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?? ??????????????? ????????? (BCC) ????? ? ??? ??????????? ????? ???????? ??? ????????, ??? ?????????? ??????? ??? ??????????? ??????????. ???? ?????.

?????????? ????? ? ??? ????? ????? ???????? ??? ????? ???? ?????????. ???? ??? 1 ??? 3 ??? ??????????? ???????? ????? ???????? ??? ???????? ??? ? ?????????? ?????????? ????? ????? ??????????????? (BCC). ????? ?? ???????? ???????????? ??? ?????? ??????? ??? ?????????? ??? ???????? ???????? (?????????) ??? ??????????? (??? ???????????? ?????????).

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?????? ??? ?? ??????????????? ??????????? ?????????? ?? ?????? ??? ??????? ??? ????? ?????????? ??????? ???? ???? - ?????? ??? ???????, ?????, ?????, ??????, ????? ??? ????. ?? ??????? ??????????? ???? ?? ????? ????????????? ?? ?? ???????????? ????????. ?? ??????? ?? ??????????? ? ????? ?? ????????, ?????? ???? ????????????, ???????? ?????? ??? ????????? ??? ??? ????????????, ??????? ????????????? ?????????? ??????????? ??? ????????? ??? ?????????, ?????, ?????????, ??????? ? ????? ??? ??? ??????? ????? ????????????? ??????????.

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? ???????????? ?? ???????? ??????? ???? ???? ?????? ?? ????????? ??????????????? ????????? (BCC). ?????? ????, ????? ??? ????? ?????? ????????, ????? ??????? ?????, ????? ? ??????? ?????? ??? ????, ??????? ? ???? ?????. ????? ??? ????????????? ??? ????? ????? ?? ??????????? ???? ????? ?? ???? ???????????, ?????????? ?????????? ???? ????? ??? ?????????? ?????????, ? ????? ???? ??????? ??? ??????? ???? ??? ???????? ???? ???? ??????? ???????.

? ????? ?????? ???????????? ??? ??????, ???? ?????????? ?? ?????? ?????????????. ?? ???????????? ????????? ??? ??? ??? ???????????? ???????? ??? ?????? ???? ? ??? ??????? ???? ???????? ?? ???????????? ??? ??????? ??? ????????.

?? ?????? ?? ??????????????? ????????? ?????????? ?????????? ??? ??? ????????, ???? ??? ??? ???????????? ???????? ????????????? ??? BCC ??? ??? ??? ????????. ??????? ?? ??????????? ??? ???????? ???????? ??? ??????? ??? ?????? ???? ????? ??? ????? ??? ???????? ??? ???????? ????? ???? ??????????? ???? ???? ????? ????????? ?????? ?? ?????????? ??????????????? ????????? (BCC).

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?? ??????????????? ??????????? (BCC). ??? ??????????? ?? ??????? ????? ?? ?????, ???? ??????????? ?????????? ???????? ???????????. ?? ??? ? ????????. ??? ????????, ?????? ??????????? ? ????? ????????? ?? ?????? ??????, ?????? ???? ?? ?????????? ?????????? ????? ???? ?????? ??? ??????????? ??? ??????? ?????? BCC ?????? ?? ????? ??? ?????????? ??? ?????.

???? ?????????? ????? ????????? ???????????, ?? ????? ??????? ????? ????????????? ?????????. ??? ?? ????? ????? ?????????? ? ?? ????????????? ???????? ????????, ??? ???? ???????? ?? ????????? ???????? ? ?? ????????? (flap) ?????? ?? ????? ??????? ??? ?? ????????? ?? ?????? ??? ?? ?????????? ?? ???????? ????????????? ?????????? ??? ??? ??????????? ??? ?????????.

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????? ??? ????? ??? ??????????????? ????????? (BCC), ?????????? ?? ???????? ??????? ?? ?????????? ??? ?????? ????????? ??? ????????, ?? ??? ?????? ??? ?????? ???? ???? ???? ??????? ???? ?? ????. ?????????? ?????? ?? ?????? ??????? ??? ?????? ?????? ???????? ??? ????????. ??? ???? ???????? ?????????? ???? ??????????? ?????? ?? ?????? ???????, ???? ???? ??? ???? ?? ?????? ??? ??????????? ??? ???????? ???? ??? ???????? ? ????????? ??? ???????? ?????? ?? ?????????. ?? ??????????????? ??????????? (BCC). ??? ??????? ??? ??? ????? ??????????? ????????? ?????????? ?? ?????????, ??? ?????????? ??? ????? ??? ?????? ???? ?? ???????????. ?????? ???? ???????? ?? ???????????? ??? ? ?????? ?? ???????? ??? ??????????? ???? ????????? ??? ???? ??? ??????????????? ??????. ??????? ??????? ???? ? Mohs ???????????? ???????????, ?????? ?? ?????? ???? ?????????????? ??? ??? ?????????.

?? ????? ??????????????? ?????? ??? ???????????????? ????????????

????? ??? ? ???????????? ???. ????? ??? ?????? ???????? ?????? ?? ??????????? ?? ???? ????. ???????????, ??????? ????? ??????????????? ??????????? (BCC).?????? ?? ???????? ?? ?? ?????????? ?????? ??? ????????, ???? ????? ??? ???????? ? ??? ?????????. ????? ??????? ?? ???????????? ???? ?????? ??????????? ??? ?? ?????????? ??? ???? ????????. ?????? ???? ???? ?? ???????????? ?????? ??????????????? ?????? ???? ???? ??????? ? ????????? ???? ??????????? ? ??????? ?????? ??? ????? ???, ?????????????? ??? ????? ??? ?? ??????????? ??????.

??? ??????? ????? ??? ?????????? ,???????? ? ?????????? ???????? ??? ????????? ??????? ??? ????? ? ???????????? ?????????. ??? ????? ??? ??? ??????????? ????? ??? ???? ??????????? ?????? ???? ????????? ???????????????? ???????????? (BCC).

??? ??????????? ?????? ? ?????????? ??????? ????? ??????????? ??? ???????, ??????, ???, ????? ? ??? ?????. ??????? ????? ? ????? ?????????? ???????. ?????? ?????? ?? ?????????? ??????? ? ????? ??? ????? ????? ?? ???????? ????? ??????????.

??? ??? ????? (?????) ?? ?????? ???????? ?????????? ???? ??? ?? ???????? ???????? ????????? ?? ????????. ????? ? ????? ?????? ????????? ????? ???????? ?????? ?????? ?? ??????????? ???? ?????????.

??? ?????????? ?????? ? ?????? ??? ????? ??????? ? ???????????????? ??? ?????? ????? ????? ???, ??????? ? ?????. ?? ?????? ?????? ?????? ?? ????? ?????, ?????????? ? ????, ?????? ?? ????? ?? ??????????? ?????? ??? ?????? ?? ????????? ?? ???????? ?????.

??? ????????? ??????? ??? ????? ?????, ??????? ? ????????? ??? ??? ????? ???? ?????????? ???? ??? ?? ????? ??? ???? ??? ??????????? ?????????? ??? ????????. ?? ??? ???????? ???????? ????? ??????????????? ????????, ?????? ?? ???????? ??? ???????? ???? ??????????, ?????????? ????? ? ?????? ????? ??????????? ??? ??? ??????????? ???? ?????????.

????? ?????????

???? ??? ??????? ??????? ??? ??? ??????, ? ???????? ??? ???????????????? ???????????? (BCC), ?????????????? ?? ??????. ???? ??? ?????????? ?? ????? ?????????? ?? ?????? ??????????. ??? ???????? ??????? ????? ?????????? ??? ????????? ??? ?????????? ??? ?????????? ??????? ??? ?????????? ??? ?????????. ?? ???????? ????????? ??????? ?????????? ????????. ??????? ???????? ?????? ??????????????? ??????? ??? ??? ???????? ??? ???????????????? ???????????? (BCC). ? ??????? ??? ????????? ????????? ???? ????, ?? ???????, ??? ??????? ??? ?? ????? ???????? ??? ?????, ?????? ??? ??? ?????? ??? ???????? ??? ??? ?????? ????????? ??? ?????? ??? ??? ?????? ??????? ??? ????????? ??? ????? ?????????? ? ???????????? ????????.

? ???????? ?????? ????? ?????? ?? ?????????? ?? ????????? ????, ??? ??????? ??? ?????? ? ???? ???????. ?? ???????? ???????????? ???????? ??????? ??????????????? ?????? ??????????. ????? ? ???????? ???? ?? ???????? ??? ???????????? ??????????? ????? ???????? ??? ? ??????????????? ????? ????? ???????.

???????????? ??????????? ?? ?????? MOHS

??????????????? ?????? ??????????, ? ?????? ??????? ??? ???? ?? ??? ???? ????? ?????? ??? ????? ???? ???. ????? ? ??????? ?????????, ?? ????????? ??????? ????????? ?????? ??? ?????????????? ??????????, ???? ?? ???????????? ????? ??? ????? ??????????? ??? ??????????? ??? ??? ?????????. ?? ??????? ???????? ???????? ?? ?????? ??????? ??? ?????, ???? ? ?????????? ??????????????? ???? ???? ??????? ??? ?????????????? ?? ????????? ??????? ????? ?? ????????? ?????? ????? ?? ?????? ????? ????????? ???????. ? ??????? ???? ?????? ?? ????? ?????????? ???????? ?????? ????? ??? ???? ?? ?????????? ??????? ????? 99 %. ??????????????? ????? ?? ????????????????? ?????? ??? ?????????? ?? ???????? ????????????? ??????? ???????? ??? ?? ??????????????? ?????? ? ?? ???????? ???????? ???? ???? ??? ?? ?????, ????, ????? ??? ?????.

??????????? ????????

? ?????? ???? ???????? ????? ??? ??????? ?? ?????? ??????????, ???????????? ??????? ??? ?? ????????? ???????? ??? ???? ???? ?? ??? ???????????? ??????? ?? ???? ?????? ???????? ??? ?????? ?????????. ??? ???????? ?? ????? ???? ??? ?? ??????????? ????? ??????? ?? ??????? ??? ? ????? ? ?????? ?????????? ????????? ??? ?????????? ??? ???????????? ??????? ?? ????? ??? ??????????? ??? ??? ?? ????????? ??????? ????? ?????????. ?? ??????? ????????? ?? ???? ??? ??????? ??? ?????? ?? ??????? ??? Mohs, ???? ?? ??????? ????? ????????? ??? 90%

??????? ??? ????????????????? (?????????????)

??????????????? ?????? ??????????, ? ?????? ??????? ??? ???? ???????? ?? ?? ??? ??????? ???? ???????(??????, ?????????? ???????? ????????). ? ????????? ??? ????????? ?? ??? ??????? ???? ??????? ??????????????, ??????????? ?? ??????????? ??? ????? ??? ??????? ??? ??????????. ? ?????????? ?? ?????? ?????? ?? ??????????? ??? ? ???????????? ????? ???? ??? ???????? ??? ????? ????????? ??? ??????? ??? ?? ????????????? ??? ??? ?? ????????? ??????? ????? ???????????. ? ??????? ???? ?????? ?? ???????? ??????? ????? ??? ??????? ???? ??? ???????????? ?????????, ?????? ???? ?? ??? ????? ???? ??????? ?? ????????? ??????????????? ??????????? (BCC).? ?? ???? ??? ?????????? ?? ?????? ?????? ???????????????.

???????????

?? ?????? ??????? ? ????????????? ???? ???? ??? ??? ????????? ????? ???????????? ????? ? ???????????. ? ????? ?????????? ??? ????? ??????? ???????, ??? ????? ????????? ????????? ??? ??? ??? ??????? ?????????. ???? ? ??????? ????? ??????? ??? ?????? ??? ???????????? ???????? ??? ?? ??????????????? ??????????? ? ??? ???????????? ???????? ? ??? ????? ?? ??????????? ??? ????????? ??? ?????? ????.

?? ??????? ????????? ?????????? ??? 90% ??? ???? ? ??????? ???? ?????? ????????????? ?? ?????????? ????????????? ?????????? ??? ????????? ??? ??? ???????????? ????? ??? ?????? ?????????? ???? ?????.??? ????? ?????????? ? ??????????.

???????????? ???????? (PDT)

???? ? ??????? ????? ????????? ??????? ??? ???????? ?? ???????? ??????????????? ???????????. ???? ?????????????? ?????????? ???? ?? ?????? 5-???????????????? ??? (5-ALA), ??????????? ?????? ????? ??????, ??? ??????? ??? ??????, ???? ??????????? ??? ?? ????????? ???????. ??? ??????? ????, ? ??????? ?????????? ??? ?? ????????????? ???????? ??????????????? ?? ??? ??????? ???? ??????? ?????. ??????????, ? ??????? ???? ??????????? ??????????????? ??????????? (?CC) ??? ????????? ???????? ???????? ????? ???? ???????????? ???? ????. ? ??????? ???? ??? ???? ???????? ??? ??? ????????? ???????? (FDA) ??? ??? ???????????? ??? ???????????????? ???????????? (?CC) ??? ?? ??????? ????? ??????????? ??? 70-90%. ?? ???????? ???????? ?????? ??????????????, ??? ???????? 48 ????, ???? ??? ???????? ??? ?? ?????? ?? ??????????.? ?????? ???? ????

???????????????

? ????? ????????????? ?? ????. ?? ???? ?????, ????? ?? ?????????? ?? ????? ???? ? ??????????. ? ?????????? ?????? ?? ??????????? ???? ??? ???? ???????? ??? ?? ???????????? ? ????? ?????????? ??? ???????? ????????. ? ????? ?????????? ??? ???????? ??? ???? ???????? ????????????? ?? ???????? ??????? ?????????.

? ??????????????? ????? ?????????????? ????? ????????????? ???????? ?????????, ????????? ??? ??????????? ??????????????? ??????????? (BCC) ??? ????? ???????? ??????? ??? ???????? ?? ???????????? ?????????? ? ????????? ???? ??????????. ? ??????? ???? ??????????????? ???????? ?????? ????? ???? ?????????? ??????? ????????? ??? ??? ???????????? ????????, ???? ??? 85-90% ??? ????????? ??? ??? ???????? ??? ??????.

??????????? ???????? ?? LASER

?????????? ? ????????? ???????? ??? ???????? ??? ?? ??????? ???????? ????????? ???????? ?? ??? ????? laser ?????????? ??? ??????? (carbon dioxide) ? erbium Y.A.G. ? ??????? ????? ????????? ??? ? ?????? ???? ??? ?????????? ??????? ??? ?????? ??? ????? ??? ?????????? ??? ????? ??????????????? ?? ??????? ?????? ????????? ???? ?? ????? ??????? ????? ?????????? ??? ????????. H ???????? ?? Laser, ???? ??????? ????????? ???????? ?? ???? ??? ????????????? (P.D.T) ?????????. ??? ???? ????? ???????? ??? ?? FDA ??? ??? ???????????? ??? ???????????????? ???????????? (?CC).

?????? ???????? ????????

??????? ??????? ??????, gels ??? ????????? ???????????????? ??? ?? ??????????? ?????? ??????????????? ???????????. ? ????????? (?miquimod) ????? ??????????? ??? ??? ????????? ???????? ??? ?.?? (F.D.A) ???? ??? ?? ??????????? ??????????????? (BCC) ?? ??????? ????????? ???? ??? 80 -90%. ?? 5% ??? ??????? ????????? ?? ?????? ????? ???? ???? ????? ????? ??? ???????? ??? ??? ????????? ? ??? ???????????. ?? ????? ??? ?? ??????? ??? ???????? ?? ????????????? ??????? ?? ????? ?? ???? ?? ??????? ??????????? (interferon), ??? ?????? ?? ????? ?????????? ??? ????????? ???????.

? 5 - ?????????????? (fluorouracil 5-FU), ?????????????? ????? ??????????? ??? ??? ????????? ???????? ??? ?.?? (F.D.A), ??? ??? ???????????? ??? ?????????? ???????? ????? ??? ??? ???????????? ???????????????? ???????????? (BCC).?? ???????? ??????? ????? ?? ??? ????????? (?miquimod) ?? ???? ? ? ?????? ????? ????????? ???? ???? ??? ????? ??? ????? ??? ????? ?? ??? ?????????.

??????? ??? ??? ???????? ??? ?????????? ???????????????? ???????????? ???????????? ??? ??? ??? fluorouracil 5-FU ??? ??? ?miquimod. ???????????? ????????? ????? ????????, ?? ???????? ??? ????????? ???????? ???? ???? ??????????, ???????? ??? ???????? ??????? ?????.

????? ????????? ?? ????????? ??? ????? ??? ??? Mohs ??? ??? ??????????? ????????, ? ???????, ?????????????, ?????????????, ???????????? ??? ?????? ???????? ????? ???? ?????, ??????????????? ??? ??? ??????? ?????? ?? ??????????? ?? ? ????? ???? ????????? ???????.

??????? ??? ???????? ??? ????????

????? ???????? ?????? ?? ??????????? ??? ??????? ???? ?? ??? ????????? (??????????) ?? ??????? ??? ?????? ? ???????? ??? ???????? ????? ?????? ????? ???????????? ???? ?????????? ??? ????? ??????? ????????, ????? ??? ???????? ?????????, ??? ????????? ???????? ??? ?????, ????? ??? ??????????? ????????? ??? ?????????? ??? ??????.

  • ?? ?????????? ?? ?????????? ???? ????, ?????????? ???? ??? ???? ??????? ???? 10 ?.?. ??? 4 ?.?.
  • ?? ?????????? ?? ?????????
  • *?? ?????????? ??? ???????????? ????? ??? ?? ??????? ???????? (solarium) ?? U.V ???????????.
  • *???? ??? ?????? ??? ???? ???? ?? ????????? ?? ???? ??? ?? ?????? ?????, ????????? ?????? ??? ?????? ?????, ?? ????? ??? ???????????? ??? ??? ???????????.
  • *?? ??????????????? ??????????, ?????????? ?? ?????? ?????????? SPF ?????? ???????? 15 ? ?????????.
  • ??? ????????????? ?????????????? ?? ????????? ???? ?? ?????? ????? ??????????, ???????????, ?????? ???????? (UVA / UVB) ?? ?????? ?????????? ??? 30 ??? ???.
  • * ?? ?????? ???????? ???????????, ?? ???????? ??? ?? 2 ????????? ?????? ?? ???????? ?? ???? ???, 30 ????? ???? ???????? ?? ????????? ????. ??????????? ??? ????????, ?? ????????? ???? 2 ???? ???? ???? ??? ??????? ? ???? ??? ?????????? ??????.
  • *?? ??? ???????? ?? ?????????? ???? ????. ???? ??? ?????? ??? ??????? ??? 6 ????? ?? ???? ?????? ?? ?????? ??????????.
  • *?? ????????? ?? ????? ??? ??? ??? ?????? ??? ?? ?????, ???? ????.
  • *?? ???????????? ??? ????? ???, ???? ????? ?? ????? ??? ????????????? ??????? ??? ???????? ???

???????????? ?????????:

Perry Robins, MD.

Deborah S. Sarnoff, MD

David J. Leffell, MD

???????????? ????????? ??? ????????:

Penny Emmanouil, MD

A Publication of The Skin Cancer Foundation

??? ???????????? ??????????? ??? ????????, ?????????????:

The Skin Cancer Foundation

149 Madison Ave., Suite 901, New York, NY 10016

www.SkinCancer.org

Copyright 1986. Revised 1999, 2003, 2006, 2007, 2010

Printed in USA