Basal Cell Carcinoma

Prevalence
Anyone with a history of sun exposure has the potential to develop a basal cell carcinoma. However, those at highest risk have fair skin, light hair, and blue or green eyes. Older people are more often affected, however the increasing number of cases within the past few decades have shown a decrease in the average onset of age. Occupations that require workers to spend long hours outdoors and people who spend their leisure time in the sun are particularly susceptible. 
Importance
Basal cell carcinomas are easily treated in their early stages, though the larger the tumor has grown, more extensive treatment is needed. Although this skin cancer seldom spreads to vital organs, it can damage surrounding tissue, causing considerable destruction and disfigurement. Some basal cell carcinomas are more aggressive than others. People who have had one basal cell carcinoma are at risk for developing others over the years, either in the same area or elsewhere on the body.
Prevention
While Basal cell carcinomas and other skin cancers are almost always curable when detected and treated early, it is best to prevent them in the first place. Listed below are some sun safety habits that should be part of one's daily health care:
  • Seek the shade, especially between 10 AM - 4 PM
  • Do not burn
  • Avoid tanning and UV tanning booths
  • Cover up with clothing, including a broad-brimmed hat and UV-blocking sunglasses
  • Use a broad-spectrum sunscreen with an SPF of 15 or higher
  • Apply 2 tablespoons of sunscreen to your entire body 30 minutes before going outside. Reapply every 2 hours or after swimming or excessive sweating
  • Keep newborns out of the sun. Sunscreens should be used on babies over the age of 6 months
  • Examine your skin, from head to toe, every month

Basal Cell Carcinoma

The most common skin cancer, affecting about 1 million Americans each year. 
  • This cancer arises in the basal cells which line the deepest layer of the epidermis (top skin layer)

Major Causes
Most basal cell carcinomas occur on parts of the body that are excessively exposed to the sun - common locations being the face, ears, neck, scalp, shoulders and back; though they can occasionally develop on unexposed areas.
Other contributing factors include open sores that resist healing, contact with arsenic or exposure to radiation, chronic inflammatory skin conditions, and complications of burns, scars, infections.
Warning Signs
  • An open sore that bleeds, oozes, or crusts and remains open for a few weeks only to heal up and then bleed again. A persistent, non-healing sore is a very common sign of an early basal cell carcinoma
  • A reddish patch or irritated area which may crust, itch, or persist without noticeable discomfort
  • A pink growth with a slightly elevated rolled border and a crusted indentation in the center. As the growth enlarges, tiny blood vessels may develop on the surface
  • A shiny bump or nodule that is pearly or translucent and is often pink, red or white. The bump can also be tan, black or brown, often confused with a mole
  • A scar-like area that is white, yellow or waxy, and often has poorly defined borders; the skin itself appears shiny and taut. The warning sign may indicate the presence of an invasive basal cell carcinoma that is larger than it appears to be on the surface
Frequently, two or more of these features are present in one tumor. 
**Used with permission: The Skin Cancer Foundation

Other Common Skin Cancers

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