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Basal cell carcinoma! mohs? |
does anyone have experince of mohs (micrographic surgery) to treat basal cell carcinoma on the face. Although the exact etiology of Basal Cell Carcinoma - BCC - is unknown, a well-established relationship exists between BCC and the pilosebaceous unit, as tumors are most often discovered on hair-bearing areas. Tumors are currently believed to arise from pluripotent cells (which have the capacity to form hair), sebaceous glands, and apocrine glands. Tumors usually arise from the epidermis or the outer root sheath of a hair follicle. In nearly all cases, the recommended treatment modality for BCC is surgery. While newer, nonsurgical therapeutic modalities are future possibilities, currently available medical modalities are considered to be experimental, with cure rates less than that of surgical modalities. The goal of therapy for patients with BCC is removal of the tumor with the best possible cosmetic result. By far, surgical modalities are the most studied, most effective, and most used treatments for BCC. The effectiveness of surgical modalities depends heavily on the surgeon's skills; considerable differences in cure rates have been observed among surgeons. Modalities used include electrodesiccation and curettage, excisional surgery, Mohs micrographically controlled surgery, and cryosurgery. Ionizing radiation, although a nonsurgical modality, should be considered in select patients. Mohs micrographic surgery is an advanced treatment procedure for skin cancers which offers the highest potential for recovery 鈥?even if the skin cancer has previously been treated. This procedure is state-of-the-art treatment in which the physician serves as surgeon, pathologist and reconstructive surgeon. Cancer is caused by poor nutrition (including oxygen) and stressors. Stressors can be environmental, like heavy metals, food additives or pollution, or emotional or job stress. |
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