Non-melanoma skin cancer is a type of skin cancer that develops in the outer layers of the skin, particularly in the basal and squamous cells. The most common types are basal cell carcinoma (BCC) and squamous cell carcinoma (SCC).
While they are generally less aggressive than melanoma, non-melanoma skin cancers still warrant attention. Fortunately, early detection and treatment can yield very positive outcomes. For many of my patients, radiotherapy has resulted in excellent treatment outcomes.
Cancer Research reports that approximately 156,000 cases of non-melanoma skin cancer are diagnosed annually in the UK, making it the most prevalent cancer type. Non-melanoma skin cancer encompasses basal cell carcinoma, squamous cell carcinoma, and several rare forms. These cancers typically arise on skin areas that have had significant sun exposure.
The most common type of skin cancer is basal cell carcinoma(BCC), which accounts for approximately 80% of all skin cancer cases. I also treat squamous cell carcinoma, which can affect areas like the lips and the back of the hands. Both basal cell carcinoma and squamous cell carcinoma fall under the non-melanoma skin cancer (also known as NMSC) category.
Since non-melanoma skin cancer often appears in visible and sensitive areas of the face, it's really important to know all your treatment options before you decide. Considering how it might impact your appearance, along with the success rates of treatments, is something to think about carefully.
Surgery is the primary treatment for basal cell carcinoma (BCC). Yet, radiotherapy also plays a crucial role in treating this type of skin cancer, particularly in cosmetically sensitive areas such as the face, nose, and ears. For basal cell carcinoma located on the face, nose, or near the eyes, non-surgical methods often yield better cosmetic results while maintaining high cure rates. For many of my patients, radiotherapy has provided excellent outcomes without the need for tissue removal that surgery necessitates.
Addressing squamous cell carcinoma quickly is crucial, as it grows faster than basal cell carcinomas. Surgery is a common treatment method, but for squamous cell carcinoma on the face or lips, radiotherapy often yields better cosmetic results. The best treatment depends on your situation, but radiotherapy offers high cure rates while preserving appearance and function.
Radiotherapy offers several advantages over surgery when it comes to treating both basal and squamous cell carcinoma. As a non-invasive option, it’s perfect for those who prefer to steer clear of surgery or have health conditions that make surgical procedures riskier. Research shows that radiotherapy often leads to better cosmetic results for basal cell carcinoma located on the nose or other visible areas, allowing your skin to regenerate naturally without scarring. It has also been shown to be particularly advantageous for recurrent basal cell carcinoma, where surgery might not completely remove all cancer cells.
When treating skin cancer, external beam radiotherapy is one of my go-to treatments. Its benefits include precisely targeted therapy with calculated radiation doses, ensuring minimal impact on healthy tissue, excellent cosmetic outcomes and high cure rates for selected cases. Thanks to modern EBRT, I can achieve optimal outcomes for both basal cell carcinoma and squamous cell carcinoma through advanced planning and delivery techniques.
Rhenium-SCT (Skin Cancer Therapy) is a revolutionary treatment I promote for basal and squamous cell carcinoma in the UK. This approach involves a one-visit procedure that eliminates the need for surgery, guarantees excellent cosmetic outcomes, achieves high response rates, and causes minimal discomfort. Rhenium-SCT works by applying a radioactive paste directly to the affected area, delivering targeted radiation to cancer cells while protecting adjacent healthy tissue. After the treatment, no residual radioactivity remains, allowing you to leave the hospital immediately.
When exploring treatment options for advanced cases of metastatic squamous cell carcinoma or advanced basal cell carcinoma treatment, I offer a range of possibilities: immunotherapy, targeted therapy, and combination approaches. These treatments have proven to be especially helpful when surgery or radiotherapy alone cannot address the extent of the disease.
I also participate in clinical trials for skin cancer treatments. Thanks to the support from Cancer Research UK, these essential trials are conducted nationwide, resulting in impressive treatment breakthroughs. By participating in these trials, patients not only gain early access to innovative therapies but also contribute valuable insights for those who will follow in their footsteps. I can discuss whether any current trials might be suitable for your specific situation.
If you've been diagnosed with basal cell carcinoma or squamous cell carcinoma, prompt treatment can provide the best chance of cure with minimal impact on your appearance. Let me put my expertise and access to cutting-edge treatments to work for you.
Please do not feel constrained by the location of my practices in London; many of my patients live outside the capital and the UK. To accommodate those coming from afar, I offer initial video consultations to promptly develop personalised skin cancer care and treatment plans that meet your needs and can be implemented quickly.
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“I feel very lucky to have Dr Wilson as my clinical oncologist and I have enjoyed meeting him. He struck me as extremely able and he was very happy to explain my treatment to me in detail. Overall, I had the impression that my radiotherapy treatment was meticulously planned and executed.”
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Frequently asked questions
What is the most effective treatment for basal cell carcinoma?
The most effective treatment for basal cell carcinoma depends on the specific characteristics of your cancer. For many patients, radiotherapy offers cure rates comparable to surgery with excellent cosmetic outcomes, particularly for facial lesions. Your treatment will be personalised based on the location, size, and type of your BCC.
How many radiation treatments for basal cell carcinoma will I need?
Most patients receive 5-10 radiation treatments over 1-2 weeks. The exact number depends on factors including the size and location of your tumour, your general health, and the specific radiotherapy technique used. I'll create a personalised treatment plan that balances effective cancer control with minimal side effects.
What is the best treatment for squamous cell carcinoma?
The best treatment for squamous cell carcinoma is determined by several factors, including the tumour's size, location, depth, and aggressiveness. While surgery is common, radiotherapy offers excellent outcomes for many patients, particularly for facial lesions where cosmetic results are important. For some cases, a combination of treatments may provide optimal results.
Is radiotherapy as effective as surgery for skin cancer?
For properly selected cases of basal cell carcinoma and cutaneous squamous cell carcinoma, radiotherapy offers cure rates comparable to surgery. It's particularly valuable for tumours in cosmetically sensitive areas or locations where surgery might compromise function. The non-invasive nature of radiotherapy also makes it an excellent option for patients who wish to avoid surgical procedures.
What happens after treatment for non-melanoma skin cancer?
After completing treatment, you'll have regular follow-up appointments to monitor healing and ensure the cancer remains controlled. The treated area will gradually heal over 4-6 weeks. Long-term, you'll need to be vigilant about sun protection, as treated skin is more sensitive to UV radiation. I'll provide comprehensive guidance on post-treatment care and monitoring.
Why Choose Dr. James Wilson for Non-Melanoma Skin Cancer Treatment
As a leading Clinical Oncologist specialising in non-melanoma skin cancer treatment, I offer:
Expertise in cutting-edge radiotherapy techniques
Access to innovative treatments including Rhenium-SCT
A comprehensive, personalised approach to your care
Focus on both cancer control and cosmetic outcomes
Rapid access to consultations, tests and treatments
Continuity of care throughout your entire treatment journey
At every appointment, you'll see me personally, not a doctor-in-training. I ensure all your questions are answered and share my treatment letters and reports with you on the same day as your appointment.
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