Basalioma is a malignant neoplasm that affects the skin. Several methods have been developed to eliminate this disease. Much is determined by the stage, form and individual characteristics, the general state of he alth of the patient, the localization of the neoplasm. The method of treatment of basalioma is selected taking into account concomitant diseases.
What to try?
The classical approach to the treatment of the disease is radiation and photodynamic therapy. In some cases, the treatment of basalioma is most promising with the help of a laser or cryogenic technology, the method of radio wave surgery. In addition to the surgical approach, medication can show good results. The listed methods pursue the goal - this is the complete destruction of the malignant formation. The most categorical approach to the treatment of basalioma is surgical excision.
Basalioma is one of the malignant neoplasms, so the classic method of eliminating the pathology is radiation. This option is optimal when the formationrelatively small. However, the treatment of basalioma of the skin of the face using this method has weaknesses: not only harmful, but also he althy cellular formations equally suffer from the negative factor. The duration of the course is from a month or more, which is also considered by many as a significant drawback of the approach.
What will help?
Treatment of basalioma is possible by a radical method - removal. There are several ways, you can use a laser, excision, liquid nitrogen. The last method is a direct impact on the transformed area with a specific substance. During contact with liquid nitrogen, the formation is completely destroyed. True, this option is not always applicable.
If the tumor is localized on the face, laser treatment of basalioma is optimal. In some cases, the doctor decides in favor of a combined approach. To understand which approach is optimal for a particular case, it is important to analyze exactly where the tumor is located, how large it is, and at what stage the process is currently at. Basalioma only in a small percentage of cases becomes a source of metastases, but the pathology is characterized by relapses.
Laser Features
This approach to the treatment of basalioma is considered the most common. No special preparatory measures are required before the operation. The use of a modern installation makes it possible to destroy a malignant tumor in just one approach, while preserving he althy tissues without damage. Even full anesthesia is not required, local anesthesia is enough - a special ointment or othermeans to stop the sensitivity of the area of the operation.
If, based on the diagnosis of basalioma, laser treatment was chosen as the most suitable option for a particular case, then it is taken into account that the technology is relatively gentle. As part of the intervention, the beam affects a strictly limited area, and the operation itself takes a minimum of time. Under the influence of the equipment, malignant tissues are heated and evaporated. The unit itself does not come into contact with the skin of the patient, so there is no risk of infection. Cooling systems, which are equipped with all modern devices, allow you to carry out therapeutic measures painlessly and safely. All the patient's sensations are a slight tingling in the affected area.
We operate competently
Surgical treatment of basalioma - Moss technology. As part of such an event, thin organic layers are removed from the affected area, which are then examined under a microscope. This procedure is repeated cyclically until the removed sample is completely safe. The main advantage of this method is minimal damage to he althy tissue, while the malignant neoplasm is removed efficiently, cleanly and without consequences.
It is very important to begin treatment of the disease immediately after confirming the diagnosis. As can be seen from the reviews, the treatment of basalioma is effective if you do not delay contacting a qualified doctor. The more severe the case, the longer the formation develops, the more problematic it will be to get rid oftumors.
Features and predictions
The outcome of the selected therapeutic effect will be worse if the neoplasm is observed on the face near the lips, nose or organs of vision. If the formation has already developed to a two-centimeter diameter and larger, has uneven boundaries, not clear enough, if the tumor is formed according to the infiltrative type, basosquamous, micronodular, the prognosis worsens. To complicate the situation leads to localization near a large blood vessel or an important cluster of nerve cells. Finally, the prognosis is worse for people with weakened immune systems, other pathologies associated with basalioma.
Radical approaches in the general case in the treatment of basalioma of the skin give a more reliable result, so it is preferable to resort to them. At the same time, medicine knows a fairly large percentage of cases with a positive outcome when the treatment was carried out with medications.
What to use?
Unlike other malignant neoplasms, with this type of tumors, cytostatics, drugs that depress the immune system, will not benefit. General chemotherapy causes significant harm to the body, as it provokes numerous side effects, but the effect on tumor cells is too weak to be justified. A much more successful approach is the treatment of basalioma with ointments, creams, gels. Such funds are usually well tolerated by patients, they directly affect the area of the neoplasm.
Use local chemoapplication is reasonable if the malignant formation in diameter is not more than 7 mm. This method is used in case of recurrence of the disease. The most common name is Omain, 5-fluorouracil. Doctors often prescribe Prospidin.
Operation: when is it needed?
As you know, radical treatment of skin basalioma is not only effective, but also rarely accompanied by relapses (compared to other approaches to therapy). If there is an opportunity to have an operation, the doctor will recommend it. It does not matter at what stage the disease was detected. If the tumor is relatively small, local or laser therapy can be used instead of surgical therapy.
Unlike more dangerous types of cancer, basal cell carcinoma is often treated with just one treatment, no combination therapy is required. But the large sizes already oblige to carry out surgery and treatment of basalioma with radiation at the same time. In this case, the area is excised, all malignant cells and tissues are completely removed from the patient's body.
How's it going?
Effective and safe can only be called such an operation, which is carried out in a hospital setting. It is necessary to cooperate with qualified doctors who have access to modern devices and medicines. A very important aspect is the observance of ideal sterility. Anesthesia is selected, focusing on the expected volume of intervention, localization of education, the state of he alth of the patient. If the patient's age is up to 60 years, conduction, local,infiltrative anesthesia technique. This is optimal if the formation is located on the limbs, the body, and the size is up to a centimeter in diameter.
If the diagnosed basalioma is larger than a centimeter, spinal anesthesia is required. This is especially true if there are suspicions of the involvement of nearby structures in the transformation process. If the basalioma is detected on the back, neck, general anesthesia is required for patients of any age category.
Some Features
A specific feature of this type of malignant neoplasms is the unpredictability of the clarity of the boundaries. In some patients, the formation is limited, while in others it is vague, smeared. The second option is associated with a worse prognosis, the impossibility of applying some therapeutic approaches. This is not yet a reason to start treating basalioma with folk remedies - it is important to trust a doctor who can choose a more or less adequate method of classical medicine. This is much more effective than any folk recipes, the reliability of which is a big question. When it comes to the life and death of a patient, it is unacceptable to take risks, hoping that the medicine men's prescriptions will help to cope with a terrible diagnosis.
It often happens that the boundaries of a neoplasm cannot be clearly defined, since small ulcers appear on the edges, malignant processes spread to neighboring he althy cells. Before starting the operation to remove the neoplasm, the specialist carefully examines the tumor edges through magnifying devices andmakes a resection based on the information received. It is necessary to retreat a short distance from the neoplasm itself. Its dimensions are determined by how large the formation is. This reduces the risk of recurrence, residual malignant cells.
Opinions differ
The practice of treating basalioma in our country involves a retreat of at least two centimeters with a small size of the neoplasm, with larger ones - by three centimeters. But Western doctors in any of the options practice indents within five millimeters. Medical statistics say that with a three-millimeter indent, the risk of recurrence is estimated at 15%, 5 mm - 5%.
The greater the indentation from the border of the neoplasm, the lower the likelihood of recurrence. On the other hand, defects after surgery will be much larger. Even the largest indentations are associated with a recurrence rate estimated at 3%. This is due to the structural features of the cellular skin layer in which malignant cells develop. Basal structures actively grow along blood vessels, nerve fibers, so it is impossible to remove all potentially dangerous areas during the operation.
Efficient and timely
The most advanced and technologically advanced approach available to modern doctors is MOHS. It was first proposed back in the thirties of the last century, and has now been effectively finalized. The logic of this approach has already been described above - diseased tissue layers are cut off one by one until the surgeon reaches clean and he althy skin. In this case, the tumor is first excisedclassical technique. It is important to respect the established indentation limits. The wound is covered with a swab, without stitching, the patient is sent to rest in a prepared room.
The samples obtained from the patient are examined on the equipment, divided into layers, staining each of them according to the developed specific technique. If pathologically altered areas are surrounded by he althy ones on each section, we can talk about a successful intervention. If such a sample is found where the cut edge and the tumor are in contact, a second removal should be performed. In this case, the surgeon knows exactly which area to treat. New samples are also sent for laboratory research.
Long, short…
On average, the Mohs operation requires eight hours, sometimes stretching for days. There are cases when the event took three days (including breaks). This duration is fully justified by its effectiveness: the rate of treatment is high, the likelihood of relapse is minimal. In a number of the best clinics on our planet, the risks of relapse are estimated at tenths of a percent.
Starting from the beginning
The easiest way to cure a basalioma is if the disease is detected at the first stage. During this period, all known methods of combating cancer pathology show effectiveness. Usually one method is sufficient. The doctor examines the patient and, based on a complete clinical picture, decides what will be the most promising and effective approach - surgery, laser, nitrogen, drug treatment. Success without subsequent relapseestimated at 97%. When choosing the option of local therapy in the form of ointments, gels, a full histological analysis of the transformed tissues should be carried out - this is the only way to determine which drug will be more effective than others.
The second stage is no longer so easy to treat - usually you have to carry out two-stage therapy. First, the transformed area is excised with surgical techniques, after which the training course begins. The larger the neoplasm, the less applicable liquid nitrogen and laser. Chemotherapy in the second stage is practically not used.
