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Non-melanoma Skin Cancer in Canada Chapter 4: Management of Basal Cell Carcinoma
Ist Teil von
Journal of cutaneous medicine and surgery, 2015-05, Vol.19 (3), p.239-248
Ort / Verlag
Los Angeles, CA: SAGE Publications
Erscheinungsjahr
2015
Quelle
MEDLINE
Beschreibungen/Notizen
Background
Basal cell carcinoma (BCC) is the most common malignancy. Growth of BCCs leads to local destruction of neighbouring healthy skin and underlying tissue and can result in significant functional and cosmetic morbidity.
Objective
To provide guidance to Canadian health care practitioners regarding management of BCCs.
Methods
Literature searches and development of graded recommendations were carried out as discussed in the accompanying Introduction.
Results
Although BCCs rarely metastasize“ they can be aggressive and disfiguring. This chapter describes the natural history and prognosis of BCCs. Risk stratification is based on clinical features” including the site and size of the tumour“ its histologic subtype (nodular vs sclerosing)” and its history of recurrence.
Conclusions
Various options should be considered for BCC treatment” including cryosurgery” curettage” and topical or photodynamic approaches, as well as fixed-margin surgery and Mohs micrographic surgery. Stratification of recurrence risk for individual BCCs determines the most appropriate therapeutic course.