Basal cell carcinoma
https://en.wikipedia.org/wiki/Basal-cell_carcinoma
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Basal cell carcinoma ikhoza kukhala ndi malire komanso zilonda zosakhazikika.

Basal cell carcinoma nthawi zambiri samazindikiridwa molakwika ngati nevus ku Asia. Pigmented basal cell carcinoma amapezeka pafupifupi pamphuno.

Basal cell carcinoma iyenera kuganiziridwa ngati nodule yodutsa pamalire yomwe imawonekera.

Basal cell carcinoma ili ndi mawonekedwe osakhazikika. Nthawi zambiri, izi sizidziwika bwino ngati intradermal nevus.

Itha kuzindikira ngati intradermal nevus.


Basal cell carcinoma zitha kuganiziridwa ngati njerewere.


Basal cell carcinoma imathanso kuoneka ngati chilonda. Pankhaniyi, imayenera kusiyana ndi squamous cell carcinoma.


Kwa anthu a ku Western, Basal cell carcinoma imawoneka ngati nodule yodutsa yokhala ndi telangiectasia.


Basal cell carcinoma ili ndi mawonekedwe ofanana ndi chizindikiro cha kubadwa, koma kuti chotupacho chikhala nodule yolimba, ndiyofunikira kuti chisiyanise ndi nevus.

Ngakhale zingafanane ndi intradermal nevus (benign), ndizofunikira kuzindikira kuti chotupa cha Basal cell carcinoma ndi chovuta.

Ku Asia, chochitika cha Basal cell carcinoma chimawoneka ngati cholimba cha kuda chokhala ndi malire otuluka.

Basal cell carcinoma iyenera kusiyanitsidwa ndi melanoma chifukwa ili ndi chidziwitso chabwinoko kuposa melanoma.

Ngati zigamba zofalikirazi zili zolimba mpaka kukhudza, zimasonyeza matenda a Superficial basal cell carcinoma.


Itha kuoneka ngati intradermal nevus.
relevance score : -100.0%
References
Basal cell carcinoma: pathogenesis, epidemiology, clinical features, diagnosis, histopathology, and management 26029015 NIH
Basal cell carcinoma (BCC) ndi mtundu wofala kwambiri wa khansa yapakhungu. Kuwala kwa khansa ndiko chizindikiro chachikulu. Pafupifupi, milandu yonse ya BCC imawonetsa kusankha kwa Hedgehog pakuwunika kwa maselo. Mankhwala osiyanasiyana amapezeka ndikusankhidwa malinga ndi chiopsezo chozabwereranso, kufunika kwa kusunga minofu, zokonda za odwala, ndi kukula kwa matenda.
Basal cell carcinoma (BCC) is the most common malignancy. Exposure to sunlight is the most important risk factor. Most, if not all, cases of BCC demonstrate overactive Hedgehog signaling. A variety of treatment modalities exist and are selected based on recurrence risk, importance of tissue preservation, patient preference, and extent of disease.
Update in the Management of Basal Cell Carcinoma 32346750 NIH
Basal cell carcinomas ndi mtundu wofala kwambiri wa khansa yapakhungu mwa akulu akhungu loyera azaka zapakati pa 50 ndi kupitilira. Chiwerengero chawo chikukwera padziko lonse lapansi, makamaka chifukwa cha kuwala kwa dzuwa. Mitundu ina ya majini imatha kupangitsa anthu kukhala ndi chizolowezi chopanga khansa iyi ali achichepere. Basal cell carcinomas zimasiyanasiyana kuuma kwake, kuyambira ku zotupa zapakhungu zomwe zimatha kuchira mosavuta mpaka zokulirapo zomwe zimafunikira kukambirana m'magulu apadera azachipatala. Kudziwiratu kumadalira kuthekera kwa khansara kubwerera kapena kutha kwake kuwononga minofu yapafupi. Opaleshoni ndiye chithandizo chokhazikika nthawi zambiri, kuonetsetsa kuti achotsedwa bwino komanso mwayi wochepa wobwereza. Njira zocheperako zimatha kuchiza zilonda zam'mwamba.
Basal cell carcinomas are the most frequent skin cancers in the fair-skinned adult population over 50 years of age. Their incidence is increasing throughout the world. Ultraviolet (UV) exposure is the major carcinogenic factor. Some genodermatosis can predispose to formation of basal cell carcinomas at an earlier age. Basal cell carcinomas are heterogeneous, from superficial or nodular lesions of good prognosis to very extensive difficult-to-treat lesions that must be discussed in multidisciplinary committees. The prognosis is linked to the risk of recurrence of basal cell carcinoma or its local destructive capacity. The standard treatment for most basal cell carcinomas is surgery, as it allows excision margin control and shows a low risk of recurrence. Superficial lesions can be treated by non-surgical methods with significant efficacy.
European consensus-based interdisciplinary guideline for diagnosis and treatment of basal cell carcinoma-update 2023 37604067Chithandizo choyambirira cha BCC ndi opaleshoni. Kwa BCC yowopsa kapena yobwerezabwereza, makamaka m'madera ovuta, opaleshoni yomwe imagwiritsidwa ntchito ndi micrographically ikulimbikitsidwa. Odwala omwe ali ndi chiwopsezo chochepa cha BCC amatha kuganizira zachipatala kapena njira zowononga. Thandizo la Photodynamic limagwira bwino pa BCC zomwe zili bwino komanso opanda chiopsezo chochepa. Kwa BCC yapamwamba kapena metastatic, Hedgehog inhibitors (vismodegib, sonidegib) amalimbikitsidwa. Ngati pali kukwera kwa matenda kapena kusalolera kwa Hedgehog inhibitors, immunotherapy ndi anti‑PD1 antibody (cemiplimab) ingaganizidwe. Radiotherapy ndi njira yabwino kwa odwala omwe sangathe kuchitidwa opaleshoni, makamaka odwala okalamba. Electrochemotherapy ikhoza kuganiziridwa ngati opaleshoni kapena radiotherapy sichotheka.
The primary treatment for BCC is surgery. For high-risk or recurring BCC, especially in critical areas, micrographically controlled surgery is recommended. Patients with low-risk superficial BCC might consider topical treatments or destructive methods. Photodynamic therapy works well for superficial and low-risk nodular BCCs. For locally advanced or metastatic BCC, Hedgehog inhibitors (vismodegib, sonidegib) are recommended. If there's disease progression or intolerance to Hedgehog inhibitors, immunotherapy with anti-PD1 antibody (cemiplimab) can be considered. Radiotherapy is a good option for patients who can't have surgery, especially older patients. Electrochemotherapy could be considered if surgery or radiotherapy isn't an option.
Zinthu zowopsa zimaphatikizapo kuwala kwa ultraviolet, chithandizo cha radiation, kuwonetsa kwanthawi yayitali ku arsenic komanso kusagwira bwino ntchito kwa chitetezo chamthupi (monga kupatsirana chiwalo). Kuyatsa kwa UV kumabweretsa vuto lalikulu.
Pambuyo pokhazikitsa kuti ndi basal cell carcinoma kudzera mu biopsy, chithandizo chimaphatikiza kuchotsa khansa. Izi zitha kuchitika mwa kudula kosavuta ngati khansara ndi yaying'ono; ngati khansara si yaying'ono, kuchotsa kwa Mohs nthawi zambiri imalimbikitsidwa.
Basal cell carcinoma imatenga pafupifupi 32% ya khansa zonse padziko lonse. Pa khansa yapakhungu, pafupifupi 80% ndi basal‑cell carcinoma. Ku United States, pafupifupi 35% ya amuna oyera ndi 25% ya akazi oyera amakhudzidwa ndi basal cell carcinoma pa nthawi ina ya moyo wawo.
○ Kuzindikira ndi Chithandizo
#Dermoscopy
#Skin biopsy
#Mohs surgery