Laser Basil Removal
Basaloma or basal cell carcinoma is one of the types of skin cancer. The tumor is formed by atypical cells of the follicular epithelium and basal cells of the epidermis and is localized mainly in the open areas of the body, often on the face.
It is a common but least dangerous form of neoplasm. The only method of treatment that allows you to finally get rid of the tumor and significantly reduce the risk of recurrence is to remove it. Among the variety of modern techniques, the most effectiveremoval of basiolioma by laser. Why do modern oncologists give preference to the treatment of this type of cancer laser technology, - we will discuss below.
What is the laser removal of the basal cell?
The effectiveness of laser surgical intervention in dermatological practice is associated with superficial localization of objects of manipulation and more or less the same adsorption of laser radiation by all layers of the skin, which leads to ablation (amputation or removal) of the pathological tissue.
In our country, the Lancet CO2 laser is most often used. The device allows you to work in CW-mode (continuous mode), which is used to vaporize the malignant tumor (evaporation of the tissue layer by layer) without damaging the healthy tissue.
Advantages of the methodology
First of all, the laser is indispensable for the removal of tumors localized in hard-to-reach places (behind the ear, eyelids or corners of the eyes). Additional benefits of laser surgery include:
- the possibility of a dosed effect on the tissue;
- painless intervention;
- contactlessness and relative lack of blood;
- absence of scars;
- short rehabilitation period.
The procedure itself takes only 20-30 minutes.
The drawbacks of laser surgery include the presence of contraindications and the risk of postoperative complications. But the first factor is characteristic for other methods, and the negative consequences of the intervention, in most cases, can be ruled out, following the recommendations of the attending physician.
Preliminary tests and examinations
One of the features of basal cells is the fact that it can not be diagnosed with the help of a blood test for oncomarkers. To make the correct diagnosis, the patient will have to undergo a series of diagnostic measures.
- Before treatment, the oncologist carefully collects an anamnesis.
- Determines the level of the pathological process, for which the patient passes a magnetic resonance or computer tomography.
- Assign microscopic analysis of tumor cells. For this purpose, a scraping of the neoplasm is taken or a sterile slide is applied to it.
Only after clarifying the stage of basal cancer, the oncologist decides on the advisability of using a laser.
How does the procedure work?
Laser removal of small-sized basal cells begins with treatment with antiseptic drugs and subsequent analgesia of the area of exposure by splitting it with local anesthetics. Under the influence of narrow-beam laser radiation, tissues affected by malignant process warm up and evenly "evaporate". In this case, the tool does not come into contact with the skin, which excludes the possibility of infection of the wound.
In parallel with this, high temperatures are exerted on the surrounding tissues, stimulating the multiplication of their cells and the formation of collagen, which explains the accelerated healing process. The removed tumor is sent for histological examination.
During the procedure, the patient can feel only a slight tingling in the treated area.
To minimize the risk of relapse, it is necessary to remove not only the tumor itself, but also several millimeters of healthy surrounding tissue.
Some varieties of basalomas are characterized by resistance to simple irradiation with a carbon laser. Photodynamic therapy is additionally applied for their treatment. Its essence is to enhance the photosensitivity of the affected tissues with the help of special drugs (methylaminolevulinate or aminolevulinic acid). Usually, these funds are injected, but it is also possible to use topical solutions in the form of ointments.
Laser removal of basal cell with photodynamic therapy will be conducted as follows:
- Diagnosis of basal cell carcinoma.
- Introduction of photosensitizer.
- After 1-2 hours - laser removal.
Photosensitizing drugs do not work well with local anesthetics, so the intervention is done without anesthesia. But the pain is transferred easily, so the procedure takes a little time.
Clinical studies show that laser removal in combination with photodynamic therapy reduces the incidence of tumor recurrence from 78 to 88%.
To understand how effectively the use of laser technology in the treatment of basal cell carcinoma, it is necessary to consider its types:
- Nodal - represents a convex mole covered with a vascular network. The top of the growth can burst and become crusted.
- Superficial - most often localized on the face. The tumor is slightly raised above the surface of the skin and resembles a reddish stain with indistinct boundaries.
- Cicatricial - a tumor resembling a scar, looks like a healthy skin. Scarring basal cell recur in 50% of cases.
- Ulcerative is the most dangerous and hard-to-treat type of basal cell carcinoma. A tumor is an ulcerated formation with slightly raised edges resembling a roller.
The laser technique is effective for all these types, except ulcerative, since there is an open wound surface here.
Recovery period and possible complications
Since there is no contact with the treated tissues during the intervention, and simultaneous coagulation vessels minimizes bleeding, the patient does not need special post-operative care with medical staff.
1-2 days after the procedure, a crust is formed on the treatment site, which gradually dries up and disappears on its own. The healing process usually takes from 14 to 20 days.
The patient must follow a minimum of recommendations:
- Treatment of the damaged area with antiseptics at least 1-2 times a day.
- Avoid contact with water and direct sunlight.
- Refusal to visit the solarium, baths and saunas.
When using photosensitizers, healing takes longer (up to 30 days). Patients note:
- puffiness, redness and flaking of the wound;
- morbidity, which is removed by non-steroidal anti-inflammatory drugs;
- a strong itch, to cope with which will help ointment based on gyuksizona.
It is strictly forbidden not only to stay in the sun, but also to be in a room brightly lit by LED and electric lamps.
As for the complications, in most cases, they arise by mistake of the doctors themselves, admitted in the choice of medical tactics, assessment of the status of the patient or the nature of the pathological process. And also if the patient does not follow the recommendations of the attending physician.
The cost of the service depends on the complexity of the procedure. Average,removal of basiolioma by lasercan cost from 6 000 to 11 000 rubles, and in case of a deep spread of the pathological process with germination in the muscle and bone tissue - up to 20 000 rubles..