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Why Is Early Detection of Basal Cell Carcinoma Important?

August 11, 2023

keratinizing squamous cell cancer of the skin on the back of an elderly man

From acne to eczema and psoriasis to rosacea, each patient’s concerns are unique and require personalized care. However, one condition that is particularly important to identify and treat early on is basal cell carcinoma. In this article, we will discuss why early detection of basal cell carcinoma is crucial.

What Is Basal Cell Carcinoma?

Basal cell carcinoma is a form of cancer arising from the basal cells, which are found within the outermost layer of the skin. While basal cell carcinoma is often slow-growing and only rarely spreads to other parts of the body, it can still be destructive if left untreated.

The Importance of Early Detection

The earlier basal cell carcinoma is detected, the easier it is to treat and the better the prognosis. When basal cell carcinoma is caught in its initial stages, the treatment options are less intense. The chances of complete recovery are also significantly higher.

Here are several reasons why early diagnosis is so important:

1. Smaller Lesions Are Easier to Treat

When basal cell carcinoma is detected early, the lesions are typically smaller and confined to a limited area. This makes it easier for your dermatologist to remove the cancerous tissue, often through simple surgical procedures such as excision or Mohs surgery. These treatments have high success rates and usually result in minimal scarring.

2. Lower Risk of Recurrence

Early detection and treatment of basal cell carcinoma reduce the likelihood of the cancer returning. When basal cell carcinoma is removed completely, the chances of recurrence in the same area are significantly lower than when the cancer has progressed.

3. Reduced Risk of Disfigurement

As basal cell carcinoma grows, it can cause significant damage to the skin and underlying tissues. Basal cell carcinoma can lead to disfigurement if left untreated. This is the case, especially when it occurs on the face or other visible areas of the body. Early detection allows for prompt treatment, which minimizes the risk of disfigurement and preserves the appearance of the skin.

4. Prevention of Further Complications

While basal cell carcinoma doesn’t often spread to other parts of the body, it can still cause complications if left untreated. For example, basal cell carcinoma that invades nerves or blood vessels can lead to:

  • Pain
  • Bleeding
  • Loss of function in the affected area

You can prevent these complications and maintain your overall health by detecting and treating basal cell carcinoma early.

How to Detect Basal Cell Carcinoma Early

Now that we understand the importance of early detection, let’s discuss some strategies for identifying basal cell carcinoma in its initial stages:

1. Perform Regular Skin Self-Examinations

The first step in early detection is becoming familiar with your skin and regularly examining it for any changes. This includes checking your entire body, including hard-to-see areas like your back and the soles of your feet. Look for:

  • New growths
  • Moles that have changed in size or color
  • Any spots that bleed, itch, or don’t heal

2. Know the Signs of Basal Cell Carcinoma

Recognizing the early signs of basal cell carcinoma can help you catch it before it progresses. Basal cell carcinoma often appears as:

  • A small, pearly bump, a flat, scaly patch
  • A sore that doesn’t heal

3. Schedule Routine Skin Examinations

In addition to performing self-examinations, it’s essential to have your skin checked by a dermatologist regularly. This is especially important if you have:

  • A history of skin cancer
  • A family history of the disease
  • Other risk factors such as fair skin, extensive sun exposure, or a weakened immune system

Lowering Your Risk of Basal Cell Carcinoma

Taking proactive steps to reduce your risk is essential for maintaining healthy skin. Here are several strategies that can help:

Protect Skin from Sun Exposure

Always apply sunblock with an SPF of 30 or higher every day, even on cloudy days. Reapply every two hours after sweating or swimming.

Wear Protective Clothing

When spending time outdoors, wear clothing that covers your arms and legs, as well as a wide-brimmed hat to shield your face and neck.

Stay Under The Shade

Avoid direct exposure to sunlight during peak UV hours, which are typically between 10 a.m. and 4 p.m. Seek shade under trees, umbrellas, or other structures when outside during these hours.

Do Not Use Tanning Beds

These beds emit harmful UV radiation that can increase the risk of developing basal cell carcinoma. You can try sunless tanning products if you prefer.

Monitor Your Skin

Regularly examine your skin for any changes or unusual growths. Early detection of basal cell carcinoma is key to successful treatment, so be vigilant about monitoring your skin’s health.

Treatments for Basal Cell Carcinoma

There are several treatment options available for basal cell carcinoma, depending on the size, location, and stage of the cancer. Some of the most common treatments include:

Surgical Excision

This procedure involves removing the cancerous tissue along with a margin of healthy skin surrounding it. The wound is then closed with stitches. Then, the excised tissue is examined under a microscope to ensure all cancerous cells have been removed.

Mohs Surgery

Mohs surgery is a specialized technique that entails removing the cancer one layer at a time. Each layer is examined under a microscope until no cancerous cells remain. This method allows for the preservation of as much healthy tissue as possible while ensuring the complete removal of the cancer.

Curettage and Electrodesiccation

This treatment involves scraping away the cancerous tissue with a curette or a sharp, spoon-shaped instrument. Then, an electric needle will be used to destroy any remaining cancer cells and seal blood vessels.

This process may be repeated several times during the procedure.

Cryotherapy

Cryotherapy involves freezing the cancerous tissue with liquid nitrogen, causing the cells to die. The dead tissue eventually sloughs off, and healthy skin replaces it. This treatment is typically used for small, superficial basal cell carcinomas.

Topical Treatments

In some cases, topical medications may be prescribed to treat early-stage basal cell carcinoma. Prominent examples are imiquimod or 5-fluorouracil. These creams or gels are applied directly to the affected area. They work by stimulating the immune system to attack the cancerous cells.

Radiation Therapy

Radiation therapy uses high-energy X-rays to kill cancer cells. This treatment may be recommended for patients who are unable to undergo surgery or have a high risk of recurrence.

Basal Cell Carcinoma Diagnosis and Treatment in Miami, FL

Early detection of basal cell carcinoma is crucial for ensuring the best possible outcome. By familiarizing yourself with your skin, recognizing the signs of basal cell carcinoma, and seeking prompt medical attention, you can protect your skin and overall health. Remember to schedule regular skin examinations with your dermatologist and practice sun safety to minimize your risk of developing this common but treatable form of skin cancer.

You can rely on Dermatology and Skin Cancer Center for an accurate basal cell carcinoma diagnosis in Miami. Dr. T.J. Giuffrida, our very own fellowship-trained, board-certified Mohs surgeon, will give you the best care. We will make sure you get the highest quality services to conquer basal cell carcinoma. You may call our friendly staff today at (305) 461-2000 for assistance. You can also book a visit using our secure online appointment request form.

We look forward to being your trusted healthcare partner!

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Board-Certified Mohs Surgeon Dr. T.J. Giuffrida is the founder of  Dermatology and Skin Cancer Center. Dr. Giuffrida provides comprehensive skin cancer prevention, diagnosis, and treatments.