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Basal Cell Carcinoma (BCC) Risks and complications 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. 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. What is a Basal Cell Carcinoma (BCC)? Is the condition likely to return? You have been diagnosed as having a Basal Cell Carcinoma, or BCC. This is sometimes called a Rodent Ulcer. 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. 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 does not spead to other parts of the body. If it is left untreated, the BCC will continue to grow. As the BCC becomes larger it can bleed and start to destroy surrounding structures, even down to the underlying bone. 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. Common treatments include: • surgery under local anaesthetic • treatment with a cold spray of liquid • nitrogen (cryosurgery), • radiotherapy • treatment creams Will I get further problems? 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. What do I do now? 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 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. 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. How can I prevent getting more BCCs? Protecting yourself from strong sunshine will help prevent your skin from ageing and should reduce the chances of you developing more wrinkles, brown marks, sun damage and skin cancer. Protection from sunshine means: • Stay in the shade 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. • Remember to take extra care with children. Young skin is delicate, keep babies out of the sun around midday. • Then use factor 30+ sunscreen with broad, spectrum 4 star rating 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. Contact details Please do not hesitate to contact our Skin Cancer Nurse Specialists Karen Curtis or Joanna Macdonald for any further information. Telephone 01823 3444956 Fax 01823344991 Email: [email protected] [email protected] Basal Cell Carcinoma Dermatology K Curtis/Nov14/review Nov16