Basal Cell
Carcinoma
What is a Basal Cell Carcinoma?
Basal cell
carcinoma (BCC) is also known as a rodent ulcer. It is the most common type of
skin cancer, particularly at risk are fair skinned people and it accounts for
about 90-95% of malignant eyelid cancers.
How do Basal cell
carcinomas develop?
They start as a
skin lesion or sore that does not heal. It can appear as a red and rough patch,
with scabs or ulcer or a small swelling. Basal cell carcinomas grow slowly and
very rarely spread to other parts of the body. However, if it is not treated, it
can grow locally and destroy the surrounding tissues.
What causes Basal cell carcinoma?
Basal cell
carcinomas are thought to be caused by damage to the skin by ultra violet light
contained in sunlight. Patients who have had prolonged exposure to the sun in
the first 20 years of life are more likely to develop basal cell carcinomas in
their middle and older age. Black and brown skinned people are less likely to
develop skin cancer because of the melanin in their skins giving them more
protection.
The doctor has said I need to have
the Basal cell carcinoma removed.
What does this involve?
Surgery is
usually undertaken in two stages.
Stage one:
The Basal cell carcinoma is removed under a local anaesthetic, which means you
would be awake during the operation and an injection would be given to numb the
eyelid. Once the eyelid is numb you should not feel any discomfort, however you
will still feel some touching or pulling sensations. The carcinoma is removed
and a dressing is applied over the eye and you would then be allowed home. You
must not remove the dressing, it should be left in place for 4 to 7 days.
Stage two:
This takes place usually between 1-7 days after stage one and is usually under
general anaesthetic, so you would be asleep for the operation. As long as all of
the cancer has been removed the surgery would involve reconstruction of the
eyelid. Following surgery you would probably stay over night unless you had care
at home to look after you following a general anaesthetic. A dressing would be
applied and must be left in place for a further 5-7 days. While having the
dressing in place you are not allowed to drive. Have a supply of painkillers if
you require them such as Paracetamol or Ibuprofen.
Follow up.
This usually
takes place 5-7 days after stage two. The dressing is removed and the specialist
will review you. Antibiotic ointment is prescribed to be applied over the area
for a number of days/weeks.
If you have any problems following
surgery:
Do not hesitate
to get back in touch:
• Mr Ahluwalia’s
Secretary 024 7696 6506
Preventing further skin cancers.
·
Protect yourself from the sun.
·
Wear a wide brimmed hat to protect the face and neck and protective clothing
when outdoors.
·
Never allow your skin to burn.
·
Use
high factor sunscreen (30 spf or above) and re-apply every 2-3 hours, or more
frequently if swimming or perspiring.
·
Avoid exposure to the sun during the hottest part of the day.
·
Always keep babies and children out of strong sunlight and applysunscreen
regularly
·
Examine your skin regularly and seek medical advice for any lesion that does not
heal in six weeks.
·
Wear 100% UV protective sunglasses, as the skin surrounding the eyes are
vulnerable to BCCs
·
Avoid using sunbeds
Further information:
·
Your surgeon
·
Wessex Cancer Trust. Tel: 01722 415071 www.wessexcancer.org
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