Basal Cell Carcinoma
Basal Cell Carcinoma (BCC) is the most prevalent form of skin cancer, accounting for approximately 80% of all skin cancer cases. It originates in the basal cells, which are located in the lower part of the epidermis—the outermost layer of the skin. These cells are responsible for producing new skin cells. When the DNA in these basal cells becomes damaged, often due to prolonged exposure to ultraviolet (UV) radiation from the sun or tanning beds, it can lead to uncontrolled cell growth, resulting in BCC.
BCCs typically present as:
Nodular BCC: A pearly or waxy bump with visible blood vessels, commonly found on the face, ears, or neck.
Superficial BCC: A flat, scaly, reddish patch resembling eczema or psoriasis, often appearing on the trunk, shoulders, or upper arms.
Morpheaform (sclerosing) BCC: A scar-like lesion that is often pale or white, with ill-defined borders, making it challenging to detect.
Pigmented BCC: A brown, blue, or black lesion, which may resemble melanoma.
These tumors are typically slow-growing and rarely metastasize (spread to other parts of the body). However, if left untreated, they can invade surrounding tissues, leading to significant local destruction and disfigurement
The primary risk factor for developing BCC is exposure to UV radiation. Other factors include:
Fair skin: Individuals with lighter skin tones are more susceptible.
Age: BCC is more common in older adults, though it can occur at any age.
Gender: Men are at a higher risk than women.
Immunosuppression: Weakened immune systems increase the risk.
Genetic conditions: Conditions like basal cell nevus syndrome can predispose individuals to multiple BCCs.
Diagnosis is typically made through a clinical examination followed by a skin biopsy, where a small sample of the suspicious tissue is removed and examined under a microscope to confirm the presence of cancer cells.
High Cure Rates: It offers high cure rates for the treatment of a variety of skin cancers, including basal cell carcinomas (BCC) and squamous cell carcinomas (SCC).
Tissue Preservation: It allows for the removal of all cancerous cells for the highest cure rate while sparing healthy tissue and leaving the smallest possible scar.
Immediate Results: The procedure is done in stages, including lab work, while the patient waits.
Most patients find that after their Mohs surgery, the scars are discreet and heal beautifully, allowing them to regain confidence in their appearance. With this precise approach, Mohs surgery not only offers the highest cure rate but also a cosmetic outcome that meets the patient's expectations.