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Basal Cell Cancer

Basal Cell Cancer - Overview

Basal cell carcinoma is the most common malignant skin tumor. It is a painless, slow-growing form of non-melanoma skin cancer. Basal cell carcinoma initiates in the top layer of the skin called the epidermis. Increased risk of disease is associated with light-colored skin, blue or green eyes, blond or red hair and over-exposure to UV rays, x-rays or other forms of radiation. Basal cell carcinoma almost never spreads inside the body. But, if left untreated, it may grow into surrounding areas and nearby tissues and bone. The majority of these cancers occur on areas of skin that are regularly exposed to sunlight or other ultraviolet radiation.

Diagnosis

Basal cell carcinoma can be only slightly different than normal skin. The cancer may appear as bump or growth that is pearly or waxy, white or light pink, flesh-colored or brown. In some cases the skin may be just slightly raised or even flat. A new skin growth that bleeds easily or does not heal well may be first signs of basal cell carcinoma. Diagnosis requires a complete medical history and evaluation of the affected area of skin (size, shape, color, and texture of any suspicious areas), and often includes biopsy for examination by a pathologist.

Management

Complete removal of a basal cell cancer is the most important primary step. The rate of basal cell skin cancer locally returning is about 1-10% depending on the form of treatment. Untreated, basal cell cancer can spread to nearby tissues or structures, causing damage. This is most worrisome around the nose, eyes, and ears. Basal cell carcinoma rarely spreads to other parts of the body. However, occurrence of a basal cancer can signal that you had sufficient exposure to radiation over your lifetime making it more likely to grow additional basal cell carcinomas. Monthly self-examination of your skin is a critical process to notice any suspicious skin changes. Meticulous follow-up with your doctor twice a year is highly recommended.

Treatment and Medication

A number of therapies exist for treating basal cell carcinoma. The most appropriate one depends on the type, location and severity of the tumor. The most common basal cell carcinoma treatments are surgical excision including Mohs' surgery where necessary, electrodessication and curettage, freezing, laser surgery and topical treatments such as Tazarotene (Tazorac), imiquimod (Aldara) and 5-fluorouracil. Prescription medications require careful supervision for severe skin irritation as well as systemic side effects.

Coping

Primary aspects of coping with basal cell carcinoma relate to restrictions to sun exposure (leisure time and outdoor work) as further sun exposure will increase your chance to form basal cell carcinoma elsewhere on your exposed skin. In addition, one must adjust to the change in skin from the primary cancer as well as from the scar after removal of it. Depending on the severity, an important psychological aspect may be the sense of illness (cancer). Emotional reactions include worry, fear, irritation, doubt, guilt, and anxiety. The ideal approach to the disease is to understand the causes and implement preventative behavioral measures.

Prevention

The optimal way to prevent most basal cell carcinomas is to reduce your exposure to natural or artificial sunlight. Protect your skin by wearing a hat, long-sleeved shirts, long skirts, or pants. Always use sunscreen. Apply high-quality sunscreens that block both UVA and UVB light. Apply sunscreen at least 30 minutes before going outside, and reapply it at least every 2 hours. Use sunscreen on exposed areas all year round.

How can we help you?

SKIN

# of surveys: 3750
Last updated: 05/25/2018 9:32 AM,

PATIENT RATINGS

Would you recommend us?

definitely
93.1%
probably
6.16%
maybe
0.58%
not likely
0.08%
no
0.02%

Compare our service to other similar practices

excellent
87.9%
very good
10.1%
good
1.8%
poor
0.06%
very poor
0%

Overall doctor performance

excellent
94.2%
very good
4.89%
good
0.80%
poor
0.03%
very poor
0%

The doctor listened to you attentively

excellent
93.9%
very good
4.97%
good
1.05%
poor
0.05%
very poor
0%

The doctor took time to answer your questions

excellent
94.0%
very good
4.66%
good
1.27%
poor
0.02%
very poor
0%

The doctor explained treatment options

excellent
94.3%
very good
4.16%
good
1.25%
poor
0.14%
very poor
0.02%

The doctor explained treatment options

excellent
92.0%
very good
5.69%
good
2.18%
poor
0.11%
very poor
0.0%

Front desk performance

excellent
85.6%
very good
10.2%
good
3.66%
poor
0.31%
very poor
0.08%

Aesthetician performance

excellent
88.6%
very good
7.61%
good
3.39%
poor
0.24%
very poor
0.08%

Office comfort

excellent
90.9%
very good
6.93%
good
2.08%
poor
0.05%
very poor
0.05%

Parking

excellent
66.4%
very good
14.4%
good
15.7%
poor
2.49%
very poor
0.9%

Friendliness of the staff during appointment

excellent
90.9%
very good
7.23%
good
1.85%
poor
0.05%
very poor
0%

What WE DID WELL

(Answers:674)

from the minute I walked the reception was wonderful and I saw my doctor very quickly... very little waiting.

#12017-08-31

The people are friendly and understand.

#22018-02-18

best waiting room decor ever enjoyed talking to doctor

#32011-01-12 08:19:57

the music and decor of the facility

#42017-09-13

Using a computer to fill out the new patient forms!

#52018-01-11

The ample amount of time that the dr spent talking to me

#62017-12-22

ON Time

#72017-11-30

The doctor was very nice and seemed to care about the patient. She asked me many questions. Office is very clean and professional looking.

#82018-03-19

Yes your patiences and willingness to answer all my questions.

#92018-01-20

Every one is very nice and attentive!!! The doctor and the assistent took their time to explain my options and answer my questions and concerns...Thanks a lot....

#102010-12-01 14:40:20

What can we do better?

(answers:373)

i was completely satisfies with everything and everyone. Even my lateness was not held against me.

#12018-03-15

Well basically there is no need because your doing a very good job.

#22010-10-04 16:54:13

I think everything was wonderful. Keep up the good work!

#32011-02-22 09:25:17

My only complaint is that I work and live (1 mile from) Center City, PA and I wish the office (Dr. Ringpfield) had weekend or later hours. Dr. Heckman was great but she cannot assist me with my cosmetic issues. Overall - like the office and professionalism.

#42011-08-10 18:44:27

my visit was great

#52017-10-27

cannot be improved

#62017-12-08

NO COMMENT AT THIS TIME.

#72018-06-14

Nothing - excellent.

#82011-01-25 12:57:52

Good the way it is.

#92018-04-19

Less wait time for an appointment.

#102010-11-17 15:23:04
Customer Rating : 4.8

Based on 4 ratings