Should I have Mom's basal cell treated? -

Should I have Mom's basal cell treated?


Mom is 92 and in NH. She has dementia and is almost blind from side effects of past shingles. She is very happy but easily confused about where she is and where she’s going and needs constant reassuranance. She has had a small pimple-like bump on her face for about 2 years, that comes and goes. The NH usually just treated it with warm compresses and it has gone away in the past, but this time it’s not going away. And I think she’s picking at it as well. We took some close up pictures of it and DH showed them to his skin cancer dermatologist, who thinks it’s basal cell by looking at the pictures, and wants her to come in. Probably a biopsy and then return trip for removal if nessessary. I got her their 1st available appointment for late August. This will give me some time to decide if I want to pursue this. I’m dreading the 40 minute transport with her, the pain she might experience with the biopsy, and then another trip for removal. I’m not sure if we should just ignore it. DH has had many bouts with basal, squamous, and even melanoma, so he thinks it should be treated. But he’s not 92 and vulnerable. Does anyone have any experience with this type of cancer or situation with their elderly confused parent? Thanks.



Basals are not serious. They just tend to go further down. I had one removed on my cheek. The surgery was done in the office removing what they saw. I had to wait an hour to see if there was more cancer, if there had been, they would have removed tissue and test it, another hour. TG that didn't happen. Will she play with a bandage? There will be stitches. Will she sit for it all?
Helpful Answer (1)
Reply to JoAnn29

Thanks Tothill and B.B. I will speak to the dermatologist next week and see what he thinks about the long term effects of not treating it. At 92. I sure wish they had a visiting dermatologist! With 200 residents she can’t be the only resident with some sort of skin problem. I’m not even so worried about the procedure itself but the transport to the office will be really grueling and unsettling for her. Thanks.
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Reply to rocketjcat

My mom developed a black growth with irregular margins that scared her. She was 93, had dementia but wanted it removed. The dermatologist who visited the NH thought it was probably melanoma and also thought it should be removed.

He did an excisional biopsy , meaning that he took all of it. It was a basal cell, and there were still some cells at the margins. We were given the choice of an additional Mohs procedure, doing nothing or a chemotherapy cream that the NH applied. We chose the cream.
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Reply to BarbBrooklyn

Ask the doctor if they can just remove it the first trip instead of making two trips?

Also ask what the long term prospects are if she does not receive treatment? If she has already had it for two years is it likely to kill her?

Dad is 89, cognitively with it and has one or more skin cancers removed each year for the past 15 or more years.

Mum at 84 had a skin cancer removed from her face last year. The doctor did not do a biopsy first, just removed it all, tested the edges to make sure they had it all before they stitched her back up.
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Reply to Tothill