What is the best and safest treatment of basal cell carcinoma in elderly patients?
Doctor Answers 2
Treatment of basal cell carcinoma in the elderly
Although there have been reports of basal cell carcinoma metastasizing, they are so incredibly rare that this should not factor into one's decision on treatment options.
Basal cell carcinoma is a locally destructive tumor, meaning that it will enlarge and destroy any local tissue over many years. It is typically a slow growing tumor.
There are several different types of basal cell carcinoma, which all have different treatment options. In short, there is not one treatment that is "best" for all tumors, for all locations, in all persons. Smaller tumors in non-critical areas can be observed, not treated, in very elderly patients as they pose little to no risk, but this should be under the supervision of a Dermatologist.
emedicine, now medscape, is a great reference for more information as is the aad website as well as others.