Ms. Li, who lives on the shore of Qiandao Lake in Hangzhou, Zhejiang, is 77 years old this year, as early as 8 years ago, a "black mole" the size of a grain of rice grew on the right side of her nose, except for occasional itching, this black "little thing" is not painful, she has not appeared dizziness, headache, facial numbness, etc., and has not been taken seriously.
People in the village who will look at the face say that Ms. Li's mole is a "lucky mole", which means that she is rich in gold, and Ms. Li is very happy to hear it. In the past seven or eight years, this "fu mole" has gradually grown from the size of a grain of rice to the size of a thumb cap, and it began to ulcer from time to time, and repeatedly scabs fell off, but it has not grown well.
From 2020 onwards, this thumb nail cap-sized "Fu Mole" suddenly increased significantly, and the black scab skin on the right nose bridge was significantly enlarged and thickened, growing into a black "ping-pong ball". Her family took her to the dermatology department of the local hospital. The local hospital doctor noticed that ms. Li's nose was definitely not a "good mole", and this black tumor was "not good". It was suggested that she go to the Department of Otolaryngology of the First Hospital of Zhejiang University for further treatment.
After the otolaryngologist of the First Hospital of Zhejiang University received Ms. Li, he immediately biopsed the black mass on her nose, and the pathological results showed that the basal cell carcinoma was shown. Ms Lee was advised to be hospitalized for surgery.
The doctor said that this is the third exception to the recent admission of nasal basal cell carcinoma patients. Similar to Ms. Li, 69-year-old Zhejiang Quzhou Jiangshan Renyu and 52-year-old Zhejiang Shaoxing Renlan are also because the nose surface black, reddened "new creatures" have suddenly increased in the past year, although there is no other discomfort inside the nose, but the tumor repeatedly ulcerated, scabs and ulcerated, at first did not take it seriously before the two people chose to seek medical treatment, and finally was diagnosed with "external nasal basal cell carcinoma".
Ms. Jade before the operation
Complete removal of the tumor and perfect repair of the wound
According to doctors, although basal cell carcinoma is a malignant tumor, it generally does not occur distant metastases. However, if the resection is not clean, it is easy to recur, so as long as it is completely removed, it can basically be cured.
Ms. Lan's pill was not cut clean in the local hospital and recurred
Ms. Li's nose of this black "ping-pong ball" diameter of at least 3 cm, considering that the operation will affect the beauty of the nose and face, the appearance of facial deformities, Ms. Li and her family have concerns, the doctor team and patients and family members patiently and carefully communicated after dispelling their concerns, decided to carry out external nasal basal cell carcinoma resection + nasal part of the defect flap repair surgery.
Recently, the doctor successfully removed the tumor for Ms. Li, the doctor's exquisite technology also protected Ms. Li's face, achieved good aesthetics, and then after the operation of careful care and wound replacement, a week after the operation, Ms. Li removed all the stitches on the face. The previous 69-year-old Ms. Yu and the 52-year-old Ms. Lan also underwent similar surgery to completely eradicate the "time bomb" on the nose.
This kind of cancer should not be confused with moles, and it is important to do a good job of sun protection
According to doctors, external nasal basal cell carcinoma originates from the basal cells of the epidermis and skin appendages, and the lesions generally only grow locally invasively, rarely metastasize far, often occur in the nasal wings and nose tips, which can cause serious physical damage and loss of function, and even threaten life.
In fact, basal cell carcinoma is a common skin malignancy, patients generally feel asymptomatic or mild symptoms, growth rate is slower, because of similar appearance to pigmented nevi is easy to delay diagnosis and treatment. It is more common in exposed areas such as the head and face and in people with white skin, especially middle-aged and elderly people. At first, a small, shiny nodule appears on the skin, and then gradually grows, an ulcer occurs in the center, the ulcer surface has scabs, and there is a small amount of bleeding after shedding.
According to the dermatologist of the First Hospital of Zhejiang University, clinically, basal cell carcinoma is divided into four types: nodular type, superficial type, pigment type and sclerosis type. In recent years, with the aging of the population and changes in lifestyle, the incidence of basal cell carcinoma has shown an upward trend around the world. Its causes are closely related to sunlight exposure, in addition to trauma, radiation and immunosuppression, and certain chemicals also have carcinogenic effects.
Doctors emphasize that when the face and nose appear in a short period of time rapidly enlarged, irregular shape, bulge, itching, color and skin color is not consistent, pain, ulceration for a long time does not heal, infection, erosion and other "small bumps", must not be taken lightly, especially when the old sore scars appear ulcerated, erosion or nodule protrusion, be more careful, to go to the hospital in time.
In addition, you should do a good job of sun protection every day, avoid long-term activities in the hot sun, avoid direct skin contact with chemicals such as oil, asphalt, tar and arsenic, and actively treat chronic skin diseases such as ulcers, inflammation, burn scars and other skin diseases.
Source: Voice of the West Lake (reporter Summer) Comprehensive Zhejiang University First Courtyard
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