Last updated 1 day 4 hours ago
By James A Solomon, MD PhD
Director Ameriderm Research, the Research Division of ADCS
Basal Cell Carcinoma (BCC) is the most common cancer for adults in the US and Western Europe. About 1/3 of these people will develop a BCC during their lifetime. This may also be expressed as about 1 to 1.5 people /1000 population/ year. This rate is about double that seen in the 1980s. Typically they are small pearly nodules with a central ulcer; about 1/3 appear on the head and neck. They grow slowly. For the most part BCCs are easy to treat and cure. They may be removed surgically by a simple excision or Moh’s microscopically controlled surgery, electrodessication and curettage (burning/ scraping), or laser.
Throughout my training and practice, I have heard medical students and patients being taught …”if you are to get a cancer in your life, BCC is the one you should chose; no one dies from it and usually it can be removed without a trace; black people never get skin cancer” For my entire career, I have known these statements to be false. As a research fellow at Roswell Park Memorial Institute (RPMI), the first cancer hospital in the US, I saw a basal cell carcinoma mutilate and kill a a 59 year old black patient. She presented to the RPMI emergency room complaining of a headache. She had a large bandage covering one side of her face. When the bandage was removed it revealed the entire side of her face as a tumor exposing her teeth and the interior of her nasal cavity. The tumor invaded her brain and ultimately killed her. Thus, although a vast majority of BCC are diagnosed and treated in time, there remains a small but definitive group that can lead to disfigurement and death.
The incidence of these aggressive or advanced BCC (aBCC) is about 0.1%. The predicted prevalence in the US with a population of ~ 317,000,000 would then be ~ 317,000 individuals. Recently, a prescription oral medication has become available to helps treat these aggressive BCCs.
In addition, to the problems associated with aBCCs there are patients who present with multiple BCCs simultaneously. About 25% of individuals who get one BCC will get a second one. These individuals then are at even high risk to get a third, and so forth. The timing between each subsequent BCC is typically less than the previous period. Of those patients with multiple BCC some start developing multiple lesions almost simultaneously, such that they may have at least 6 if not a dozen at the same time. Furthermore, there is a genetic disorder referred to as Basal Cell Nevus Syndrome wherein these people develop multiple simultaneous BCCs as early as theirs teens or even before.
Last updated 1 day 5 hours ago
Washing your face each night removes makeup, dirt, oil, and other irritants that can detract from the look of your skin. Following a healthy skin care routine will keep your skin looking smooth, refreshed, and clear.
This video discusses the proper steps you should take each night to care for your skin. Wash your face with soap and water before applying makeup remover. Next, apply toner to your skin, which helps your other skin care products work more effectively. Put on any skin care products, such as eye serum or retinol, before you apply a final coat of moisturizer.
At Advanced Dermatology & Cosmetic Surgery, our dermatologists can help you develop the right skin care routine for your needs. We offer a variety of dermatology services and products for healthy, vibrant skin. Click through our website or call (866) 608-9531 to learn more about us.
Last updated 1 day 8 hours ago
Please join Advanced Dermatology as we partner with Walgreens and La Roche-Posay to support Skin Cancer Awareness and good skin health. We will be doing skin cancer screenings at the Walgreen's in Winter Park (1920 Aloma Ave., Winter Park, FL 32792) from 1-7pm on Monday December 9th.
Come visit us at Walgreens so we can take a look at the spot on your skin you have been concerned about.
We look forward to seeing you there!
Last updated 13 days ago
Skin care doctors help us maintain healthy and beautiful skin, but some types of skin are more unique than others. Genital skin features a unique surface that can suffer from a variety of disorders. If you are getting ready to visit a skin care doctor regarding a genital skin concern, here's what you can expect:
Many men and women are too embarrassed by genital skin conditions to seek treatment. That is why it is important to find a skin care clinic that offers a comfortable and nonjudgmental atmosphere. The physicians at Advanced Dermatology & Cosmetic Surgery provide each patient with an unhurried visit to make every individual feel as comfortable as possible.
Detailed History and Careful Examination
After meeting with a skin care doctor, you will start reviewing your history. Patients should be prepared to discuss the history of their genital skin concerns to give their doctors a better understanding of their health. It is also important for patients to discuss their sexual activity history to help determine the cause of the abnormality. Doctors follow-up this conversation by performing careful examinations.
Discussion with the Physician Assessing Your Condition
Examinations allow our physicians to carefully inspect the genital skin to determine the cause and extent of the irregularity. Following this step, our skin care doctors share their thoughts with patients and provide a possible diagnosis. During this time, patients can ask questions to gain a better understanding of their condition.
Plan of Treatment
The last step of a genital dermatology visit involves creating a treatment plan. Our skin care doctors work with a variety of genital skin disorders, allowing them to prescribe an effective treatment plan when appropriate. Patients can get medication to find relief and learn how to take care of this skin in the future.
Discover more information about genital dermatology by contacting Advanced Dermatology & Cosmetic Surgery. Find the information you need or schedule an appointment with our skin care doctors by giving us a call at (866) 608-9531.