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BASAL CELL CARCINOMA
Basal cell carcinoma is the most common type of skin cancer. Approximately 800,000 cases are diagnosed each year in the United States alone. If
caught early, there is a better than a 95% cure rate. This tumor presents as a new or changing fleshy bump or nodule, usually on the sun-exposed areas of the skin. It is more common on Caucasians with
fair complexions.
It is estimated that one in five Americans will develop skin cancer during their lifetime. Approximately one million new skin cancers are diagnosed
each year in the United States. Eighty percent are basal cell carcinoma, 16% are squamous cell carcinoma and 4% are melanoma. (Statistics provided by the American Academy of Dermatology.)
If left untreated, basal cells grow under the skin and may cause considerable tissue destruction as well as possibly spreading to other parts of the body.
Significant risk factors for basal cell are fair skin and over exposure to the sun. Some people with a history of x-ray therapy, thermal burns or
exposure to arsenic compounds are predisposed to basal cell tumors.
A dermatologist or plastic surgeon treats this type of tumor by local destruction or surgical excision. The extent and type of treatment depends on the characteristics, size and location of the tumor.
Recommendations:
Sun avoidance, protection and sunscreen are the basics of good skin care. Skin rejuvenation and health is accomplished by daily maintenance and sun protection.
The three most widely used treatments for healthy skin include antioxidants, Vitamin A preparations and exfoliating agents.
Antioxidants: Antioxidants are an emerging concept in skin health and maintenance. The sun’s ultraviolet radiation produces tissue damaging
free radicals that are absorbed and neutralized by antioxidants. The most common antioxidants are Vitamins A, C, E and beta-carotene.
Antioxidants are most effective when applied topically. Topical Vitamin C is the most widely used. In addition to its antioxidant properties, topical Vitamin C stimulates cell replication and collagen production. The result is
a thickening of the skin with a reduction in the appearance of fine lines and wrinkles.
Vitamin A: Vitamin A is available in common forms such as Retin-A® (tretinoin) or retinol. Retin-A® is prescription strength and is stronger than
over-the-counter Vitamin A derivatives. Over-the-counter retinol, though less potent, is very effective in reversing sun damage. When used consistently, the milder formulations provide effective treatment while
avoiding many of the side effects such as redness, irritation and peeling that is associated with the prescription products. (See retinol)
Topical Vitamin A is also essential for skin health and maintenance. The skin has receptors that specifically absorb Vitamin A, aiding in cellular
growth and differentiation. The results are impressive, with a reduction of fine lines and wrinkles and a complexion that is smooth, supple and evenly pigmented.
Exfoliation: Skin exfoliation is achieved by mild acid application to the skin. The acids currently in use are alpha and beta hydroxy acids. (See hydroxy acids.) Hydroxy acids are readily absorbed into the deeper
layers of the epidermis. Effects include superficial exfoliation and stimulation of both the epidermis and dermis. The result is skin thickening
with more uniform pigmentation and a reduction in the appearance of fine lines and wrinkles.
What treatment regimen is right for you?
Dermatologists uniformly agree that skin health and maintenance should be addressed twice daily using one product in the morning and another in
the evening. If a simplified regimen is tolerated, products can always be added and combined based on individual goals and preferences.
Remember, damaged skin is the result of many years of sun exposure. Expect improvement to occur gradually with a consistent daily program of skin care maintenance.
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