Skin Cancer Treatment

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The most common head and neck cancer is basal cell cancer of the skin. Fortunately, this is rarely a major problem if treated early. Basal cell cancers appear most often on sun-exposed areas like the nose, forehead, face, and ears, although they can occur almost anywhere on the skin.

Basal cell cancer often begins as a small, pale patch that enlarges slowly, producing a central "dimple" and eventually an ulcer, which can scab and bleed. Some basal cell cancers show colour changes.

Other kinds of cancer, including squamous cell cancer and malignant melanoma, also occur on the skin of the head and neck. Most squamous cell cancers occur on the lower lip and ear. They may look like basal cell cancers and, if caught early and properly treated, usually are not much more dangerous. If there is a sore on the lip, lower face, or ear that does not heal, consult your GP and arrange a referral.

Malignant melanoma classically produces dense blue-black or black discolorations of the skin. However, any mole that changes size, colour, or begins to bleed may be trouble. A black or blue-black spot on the face or neck, particularly if it changes size or shape, should be seen as soon as possible by a dermatologist.

Most skin cancers need surgical resection to remove the entire tumour. Further treatments may be necessary, depending on the type of skin cancer. Reconstruction of the defect after skin cancer surgery is challenging and the surgeons of the North Hampshire ENT partnership have had many years of experience of this type of surgery in both the NHS and private sectors.

British Association of Dermatologists guidelines

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