- The allopathic definition:
For basalioma (also referred to as basal cell cancer, basal cell carcinomas, or basocellular epitheliomas) the discussion involves malignant cell formation of the basal cell layer of the epidermis (outer skin).
- How frequently does this type of cancer occur (incidence rate) in Germany (USA appr. x 3)?
Incidence rate: 50-100 per 100,000 annually. This makes basalioma the most frequently occurring epithelial skin cancer.
The diagnosis can only be ensured through biopsy (cell removal). Polarized light microscopy can be used for differential diagnosis of pigmented basal cell carcinomas. In addition CT or MRT scans can be used. Basically it can be said that basaliomas grow very slowly, often over years, and that they are only “noticeable” at a late stage.
Appearance: First an often unnoticed knot or a hardening of the skin is formed at the affected site. Fine red veins (telangiectasia) on the edge of the tumor are typical. Over months or even years, a glassy or spherical tumor forms with accumulated edge. An additional form appears more like a scar. The moniliform edge (like a string of pearls) is characteristic. The real size of the tumor can extend beyond the visible skin changes.
TX: Primary tumor cannot be assessed
T0: No evidence of primary tumor
Tis: Carcinoma in situ
T1: Tumor =2 cm in greatest dimension
T2: Tumor >2 cm but =5 cm in greatest dimension
T3: Tumor >5 cm in greatest dimension
T4: Tumor invades deep extradermal structures (e.g., cartilage, skeletal muscle, or bone)
- How is this type of cancer diagnosed by allopathic practitioners?
An operation is the absolute first choice for therapy and is performed under the aspect of a healing. In the initial stage this is usually an out-patient operation performed under local anesthetic.
In the advanced stage the tumor is usually operated on twice. In the first operation the tumor is surgically removed but the operation incision is not closed. The incision is only closed depending on the biopsy results for the tissue that has been removed. If the examination shows that the tissue removed was not healthy, then another, more extensive operation follows. If the tumor tissues cut out were removed in healthy tissue, then the second operation closes the still-open incision.
Because particularly in the initial stages of the basilioma, surgical measures are the “easiest” for the patient/doctor, and the 5-year statistics look good for basaliomas, the assumption is frequently made that an operation would be sufficient therapy. However the good statistics look good, first because basiliomas are often detected at an early stage, and second they grow very slowly. Even for the malignant melanoma (black skin cancer), which usually grows much more aggressively, the Chipsa Clinic in Mexico published a study in which 100% of the patients with T1 stage 5 survived for 5-years (mainly through the Gerson therapy).
As patient you cannot let yourself be lulled into thinking that with removal of the tumor, the cancerous event has also been operated out, just because the cancer is a type that grows very slowly.
For basiliomas there is a distinction between local and systemic chemotherapy. With local chemotherapy the medication of choice is the cytostatic agent, 5-fluorouracil (5-FU). Mostly it is used for 4-6 weeks (1-5% in cream or salve). There are no statistically relevant data to indicate that this therapy holds out any more promise than does an operation.
Although there are repeated trials with systemic chemotherapies for metastized basiliomas, particularly with 5-FU (fluorouracil) in combination with cisplatin, all therapy approaches have failed and they could not contribute to a significant extension of life. If your doctor suggests a systemic chemotherapy, then this should not be regarded as anything other than an act of despair.
I am aware that what I say may be hard to take. However I cannot support a situation wherein patients who have been given up on by the treating doctor, (hence the systemic chemotherapy), are then used as study objects.
Today the allopathic view is that radiation offers prospects for healing that are comparable to those offered by conventional surgical treatment (Silvermann et. Al. 1991a, Rowe et al. 1989c; Rowe et al. 1989b; Dubin, Kopf, 1983; Silverman et al. 1992b; Smith, Grande, 1991, Lovett et al. 1990, Grieb et al. 1995). This is why patients over 70-years in age with basiliomas in the nose, corner of the eye, ear, or mouth area, are advised that radiation is preferable over an operation.
In my opinion this gross error is based on the assumption that radiation destroys the tumor just as effectively as does an operation. What is totally forgotten in the process is that this therapy is carcinogenic and comes at a cost of side effects and risks which are a thousand times greater, because therapists are employing a radiation dose of 15-25 Gy weekly over several weeks.
Additional therapies like hormones, antibodies, etc.
Photodynamic (PTD) therapy is recommended to patients, particularly for larger basiliomas. Here a special agent (e.g. HPD) is applied on the tumor mass, and then after 24 hours it is exposed to red or blue-green light, which is supposed to kill the tumor cells.
This therapy could represent an alternative to an operation in areas where operating is difficult. Unfortunately I could not find any meaningful data.
There are studies with type I interferon (a, b) in which I.E. was given 3 x a week over a three-week period. Here as well there are no meaningful data that would indicate an advantage over the other therapies, as far as extension of life is concerned.
Imiquimod Aldara® cream (3M Medica)
Imiquimod is a so-called imidazochinoline derivative, which has really been approved for treatment of extra-genital warts (condylomata acuminata) that are caused by human papilloma viruses.
Imiquimod in this case is supposed to induce an immune-modulating effect. In scientific terms this means that it is assumed that imiquimod docks on the surface receptors of the cells of the immune system like monocytes, and macrophages, and stimulates the phosphorylation of the transcription factors NF kappa B (kappa gene enhancer binding protein) and of factors for the transcription of the tyrosine kinase and the protein kinase C. Synthesis of IFN, TNF, IL-1, IL-6 and IL-8 is induced in this manner. In English this means that the immune system is stimulated.
In a double-blind study performed in a Californian skin clinic with 24 patients, for 15 patients who rubbed in imiquimod 3 x a week, after 6 weeks the tumor could no longer be found. However there were strong skin reactions that compelled many patients to stop the therapy.
Cyrotherapy with liquid nitrogen at -196° C in the contact process or spray process is a technique that achieves results that are comparable to those attained with conventional surgery, if appropriate safety distances are maintained. [Hall et.al 1986: Tuppurainen, 1995; Rowe et al. 1989c; Rowe et al. 1989b]. It can represent an alternative to an operation for well-delimited, surface tumors that are not too large, particularly for those patients who are advanced in age.
The use of fever therapies (endogens through bacteria) has been proven positive, in my opinion, for all skin tumors, and should be taken into consideration in any case.