What is basal cell carcinoma?
Basal cell carcinoma (BCC) is the most common form of skin cancer, often linked to long-term exposure to ultraviolet (UV) rays from the sun or tanning beds. It typically develops in the basal cells of the epidermis—the outermost layer of the skin—and usually grows slowly, which makes it highly treatable when caught early.
How does basal cell carcinoma appear on the skin?
BCC can present in various ways. Often, it appears as a pearly or waxy bump with tiny blood vessels visible on the surface. Sometimes it may show up as a flat, scaly, reddish patch with a slightly raised edge. In rarer cases, such as the morpheaform type, it appears white, waxy, and lacks a clear border.
What causes basal cell carcinoma?
Long-term UV exposure from sunlight or tanning devices is the primary cause of basal cell carcinoma. Other risk factors include having fair skin that burns easily, a family or personal history of skin cancer, increased age, and certain immune-suppressing medications.
Who is most at risk for developing basal cell carcinoma?
People with fair skin, light hair, and blue or green eyes are at higher risk. Other risk factors include history of sunburns, extensive sun exposure, use of tanning beds, family history of skin cancer, age over 40, previous skin cancer, weakened immune system, and exposure to radiation or arsenic. Men are slightly more likely to develop BCC than women.
Is basal cell carcinoma dangerous?
While BCC rarely spreads (metastasizes) to other parts of the body, it can become locally invasive if left untreated. This means it can grow wide and deep into the skin, potentially affecting nearby bone and tissue, causing disfigurement and repeated recurrences. Early detection and treatment are crucial to prevent complications and minimize scarring.
What happens if basal cell carcinoma is left untreated?
Without treatment, basal cell carcinoma can continue to grow and become more invasive, potentially damaging surrounding skin, tissues, and bone. The longer it goes untreated, the higher the chance of recurrence and complications.
How is basal cell carcinoma treated at TMSC?
At The Minor Surgery Center (TMSC), our surgeons carefully excise the lesion with appropriate margins to ensure all cancerous cells are removed. The excised tissue is then sent for pathology analysis to confirm clear margins. Early detection and complete removal typically result in high cure rates and minimal complications.
What are the different treatment options for basal cell carcinoma?
Treatment options include surgical excision (most common), Mohs surgery for complex cases, electrodesiccation and curettage, cryotherapy (freezing), topical medications for superficial types, and radiation therapy in specific cases. The choice depends on the size, location, type of BCC, and patient factors. Our surgeons will recommend the most appropriate treatment for your specific case.
Will there be scarring after the procedure?
Some scarring is inevitable with any surgical procedure. However, at TMSC, our surgeons use refined techniques to minimize scarring. The degree of scarring can also depend on factors like the size and location of the lesion, as well as individual healing characteristics.
How long does the procedure take?
Most basal cell carcinoma removal procedures take 30-60 minutes, depending on the size, location, and complexity of the lesion. This includes preparation, local anesthesia, excision, and wound closure. You can typically return home the same day with minimal downtime.
What is the recovery process like?
Recovery is typically straightforward with proper wound care. You'll need to keep the area clean and dry, follow dressing change instructions, and avoid strenuous activities for a few days. Most patients experience minimal discomfort, which can be managed with over-the-counter pain relievers. Stitches are usually removed 7-14 days after surgery, depending on the location.
Does Ontario Health Insurance Plan (OHIP) cover basal cell carcinoma treatment?
Yes, treatment for basal cell carcinoma in Toronto is generally covered by OHIP. This means that most of the cost associated with removing a basal cell carcinoma lesion, including surgical fees, is covered, making treatment more accessible and affordable for eligible patients.
What costs might not be covered by OHIP?
While the medical treatment is covered, some additional costs may apply for premium services such as private consultation fees, upgraded wound care supplies, or cosmetic enhancements. We'll discuss any potential additional costs during your consultation so you can make an informed decision about your care.
How can I prevent basal cell carcinoma?
Prevention focuses on sun protection: use broad-spectrum sunscreen (SPF 30+) daily, wear protective clothing and wide-brimmed hats, seek shade during peak hours (10 AM - 4 PM), avoid tanning beds, and perform regular skin self-examinations. Early detection through routine skin checks with a dermatologist is also crucial, especially if you have risk factors.
How often should I have skin checks after treatment?
After basal cell carcinoma treatment, regular follow-up appointments are important. We typically recommend check-ups every 6-12 months for the first few years, then annually. People who have had one BCC have a higher risk of developing additional skin cancers, so ongoing surveillance is crucial for early detection and treatment.
Why should I choose TMSC for my basal cell carcinoma treatment?
TMSC offers board-certified surgeons with extensive experience in skin cancer removal. We perform procedures in a safe and state-of-the-art facility, ensuring patient comfort, minimal scarring, and comprehensive follow-up care. Our patient-centered approach puts your health, safety, and cosmetic outcome first.
What makes TMSC different from other treatment centers?
TMSC specializes in minor surgical procedures with a focus on skin cancer treatment. Our dedicated facility allows for personalized care, shorter wait times, and specialized expertise in skin cancer removal. We combine medical excellence with a comfortable, patient-focused environment, ensuring you receive the highest quality care throughout your treatment journey.
