Confused about BCC treatment

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  1. I went for a double BCC excision on my forehead today. All went fine with simple excision for the smaller one. The larger one I treated with Aldara 3 months ago & it caused a lot of inflammation & scabbing which I was told was a good sign. It’s left a large area of redness which I presumed was normal but the surgeon was concerned that the BCC (which is still there) has grown in size. I can see what he means now looking at a photo as part of the red area does look the same as the BCC. It’s almost like another part of it has appeared where it wasn’t before. I don’t know how to attach photos on here.. How can that happen after being treated with Aldara? I think a total of 3 other people were called in to have a look..  They took a punch biopsy in 3 places to determine what is actually going on but now it’s suspected that it’s infiltrated  & I am very scared how this would be removed if so & is looking like a large graft. They did say if the biopsy comes back as benign it could possibly be left.. I thought all BCCs were benign? I’m very stressed with the not knowing, also starting a new job in 2 weeks & don’t want to have to take time off, I don’t even get the results for weeks so it’s all going round in my head & I don’t even know what I’m dealing with. Oh & it’s been there at least 8 years (possibly a lot longer)  as I thought it was just dry skin so another thing to worry about .. I really thought I was just going in for a simple procedure & that would be if fixed in a few minutes. Sorry for the very rambling post, I’m just a bit of a mess & also dealing with the discomfort from the one they did remove  a few hours ago. Has anyone else had a similar situation? 
  • Hi  and a very warm welcome to the skin cancer group which I hope you'll find is both an informative and supportive place to be.

    I had a BCC removed by surgery but haven't used Aldara. However, my husband used this cream and it had no effect on his BCC so it ended up being removed by surgery.

    BCC used to be described as a benign skin cancer, I think to differentiate from malignant melanoma, but all skin cancer is now described as malignant. However, where BCC differs from a skin cancer like melanoma, is that it very rarely spreads to other parts of the body and, therefore, is hardly ever a risk to life. 

    You should have been given a leaflet telling you about BCC, how it's treated and how to protect your skin in future when you attended dermatology. This link will take you to the one produced by the British Association of Dermatologists.

    Were you allocated a SCNS (skin cancer nurse specialist), sometimes referred to as a keyworker or Macmillan nurse, after your surgery? If so they would be an excellent person to contact to clarify what will be happening next and to ask any questions about your diagnosis and treatment.

    If you don't have a SCNS then you could post your question in the Ask a Nurse section of the online community. If this is something that you'd like to do, clicking on the link I've created will take you straight there. 

    When you have a minute, it would be great if you could put something about your diagnosis and treatment to date into your profile as it really helps others when replying to you and also when looking for someone on a similar pathway. It also means that you don't have to keep repeating yourself. To do this click on your username and then select 'Profile'. You can amend it at any time and if you're not sure what to write you can take a look at mine by clicking on my username.

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  • I'm sorry you had to deal with this. BCC is a cancer diagnosis, but it is the safest cancer. It does not metastasize and therefore is safe for life. I hope that doctors will make the right decision according to your case.

    How are you today?