Key Treatment

Mohs surgery (3 studies, n = 2660) is the "gold standard" but is not needed for all basal cell carcinomas. Recurrence rate was 0.8 to 1.1. Systematic review also showed the following (Thissen et al., 1999) (SOR: A):

Surgical excision (3 studies, n = 1303): recurrence rate was 2 to 8. Mean cumulative 5-year rate was 5.3. Recommended margins are 4 to 5 mm.

Curettage and desiccation (6 studies, n = 4212): recurrence rate was 4.3 to 18.1. Cumulative 5-year rate was 5.7 to 18.8. Three cycles of curettage and desiccation can produce higher cure rates then one cycle.

Cryosurgery (4 studies, n = 796): recurrence rate was 3.0 to 4.3. Cumulative 5-year rate (3 studies) was 0 to 16.5. Superficial BCC is effectively treated with imiquimod 5% cream (Gollnick et al., 2005) or 5-FU cream (Gross et al. 2007) (SOR: B).

Figure 33-82 Sclerosing basal cell carcinoma. © Richard P. Usatine and The Skin Cancer Foundation)

Figure 33-83 Pigmented nodular basal cell carcinoma. ©J Richard P. Usatine.)

Supplements For Diabetics

Supplements For Diabetics

All you need is a proper diet of fresh fruits and vegetables and get plenty of exercise and you'll be fine. Ever heard those words from your doctor? If that's all heshe recommends then you're missing out an important ingredient for health that he's not telling you. Fact is that you can adhere to the strictest diet, watch everything you eat and get the exercise of amarathon runner and still come down with diabetic complications. Diet, exercise and standard drug treatments simply aren't enough to help keep your diabetes under control.

Get My Free Ebook


Post a comment