25 Haziran 2012 Pazartesi
Basal Cell Carcinoma treatment moh's Surgery
The base and edges are microscopically examined to verify sufficient margins before the surgical repair of the site. If the margins are insufficient, more is removed from the patient until the margins are sufficient.
However, mohs surgery procedure usually performed by specially trained surgeons who have completed at least one additional year of fellowship training (in addition to the physician's three-year dermatology residency) under the tutelage of a Mohs College member.
With the Mohs technique, physicians are able to see beyond the visible disease, to precisely identify and remove the entire tumor layer by layer while leaving the surrounding healthy tissue intact and unharmed. As the most exact and precise method of tumor removal, it minimizes the chance of re-growth and lessens the potential for scarring or disfigurement.
Because the physician is specially trained in surgery, pathology, and reconstruction, Mohs surgery has the highest success rate of all treatments for skin cancer - up to 99 percent. The Mohs technique is also the treatment of choice for cancers of the face and other sensitive areas as it relies on the accuracy of a microscopic surgical procedure to trace the edges of the cancer and ensure complete removal of all tumors down to the roots during the initial surgery. Mohs surgery also used for squamous cell carcinoma; however, the cure rate is not as high as Mohs surgery for basal cell carcinoma.
Main article - Standard Surgical Excision
Moh's Surgery for Melanoma
Mohs surgery can also be used to treating melanoma. However, moh’s surgery has a higher cure rate if treating melanoma in situ. It has been used in the removal of melanoma-in-situ (cure rate 77% to 98% depending on surgeon), and certain types of melanoma (cure rate 52%). Another study of melanoma-in-situ revealed Mohs cure rate of 95% for frozen section Mohs, and 98 to 99% for fixed tissue Mohs method. In situ is a condition that a cancer is still not become cancer yet.
However, mohs surgery is appropriate when:
- The skin cancer is in an area where it is important to preserve healthy tissue for maximum functional and cosmetic result, such as: eyelids, nose, ears, lips, fingers, toes, genitals.
- The skin cancer was treated previously and recurred.
- Scar tissue exists in the area of the cancer.
- The skin cancer is large.
- The edges of the cancer cannot be clearly defined.
- The skin cancer is growing rapidly or uncontrollably.
Scotland's Skin Cancer Statistics Soar
The number of Scots living with the skin cancer malignant melanoma has soared by more than 60 per cent during the past decade, newly released figures have revealed.
There were 1,141 cases of melanoma in Scotland 2010 – the most recently recorded year – compared to the 659 patients with the condition ten years earlier, official health statistics showed yesterday.
There was a dramatic increase in the number of melanoma cases between 2005 and 2009, with the figure rising from 858 to 1,192 in just four years, according to the figures published by health statistics service ISD Scotland.
Health Secretary Nicola Sturgeon suggested that the increase in melanoma was partly due to an increasing over use of sunbeds, even though the Public Health (Scotland) Act 2008 banned their use by under 18s.
Ms Sturgeon said: “These figures are yet another stark warning of the dangers of unsafe tanning – either in the sun or using sunbeds.
“People need to realise how essential it is to wear sunscreen and cover up in the sun. Doing this and avoiding sunbed use really could save your life.
“Using sunbeds is dangerous and that is why Scotland led the way by being the first part of the UK to introduce legislation to address the health risks associated with sunbed use.”
The sharp rise of 62.8 per cent was described as an “epidemic” by senior Scottish Labour MSP Ken Macintosh, who demanded easier access to lifesaving medicines for melanoma patients as well as improvements on early diagnosis.
He said: “These figures show Scotland is experiencing a skin cancer epidemic and highlight the urgent need for further action from the SNP government. The sunbeds bill was only the start and there is so much more we need to do to raise awareness of the dangers of tanning.
“We need a public awareness campaign to ensure everybody, especially our children and young people, enjoy the sun safely both at home and abroad. For too long now, the government has relied on charities like Cancer Research UK to fund these campaigns. That is not good enough. This life-saving work should be a priority for the Scottish government too.
“There are also specific steps the government could take to improve the early diagnosis of skin cancer”
Scottish Conservative health spokesman Jackson Carlaw described the latest increase in skin cancer as “depressing” as he called on the SNP Government to increase funding to improve treatment.
He said: “However, given Scotland’s depressing record on cancer survival rates, we also need to ensure that we offer more hope to sufferers than in other countries and not less, as we do currently. Scotland needs a cancer drugs fund and these latest figures demonstrate just how urgent this need is.”
Dr Dean Marshall, Chairman of the British Medical Association’s Scottish GP Committee said: “Even taking into account improved awareness and diagnosis, the increase in reported cases of melanoma is startling.”
http://www.scotsman.com/news/health/skin-cancer-cases-soar-by-60-in-a-decade-1-2253742
24 Haziran 2012 Pazar
Scotland's Skin Cancer Statistics Soar
Basal Cell Carcinoma Skin Cancer
80% of basal cell carcinoma cases are attacking neck and head. Just like melanoma, basal cell skin cancer cases had increased at dramatic rate.
Basal Cell Carcinoma skin cancer signs and symptoms:
- This skin cancer usually looks like a raised, smooth, pearly bump on the sun-exposed skin of the head, neck or shoulders.
- Sometimes small blood vessels can be seen within the tumor. Crusting and bleeding in the center of the tumor frequently develops. It is often mistaken for a sore that does not heal.
- This form of skin cancer is the least deadly and with proper treatment can be completely eliminated with not so much as a single scar.
Interestingly, a 2001 study reported that people with more wrinkles were less likely to develop basal cell carcinomas, even among highrisk groups. Some experts suggest that people prone to wrinkles may respond to sun exposure with biologic mechanisms that protect against basal cell carcinoma. More research is needed confirm this.
Main Article - Skin Cancer Types
Melanomas Skin Cancer Treatment
For malignant melanoma that in advanced stage, the treatment focused on:
- Shrinking or getting rid of metastases
- Preventing the disease from spreading
- Keeping you comfortable
Chemotherapy and immunotherapy treatments may be given alone or in combination. Most of these treatments must be given into a vein (intravenously) or injected under the skin, although a few can be given in pill form. Each medication is given over a period of time, often several months or more, depending upon how you respond.
Melanoma Treatment that often used:
- Surgery
Surgery usually is used as the first step for melanoma treatment. Most of surgical excisions are also called resections. The side effect of this treatment usually a small scars. Surgery is very effective in treating early stage of melanoma, but it is not a cure because metastatic melanoma usually spreads to many different places throughout the body. - Radiation Therapy
Radiation therapy played quite role in melanoma treatment. Radiation therapy often used to treat advanced melanoma after surgical excision. However, radiation may put the patient at risk for future non-melanoma skin cancers. - Chemotherapy
- Immunotherapy
Main Article: Malignant Melanoma
Basal Cell Carcinoma treatment moh's Surgery
The base and edges are microscopically examined to verify sufficient margins before the surgical repair of the site. If the margins are insufficient, more is removed from the patient until the margins are sufficient.
However, mohs surgery procedure usually performed by specially trained surgeons who have completed at least one additional year of fellowship training (in addition to the physician's three-year dermatology residency) under the tutelage of a Mohs College member.
With the Mohs technique, physicians are able to see beyond the visible disease, to precisely identify and remove the entire tumor layer by layer while leaving the surrounding healthy tissue intact and unharmed. As the most exact and precise method of tumor removal, it minimizes the chance of re-growth and lessens the potential for scarring or disfigurement.
Because the physician is specially trained in surgery, pathology, and reconstruction, Mohs surgery has the highest success rate of all treatments for skin cancer - up to 99 percent. The Mohs technique is also the treatment of choice for cancers of the face and other sensitive areas as it relies on the accuracy of a microscopic surgical procedure to trace the edges of the cancer and ensure complete removal of all tumors down to the roots during the initial surgery. Mohs surgery also used for squamous cell carcinoma; however, the cure rate is not as high as Mohs surgery for basal cell carcinoma.
Main article - Standard Surgical Excision