Basal Cell Carcinoma

What causes this skin cancer?

Basal cell carcinoma (BCC), is common and for the most part it is curable. Basal cell cancers are the result of sun damage to the skin. Sunlight ages the skin cells, causing their growth to be disturbed.

Common signs and symptoms of a basal cell cancer are non-healing, bleeding sores on the skin. A basal cell cancer will begin as a small spot, growing slowly and relentlessly until treated. Basal cell cancers can enlarge steadily, but almost never spread or metastasize to distant parts of the body or internal organs.

Microscopic examination, usually in the form of a skin biopsy, is necessary to determine the behavior and malignancy of a specific growth. This examination can be done by your dermatologist and/or dermatopathologist.

These skin cancers are most common on the face, and rarely found on areas such as the buttocks or genitals, as these areas are more commonly protected by the sun with clothing. Skin cancers occur more often in sunny living environments, such as: Colorado, Texas, Arizona, and California. Fair-skinned individuals are more prone to skin cancers.

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Treatment

Basal cell cancers are treated best when caught early. As the cancer is smaller when discovered earlier, the process to remove is much easier than waiting for the growth to become larger. Surgical removal of a basal cell skin cancer is almost 100% curative.

Rarely, a cancer has the potential to grow back. In order to detect this, the site should be checked periodically over a 5-year span. If you should become concerned with the treated area, or should other skin growths appear, return to your dermatologist’s office promptly.

Prevention

The skin damaging effects of sunlight are permanent and build up slowly over time; there is no way of undoing sun damage. Day to day sun exposure and sunbathing produces gradual skin damage, even if sunburn is avoided. As many as 10 to 20 years can pass between the time of sun exposure and the time skin shows signs of sun damage and aging, thus the importance of sun protection from an early age. The damage we accrue in our younger years emerges as we age.

Further skin damage and injury can be prevented by using sun-protective measures, such as: spf 30+ applied daily, spf 50+ worn when outdoors with reapplication every 2 hours; and sun protective clothing.

With the passage of time, it is not uncommon for skin cancer patients to develop more skin cancers. If a new growth is noticed, or a non-healing sore continues to come back, be sure to have an examination of the suspicious site.