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Basal cell carcinoma is the most common form of skin cancer. It is a relatively harmless form of skin cancer that grows slowly and generally only causes problems in the skin. Depending on the type of growth, there are several treatment options, both non-invasive (creams) and invasive (surgery). In patients with many or more complex basal cell carcinomas, there is a reason for regular check-ups with the dermatologist.
Non-invasive (creams)
For basal cell carcinomas growing only in the epidermis, several cream treatments are available. These treatments clear the basal cell carcinoma by inhibiting cell division (5-Fluorouracil cream = Efudix®) or by an immune response (Imiquimod cream = Aldara®). At the site, a kind of abrasion forms temporarily, which heals with new healthy skin.
Excision
Basal cell carcinoma excision is a suitable treatment for all forms of basal cell carcinoma. The treatment is performed under local anaesthesia and the wound is sutured. The treatment takes about half an hour. The excised tissue is sent for laboratory tests to ensure that the basal cell carcinoma is completely gone.
Slow Mohs' technique
The slow Mohs' technique is a special way of cutting away a basal cell carcinoma if it is difficult to demarcate with the naked eye or is in an anatomically difficult place. It is a procedure under local anaesthesia. The excised tissue is examined under the microscope to see if the basal cell carcinoma has been completely removed. Pending the laboratory examination, the wound remains open. If it is known that the basal cell carcinoma has been completely removed, the wound is sutured. If it turns out that there are still basal cell carcinoma cells present, some additional skin is removed precisely there. In this way, healthy tissue is spared.