carcinomas (BCCs) can be treated and cured. Prompt treatment is vital, because as the tumor grows, it becomes more dangerous and potentially disfiguring, requiring more extensive treatment. Certain rare, aggressive forms can be fatal if not treated promptly.

What are the stages of basal cell carcinoma?

There is no staging system for basal cell and squamous cell carcinoma because they are so often curable and usually do not spread to other parts of the body. On rare occasions, a person's lymph node(s) may be removed to find out if the cancer has spread, which is called metastasis.

What is stage 4 basal cell carcinoma?

Stage 4 basal cell carcinoma: In stage 4, the cancer can be any size and has spread (metastasized) to 1 or more lymph nodes which are larger than 3 cm and may have spread to bones or other organs in the body.

Where do basal cell cancers usually begin?

Basal cell carcinoma usually develops on sun-exposed parts of your body, especially your head and neck. Less often, basal cell carcinoma can develop on parts of your body usually protected from the sun, such as the genitals.

Is basal cell carcinoma malignant or benign?

Basal cell carcinoma (BCC) is most often a benign form of skin cancer caused by exposure to ultraviolet (UV) light.

Can I wait a month to have basal cell carcinoma removed?

Basal cell cancer, the most common form of skin cancer, does not always need to be removed immediately. The so-called watchful waiting, in which a doctor does not treat the tumor but does monitor it regularly, can be a good option for some patients.

Which is worse basal cell or squamous cell?

Though not as common as basal cell (about one million new cases a year), squamous cell is more serious because it is likely to spread (metastasize). Treated early, the cure rate is over 90%, but metastases occur in 1%–5% of cases.

Can basal cell carcinoma spread after biopsy?

Frances Wright, a cancer surgeon who specializes in melanoma (and breast cancer) cases. First of all, both doctors say a biopsy cannot spread skin cancer regardless of whether the whole lesion is removed or not.

Does basal cell carcinoma require Mohs surgery?

Mohs surgery is the gold standard for treating many basal cell carcinomas (BCCs) and squamous cell carcinomas (SCCs), including those in cosmetically and functionally important areas around the eyes, nose, lips, ears, scalp, fingers, toes or genitals.

Is basal cell surgery painful?

“I usually tell patients to expect a little discomfort — maybe including some bruising and swelling — but these symptoms usually resolve fairly quickly,” Dr. Claudel says. If you're dealing with pain after the procedure, he suggests trying a cold compress, over-the-counter pain medication and lots of rest.

Do basal cell carcinoma have roots?

All BCCs have roots that extend beyond the visible elements of the tumour, much like the roots of a weed. If only the surface of a weed is removed, then it will grow back. This also applies to BCCs.

Does basal cell surgery hurt?

Your surgeon will use a local anesthetic in the targeted area to prevent you from feeling anything. This means you won't experience any discomfort or pain while you are being treated. After removing layers of tissue, your surgeon will have these examined for evidence of cancer.

Should I see an oncologist for basal cell carcinoma?

Most basal and squamous cell cancers (as well as pre-cancers) are treated by dermatologists – doctors who specialize in treating skin diseases. If the cancer is more advanced, you may be treated by another type of doctor, such as: A surgical oncologist: a doctor who treats cancer with surgery.

What is the best cream for basal cell carcinoma?

Topical chemotherapy

5-fluorouracil (5-FU): The drug most often used in topical treatment of actinic keratoses, as well as some basal and squamous cell skin cancers, is 5-FU (with brand names such as Efudex, Carac, and Fluoroplex). It is typically applied to the skin once or twice a day for several weeks.

How do you know if your basal cell carcinoma is advanced?

An advanced basal cell carcinoma is a BCC that has spread deeper into the tissue. It may look different on different people but is generally a solitary, shiny, bump with large blood vessels in it. It is generally slow growing but should be treated immediately.