Différences entre versions de « Carcinome basocellulaire »
De médecine.top
Ligne 13 : | Ligne 13 : | ||
* Excision chirurgicale traditionnelle | * Excision chirurgicale traditionnelle | ||
* '''Chirurgie micrographique de Mohs''' | * '''Chirurgie micrographique de Mohs''' | ||
− | [[Fichier:31088117871 748893a873 k.jpg|500px|vignette|centré|Source:]] | + | [[Fichier:31088117871 748893a873 k.jpg|500px|vignette|centré|Source: Dundee University School of Medicine, Annie Campbell]] |
** It is appropriately used for cancers in the head and neck region, those that are large or recurrent, or in areas where tissue-sparing is critical for function (vital structures) | ** It is appropriately used for cancers in the head and neck region, those that are large or recurrent, or in areas where tissue-sparing is critical for function (vital structures) | ||
* Electrodessication et curettage: | * Electrodessication et curettage: |
Version du 12 mai 2020 à 09:49
Types
Carcinome basocellulaire nodulaire
Type le plus commun de BCC
- Lésion: nodule perlée, translucide avec présence de vaisseaux télangiectasiques. Nécrose centrale avec ulcère délimité (ulcus rodens)
Carcinome basocellulaire superficiel
DD actinic keratosis, squamous cell carcinoma in situ, or a patch of dermatitis such as psoriasis or nummular dermatitis.
Carcinome basocellulaire pigmenté
DD mélanome malin
Carcinome basocellulaire sclérodermiforme
- Lésion: bord de la lésion impossible à définir, texture de la peau ferme à la palpation
Although it is the least common, it is a high-risk, aggressive histologic subtype.
Prise en charge
- Excision chirurgicale traditionnelle
- Chirurgie micrographique de Mohs
- It is appropriately used for cancers in the head and neck region, those that are large or recurrent, or in areas where tissue-sparing is critical for function (vital structures)
- Electrodessication et curettage:
- Noninfiltrating basal cell carcinomas on low-risk areas such as the trunk and extremities are best treated with electrodesiccation and curettage.
- Cryochirurgie
- Chimiothérapie topique au 5-fluorouracile et imiquimod: BCC superficiel
- Radiothérapie: lésions non opérables
- Inhibiteurs de la voie Sonic-hedgehog vismodegib, sonidegib: pour tumeurs inopérables, métastatiques
Suivi
Follow-up skin examination every 6 to 12 months is recommended as the risk of developing another BCC is increased.
Références
- DO IT dermatology