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Cynthia Golomb, MD | Dermatology Boutique

Month: March 2023

Basal Cell Carcinoma Treatment: What You Need to Know

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What Causes Basal Cell Carcinoma?

The three most common types of skin cancer are basal cell carcinoma, melanoma and squamous cell carcinoma.  Basal cell is found on skin that receives lots of sun exposure, like your face, ears, neck and hands, but you can get it anywhere on your body.  It is a slow-growing cancer but can go deep even to the bone, destroying tissue as it goes.

Basal Cell Carcinoma on a man's back, near his shoulder.

The pen points to a basal cell carcinoma.

 

How Fast Does Basal Cell Carcinoma Grow? 

While generally slow growing, the spreading rate of basal cell carcinoma can vary depending on the health of your immune system.  It is not the deadliest of skin cancers, but if left untreated, it can be disfiguring.  This is because the lesion can grow deep into the skin.

basal cell carcionma on a man's forehead

The letter “A” and the circle mark basal cell carcinoma on this patient’s forehead.

 

When is Mohs Surgery Recommended?

If basal cell carcinoma is on your face, neck or hands, Mohs surgery is often advised due to the precision of removal and very high cure rate.  Depending on the tumor’s characteristics and size, it may be appropriate in other areas.

basal cell carcinoma on woman's ear

This is a basal cell carcinoma on a woman’s ear before her Moh’s surgery. After surgery, the site was closed with a skin graft.

 

With Mohs, the tumor is removed, and then more thin tissue samples are removed and examined under a microscope until no more cancerous cells are found.  This way, healthy skin is preserved.  Mohs surgery is named after the doctor who invented the method, Frederic E. Mohs, M.D.

Closing the surgical site will depend on how much tissue was removed.  This can range from letting it heal naturally, to stitches, to a skin graft or a skin flap.  Most basal cell carcinoma is cured with minor surgery.

Basal cell carcinomas can also be treated with destructive methods such as cryosurgery (freezing with liquid nitrogen) or curetting (scraping with a surgical instrument).  Unfortunately, the cure rate with these two methods is lower than with Mohs surgery.

Learn more about the signs and symptoms of basal cell carcinoma from the American Academy of Dermatology.

Call Dr. Golomb today for a skin cancer screening appointment at 855-465-6621.

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See A Trusted Dermatologist

Dr. Cynthia Golomb is widely considered one of the top dermatologists in Hallandale Beach.  She welcomes patients for skin cancer screening and treatment from Aventura, Sunny Isles Beach, North Miami Beach, Golden Beach, Pembroke Pines and Hollywood, Fl.  Dr. Golomb is triple board certified in Dermatology, Dermatopathology and Micrographic Dermatologic Surgery (Mohs).

Actinic Keratosis: What is it & How Can it be Treated?

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Actinic Keratoses are the most common skin precancer

Actinic Keratoses (AKs) generally appear after the age of 40 on people with fair skin, blue or green eyes, or those who freckle or burn in the sun.  AKs are also more common on people who live closer to the equator, regardless of skin type, as sun exposure is a significant factor in AK development.  If you have actinic keratoses, you are not alone.  Up to 58 million Americans have AKs.

photo of a man with an actinic keratosis on his forehead

actinic keratosis

You’ll find actinic keratoses on the face, back of hands, bald scalp, neck, shoulders and any other skin subjected to frequent sun exposure.  AKs can be tiny or larger than a quarter.  These scaly spots can sometimes itch or be sensitive to the touch.  In some cases, they can also bleed.  Generally, they are red but can appear pink or tan.  AKs can also grow into a protruding bump called a cutaneous horn, which can be painful, get caught on clothing and jewelry and even get infected.

About 10% of AKs progress to squamous cell carcinoma.   This type of cancer is very dangerous if left untreated, as it can spread to internal organs.

photo of an actinic keratosis on a hand

actinic keratosis

Treatment of Actinic Keratoses

We often treat AKs with cryosurgery (a pinpointed spray of liquid nitrogen or applied with a cotton-tipped swab).  I recently treated a female patient in her 50s who had an AK above her lip.  She complained that the scaly spot had cracked and was bleeding while she was eating.  It was raised and a little painful.  Days later, she was pleased to report that after I applied liquid nitrogen to it, the AK is now flat, the flakiness is gone, and there is no more bleeding.

Instead of freezing each AK with liquid nitrogen, there is another treatment option:  photodynamic therapy, also known as blue light therapy.  A recent study compared light therapy to cryotherapy and found that those who had the light treatment were 14% more likely to have their lesions eliminated.  Because AKs are considered pre-cancerous, blue light therapy is covered by Medicare.

Early diagnosis and treatment of AKs are vital because of their potential to progress into skin cancer.  One study has shown that most invasive squamous cell carcinomas originate from AKs.

Call Dr. Golomb today for a skin cancer screening appointment at 855-465-6621.

Dr. Golomb is widely considered one of the top dermatologists in Hallandale Beach.  She welcomes patients for skin cancer screening and treatment from Aventura, Sunny Isles Beach, North Miami Beach, Golden Beach, Pembroke Pines and Hollywood, Fl.  Dr. Golomb is triple board certified in Dermatology, Dermatopathology and Micrographic Dermatologic Surgery (Mohs).

 

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