Video Name: Skin cancer treatment
Video Tags: sclerosing basal cell carcinoma, infiltrative basal cell carcinoma, basal cell carcinoma scalp, basal carcinoma
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The management of basal cell carcinoma
Additional considerations
Once the tumour has been assessed the most appropriate treatment options must be discussed with the patient. Although surgery is the gold standard there are some circumstances, which will affect the final decision. Patients reluctant to consider any form of surgery might be referred for radiotherapy. Similarly, co-existing medical conditions or drug medication may influence the choice between surgical and non-surgical treatment. Aggressive treatment might be inappropriate for patients of advanced age or poor general health, especially when dealing with asymptomatic low-risk lesions that are unlikely to cause significant morbidity. Some elderly or frail patients with symptomatic or high-risk tumours might prefer less aggressive treatments designed to palliate rather than cure their tumours. Local availability of various specialized services, together with the experience and preferences of the dermatologist managing the case are also factors that will influence the selection of therapy. A great variety of skills is needed to manage the spectrum of problems thrown up by basal cell carcinoma. Multidisciplinary teams are of great value in difficult high-risk tumours in order to obtain both the highest clearance rates and best cosmetic results. Essential members of such a team are likely to cover the specialties of dermatology, diagnostic imaging, histopathology, oncology, radiotherapy and specialised surgery e.g. dermatologists, plastics, maxillofacial, ophthalmology. Such close collaboration has an additional educational benefit for all parties.
Additional considerations
Once the tumour has been assessed the most appropriate treatment options must be discussed with the patient. Although surgery is the gold standard there are some circumstances, which will affect the final decision. Patients reluctant to consider any form of surgery might be referred for radiotherapy. Similarly, co-existing medical conditions or drug medication may influence the choice between surgical and non-surgical treatment. Aggressive treatment might be inappropriate for patients of advanced age or poor general health, especially when dealing with asymptomatic low-risk lesions that are unlikely to cause significant morbidity. Some elderly or frail patients with symptomatic or high-risk tumours might prefer less aggressive treatments designed to palliate rather than cure their tumours. Local availability of various specialized services, together with the experience and preferences of the dermatologist managing the case are also factors that will influence the selection of therapy. A great variety of skills is needed to manage the spectrum of problems thrown up by basal cell carcinoma. Multidisciplinary teams are of great value in difficult high-risk tumours in order to obtain both the highest clearance rates and best cosmetic results. Essential members of such a team are likely to cover the specialties of dermatology, diagnostic imaging, histopathology, oncology, radiotherapy and specialised surgery e.g. dermatologists, plastics, maxillofacial, ophthalmology. Such close collaboration has an additional educational benefit for all parties.
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keep up the good work
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