This patient developed a facial cancer. A biopsy was performed and he was found to have a basal cell carcinoma. He comes in for removal and reconstruction. We decided to perform a rotational flap instead of a skin graft. It was too large to close primarily. This closure usually combines a few different specialties or one general surgeon. Thank you to the patient for letting us film his surgery.

The use of oral nicotinamide to prevent skin cancers was published in the New England Journal of Medicine in 2015. The efficacy of the vitamin seems impressive and its use in mainstream dermatological practice would be beneficial for patients. This lecture looks at the evidence in the ONTRAC study, some practical considerations on how to use it in daily practice and also looks at the mechanisms by which nicotinamide prevents skin cancers.



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Basal cells produce new skin cells as old ones die. Limiting sun exposure can help prevent these cells from becoming cancerous. Most basal cell carcinomas are thought to be caused by long-term exposure to ultraviolet (UV) radiation from sunlight. Avoiding the sun and using sunscreen may help protect against basal cell carcinoma. Basal cell carcinoma most often appears in older adults

While people 20 years and younger can certainly get basal cell cancer, it's far more likely in adults who are over 50. To break it down further, people who are aged 50 to 80 are affected most often, and the average age at diagnosis is 67 years old.

Basal cell cancer is the most common form of skin cancer, accounting for nearly 80% of all skin cancers. Basal cell cancers arise from abnormal basal cells in the skin. It is rarely fatal, but it can be locally aggressive.

The tumors enlarge very slowly, sometimes so slowly that they go unnoticed as new growths. However, the growth rate varies greatly from tumor to tumor, with some growing as much as ½ inch (about 1 centimeter) in a year. Basal cell carcinomas rarely spread (metastasize) to other parts of the body.

When detected early, most basal cell carcinomas (BCCs) can be treated and cured. Prompt treatment is vital, because as the tumor grows, it becomes more dangerous and potentially disfiguring, requiring more extensive treatment. Certain rare, aggressive forms can be fatal if not treated promptly.

Basal cell carcinoma very rarely reaches an advanced stage, so systemic chemotherapy is not typically used to treat these cancers. Advanced basal cell cancers are more likely to be treated with targeted therapy.

#skincancer #basalcarcinoma #carcinoma

Bernard Ho looks at these common and important skin cancers

Dr. Thorpe talks about how infiltrative basal cell carcinoma essentially took the entire tip of his patient's nose, how it grows, how Mohs surgery cures the cancer and results in the best healing possible.