In this case, the oncosurgeon must carefully examine the edges of the tumor before the operation using a special magnifying device or a simple magnifying glass. In the future, focusing on the edges of the tumor, its wedge-shaped resection is performed. Depending on the size of the tumor, a certain distance is retreated from it in order to minimize the likelihood of residual tumor cells in the wound and prevent recurrence. US and Western schools disagree on the amount of the required indent.
Based on the foregoing, it follows that an increase in indentation reduces the likelihood of relapses, but leaves a more pronounced postoperative defect. However, it is important to note that even with the maximum indentation, the probability of tumor recurrence remains within 2–3%. This is due to the specificity of oxcarbazepine cell skin cancer, namely, its ability to grow along blood vessels and nerves over considerable distances.
Surgical methods such as laser therapy and cryotherapy deserve special attention. They are mainly used for small tumors. Their advantage is atraumaticity and fast healing rates. However, there is a certain pattern here as well. The success of this method in skilled hands reaches 97% for small tumors, however, with an increase in the size of trileptal pills, the chance of recurrence also increases. Today, MOHS surgery is considered the most advanced surgical method for removing basaliomas. This method was proposed in the 30s of the last century and consists in layer-by-layerth removal of the tumor and its parallel histological examination. In more detail, the operation is performed as follows.
First, the tumor is classically removed, observing the necessary indents. The wound, meanwhile, is tamponed, but not sutured, and the patient is sent to a special ward where he can rest.
The tumor itself is sent to the laboratory, where the laboratory assistant, using special equipment, divides it into many thin layers, each of which is examined under a microscope after appropriate staining. The tumor is considered completely removed if in all sections the pathological tissue is surrounded by healthy tissue on all sides. If at any level contact of the tumor tissue with the edge of the cut is detected, then the patient is called again, and an additional piece of tissue is exfoliated in the indicated area, which is also sent to the laboratory. Thus, in stages, the tumor is completely removed along with all the branches. The duration of such an operation takes an average of 8 hours, but there were cases when the operation, with all the interruptions, lasted 2-3 days. The duration of the method is justified by the highest rates of cure and the lowest percentage of recurrence, which in some advanced clinics reaches tenths of a percent.
Basalioma of the first stage At the first stage of basalioma treatment by all existing methods in the form of monotherapy is acceptable. Thus, the tumor can be treated with surgery, radiation or chemotherapy. Cryotherapy and laser burning of tumors enjoy great success. With small sizes, the probability of successful treatment without recurrence will be up to 97%. Only the MOHS surgery described earlier can boast of such a result. Non-surgical treatment is also often successful, but in this case it is necessary to take into account the histological type of the tumor in order to choose the drug for which it will give the greatest regression.
Basalioma of the fourth stage In the case when the removal of the tumor is more beneficial than no treatment, the operation is performed. However, when the tumor spreads to vital structures, it is necessary to refrain from surgery. Radiation therapy of tumors of Trileptal pills size can lead to only a slight decrease in its size and very pronounced side effects. General chemotherapy treatment can also ensure a recurrence of the disease for a certain period of time, but this happens quite rarely. Under certain circumstances, it makes sense to perform a palliative operation in order to reduce compression of the structures surrounding the tumor and improve its sanitary condition.
Basalioma of the third stage In this case, treatment is carried out in 2 - 3 stages. Two-stage treatment is carried out as in the second stage. Three-stage treatment involves an additional course of treatment with chemotherapy drugs or ionizing radiation to shrink the tumor before removing it. Cryotherapy and laser techniques are not used for tumors of this size. Basalioma: photo, symptoms, treatment, stages and prognosis of life. Basalioma is a tumor formed from the basal cells of the dermis. Belongs to the group of skin cancer. The nature of the basalioma is malignant. It develops only on the surface of trileptal pills of the face and on the head. Despite the malignant nature, basalioma does not metastasize. The disease is easily treatable. Characteristics of the disease. Basalioma of the skin (basal cell carcinoma) looks like open sores on the surface of the skin. Recently diagnosed in 80% of patients after 50 years. It is very rare in young people and children. Men are more prone to this disease than women.
The disease develops only on the dermis of any area of the skin. Usually located on the nose, around the eye - in the upper or lower eyelid, ear, forehead, scalp, temporal region. It occurs on the cheek, on the skin of the neck, upper lip, on the shoulder, on the arm, in the back area. It is more often found on the face - up to 90% of all cases. In other cases, it is fixed on the leg or arm and body.
Basalioma is a malignant tumor. A neoplasm develops without the presence of a capsule and a specific membrane. Malignant cells immediately penetrate the tissue, provoking the destruction of healthy structures. Germination occurs both in depth and in width, which is accompanied by the expansion of the affected focus. Penetrating in depth, the node can affect the tissues of the subcutaneous adipose tissue. There is a direct relationship between the width of the node and germination in depth - the wider the area of the outer area of the neoplasm, the deeper the skin layer is affected.
The disease quickly penetrates deep into the skin layer, but increases in size by only 5 mm per year. Therefore, it is considered slowly progressive, which means that it can be easily cured.