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Protection from sunshine means: Stay in the shade between 11am – 3pm. The sun is most dangerous in the middle of the day - find shade under umbrellas, trees, canopies or indoors Make sure you never burn. Sunburn can double your risk of skin cancer Always cover up. Sunscreen is not enough — wear a t-shirt, a wide brimmed hat and wraparound sunglasses Patient Information Remember to take extra care with children. Young skin is delicate, keep babies out of the sun around midday Use factor 15+ sunscreen. Apply sunscreen generously 15–30 minutes before you go outside and reapply often Also report mole changes or unusual skin growths promptly to your doctor. If you have any questions please do not hesitate to ask a member of the nursing or medical staff, or call the Dermatology/Skin Cancer Specialist Nurse: Basal Cell Carcinoma Mihaela Savu Tel: 01935 384906 Mobile: 07990 776684 or email: [email protected] Plastics Secretary Tel: 01935 384887 Dermatology Secretary Tel: 01935 384871 Dermatology & Plastic Surgery wwww.yeovilhospital.nhs.uk Leaflet No: 41002013 08/2013 Review Date: 08/2015 We hope this leaflet will help you understand a little more about this condition. If you have any further questions, please do not hesitate to ask the nursing or medical staff. They will be happy to help you. Common treatments include: What do I do now? Surgery under local anaesthetic What is a Basal Cell Carcinoma (BCC)? Treatment creams The mark left by your treatment will soon settle and you will be left with a scar. You should keep an eye on this scar to look for signs of the problem returning. If you get new scabbing or a shiny bump ask your GP for their opinion and they can send you back to the Dermatology Department for a further examination. You have been diagnosed as having a Basal Cell Carcinoma, or BCC. This is sometimes called a Rodent Ulcer. Basal Cell Carcinoma is the most common form of skin cancer. It grows very slowly, mainly on the face and neck, with a raised pearly edge. This condition changes very slowly and is generally thought not to spread to other parts of the body. Treatment with a cold spray of liquid nitrogen (Cryosurgery) Radiotherapy Risks and Complications If a specific treatment has been offered, then please read the information leaflet relevant to that treatment. The doctor will discuss any risks or complications associated with this treatment with you. If you have any questions please feel free to ask. You may get more BCCs and it is important that you keep an eye on the rest of your skin for signs of new ones. If you notice a new mark that does not go away after a few months, ask your GP for their opinion. This is especially important for marks that bleed, itch or are getting bigger. Is the condition likely to return ? Self assessment is very important because patients are not routinely followed up in the Dermatology Department following treatment of their BCC. This is because the treatment for BCC is very effective and the likelihood of it returning is extremely small. If it is left untreated, the BCC will continue to grow. As the BCC becomes larger it will bleed very often and start to destroy surrounding structures, even down to the underlying bone. 95% of patients need no further treatment but occasionally the condition returns. If the condition returns it would be as a scab or small shiny bump in the scar from the original lesion. A BCC can spread into a surrounding nerve and destroy it. But this is very rare. Will I get further problems ? How can I prevent getting more BCCs ? What kind of treatment can I expect? The type of treatment depends on the place on the body that is affected, the size of the affected area, and how you feel about the options that the doctor will discuss with you. People who have had one BCC could get others. This is not because BCCs spread, but because some people have the type of skin prone to this problem and they may have been exposed to more than the average amount of sunshine. Protecting yourself from strong sunshine will help prevent your skin from ageing and should reduce the chances of you developing more wrinkles, brown marks, Actinic keratoses and BCCs.