Questions tagged [basal-cell-carcinoma]

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Why isn't fine needle aspiration (FNA) biopsy used to diagnose suspected facial basal cell carcinomas?

Given a neoplasm of uncertain behavior of skin on a patient's face that is suspected to be a basal cell carcinoma, the typical first step is to do a shave biopsy to determine the type of basal cell ...
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23 views

Why may a small basal cell carcinoma (BCC) treated with radiation be much more aggressive than it appears on the surface?

I read on https://www.skincancer.org/blog/ask-the-expert-why-am-i-having-surgery-to-remove-a-small-basal-cell-carcinoma/ (mirror): In addition, a small BCC in an area previously treated with ...
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58 views

Do 50% of individuals with a history of BCC will develop another one within 5 years of diagnosis regardless of the age of the individual?

https://skinio.com/education/basal-cell-carcinoma/ (mirror) says: Patients diagnosed with BCC should be examined by their dermatologist at least twice a year. Remember, 50% of individuals with a ...
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84 views

Which criteria are used to choose whether to perform a shave biopsy or a punch biopsy to diagnose suspected facial basal cell carcinomas?

Given a neoplasm of uncertain behavior of skin on a patient's face that is suspected to be a basal cell carcinoma (BCC), the typical first step is to perform a shave biopsy to determine the type of ...
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7 views

What's the success rate of Imiquimod Cream 5% recommended for the treatment of facial superficial basal cell carcinoma beyond 5 years post-treatment?

I have read several studies on the success rate of Imiquimod Cream 5% for the treatment of facial superficial basal cell carcinoma, however none of them looked at beyond 5 years post-treatment. E.g. {...
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13 views

Does ingesting itraconazole pills increase the likelihood of success for a topical cream (Imiquimod/5-Fluorouracil) to treat BCC?

The 2014 phase II trial {1} indicates that oral itraconazole is beneficial for the treatment of basal cell carcinoma (BCC). Imiquimod 5% cream and topical 5-Fluorouracil (5-FU) have also been used to ...
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17 views

What is the basal cell carcinoma subtype cooccurrence matrix? (I.e., given BCC subtype A, what's the likelihood of also having BCC subtype B)

In many basal cell carcinomas (BCC), the histology shows that they coexist more than one BCC subtype. For example, a patient may have 1 skin lesion that is diagnosed as BCC of subtypes superficial+...
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44 views

Why isn't Imiquimod Cream 5% recommended for the treatment of superficial basal cell carcinoma located on the face?

I read on Approval Package for Imiquimod Cream, 5% on February 25, 2010 (mirror): Reference Drug (NDA number): Aldara® (imiquimod) 5% Cream (NDA 20-723), Graceway Pharmaceuticals. Date of approval: 2/...
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25 views

How effective is topical fluorouracil to treat facial superficial basal cell carcinoma (BCC) after Imiquimod 5% cream failed to treat it?

Both Imiquimod 5% cream and topical 5-Fluorouracil (5-FU) have been used to treat basal cell carcinoma (BCC) with a fair amount of success (~60 to 90% success rate at 5-year follow-up) {1}. Imiquimod ...
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23 views

Should Imiquimod 5% cream be applied 1 cm beyond the target tumor when treating a facial basal cell carcinoma, and if so, why?

I read on https://www.accessdata.fda.gov/drugsatfda_docs/label/2004/20723s016lbl.pdf (mirror): 364 patients with primary superficial basal cell carcinoma (sBCC) were treated with Aldara Cream or ...
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1answer
72 views

Is Imiquimod 5% cream (US brand: Aldara) helpful as an adjunctive treatment of a facial basal cell carcinoma (BCC) prior to a Mohs surgery?

I wonder whether Imiquimod 5% cream (US brand: Aldara) is not helpful as an adjunctive treatment of a facial basal cell carcinoma (BCC) prior to a Mohs surgery. Helpful in this context means 1) ...
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1answer
57 views

How frequently does the use of topical fluorouracil cream result in permanent scarring and/or skin discoloration?

I wonder how frequently the use of topical fluorouracil cream results in permanent scarring and/or skin discoloration (e.g., hyper- or hypopigmentation). What I have found so far doesn't give any ...
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1answer
63 views

How effective is topical fluorouracil to treat facial superficial basal cell carcinoma (BCC)?

I wonder how effective topical fluorouracil is to treat facial superficial basal cell carcinoma (BCC). What I have found so far doesn't give any source supporting their claims or I cannot access them: ...
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27 views

How accurate is dermoscopy to predict if a skin lesion is a basal cell carcinoma (BCC), and if it is, whether it is superficial or aggressive form? [closed]

https://dermnetnz.org/cme/dermoscopy-course/dermoscopy-of-basal-cell-carcinoma/ mentions that one can use dermoscopy to diagnose basal cell carcinoma (BCC) and their subtype (nodular, superficial, etc....
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1answer
95 views

How frequently does the use of topical imiquimod result in permanent scarring and/or skin discoloration?

I wonder how frequently the use of topical imiquimod cream results in permanent scarring and/or skin discoloration (e.g., hyper- or hypopigmentation). What I have found so far doesn't give any source ...
-1
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1answer
56 views

Why isn't imiquimod cream used prior to performing a biopsy used for suspected facial basal cell carcinomas?

Given a neoplasm of uncertain behavior of skin on a patient's face that is suspected to be a basal cell carcinoma (BCC), the typical first step is to perform a shave biopsy to determine the type of ...
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1answer
72 views

What is the success rate of topical imiquimod 5% cream to treat infiltrative basal cell carcinoma (BCC)?

What is the success rate of topical imiquimod 5% cream (US brand: Aldara) to treat infiltrative basal cell carcinoma (BCC)? So far I've only found some case study {1} and some study on using topical ...