{"componentChunkName":"component---src-templates-article-js","path":"/rak-podstawnokomorkowy","result":{"data":{"mdx":{"id":"bc7d64fc-beea-56fe-9846-2e819a435e3a","body":"function _extends() { _extends = Object.assign || function (target) { for (var i = 1; i < arguments.length; i++) { var source = arguments[i]; for (var key in source) { if (Object.prototype.hasOwnProperty.call(source, key)) { target[key] = source[key]; } } } return target; }; return _extends.apply(this, arguments); }\n\nfunction _objectWithoutProperties(source, excluded) { if (source == null) return {}; var target = _objectWithoutPropertiesLoose(source, excluded); var key, i; if (Object.getOwnPropertySymbols) { var sourceSymbolKeys = Object.getOwnPropertySymbols(source); for (i = 0; i < sourceSymbolKeys.length; i++) { key = sourceSymbolKeys[i]; if (excluded.indexOf(key) >= 0) continue; if (!Object.prototype.propertyIsEnumerable.call(source, key)) continue; target[key] = source[key]; } } return target; }\n\nfunction _objectWithoutPropertiesLoose(source, excluded) { if (source == null) return {}; var target = {}; var sourceKeys = Object.keys(source); var key, i; for (i = 0; i < sourceKeys.length; i++) { key = sourceKeys[i]; if (excluded.indexOf(key) >= 0) continue; target[key] = source[key]; } return target; }\n\n/* @jsxRuntime classic */\n\n/* @jsx mdx */\nvar _frontmatter = {\n \"templateKey\": \"article\",\n \"title\": \"Rak podstawnokomórkowy skóry (BCC) – objawy, diagnostyka, leczenie\",\n \"author\": \"Agnieszka Czyżewska\",\n \"authorsTitle\": \"specjalistka onkologii klinicznej\",\n \"readingTime\": 20,\n \"date\": \"2025-10-03T10:00:00.000Z\",\n \"lastReviewed\": \"2025-10-03T10:00:00.000Z\",\n \"description\": \"Rak podstawnokomórkowy (BCC) – najczęstszy nowotwór skóry. Poznaj objawy, zobacz zdjęcia, dowiedz się o leczeniu i rokowaniu. Wczesne wykrycie ratuje zdrowie!\",\n \"sources\": [{\n \"label\": \"Narodowy Instytut Onkologii - wytyczne postępowania w rakach skóry (aktualizacja 2024)\"\n }, {\n \"label\": \"ESMO Clinical Practice Guideline – Cutaneous basal cell carcinoma (2023/2024)\"\n }, {\n \"label\": \"NCCN Patient Guidelines – Basal Cell Skin Cancer (v.2024)\"\n }, {\n \"label\": \"American Academy of Dermatology – Basal Cell Carcinoma\"\n }, {\n \"label\": \"DermNet NZ – Basal Cell Carcinoma\"\n }, {\n \"label\": \"Cameron MC et al. Basal cell carcinoma. J Am Acad Dermatol. 2019\"\n }],\n \"toc\": [{\n \"link\": \"id1\",\n \"label\": \"Co to jest rak podstawnokomórkowy (BCC)?\"\n }, {\n \"link\": \"id2\",\n \"label\": \"Epidemiologia i częstość występowania\"\n }, {\n \"link\": \"id3\",\n \"label\": \"Czynniki ryzyka rozwoju BCC\"\n }, {\n \"link\": \"id4\",\n \"label\": \"Objawy BCC – jak rozpoznać?\"\n }, {\n \"link\": \"id5\",\n \"label\": \"Rodzaje raka podstawnokomórkowego\"\n }, {\n \"link\": \"id6\",\n \"label\": \"Diagnostyka - dermatoskopia, biopsja\"\n }, {\n \"link\": \"id7\",\n \"label\": \"Leczenie BCC\"\n }, {\n \"link\": \"id8\",\n \"label\": \"Rokowanie i nawroty\"\n }, {\n \"link\": \"id9\",\n \"label\": \"Różnica BCC vs SCC vs czerniak\"\n }, {\n \"link\": \"id10\",\n \"label\": \"Profilaktyka raka podstawnokomórkowego\"\n }, {\n \"link\": \"id11\",\n \"label\": \"Nieleczony rak podstawnokomórkowy - konsekwencje\"\n }, {\n \"link\": \"id12\",\n \"label\": \"Najczęściej zadawane pytania (FAQ)\"\n }],\n \"keywords\": [\"rak podstawnokomórkowy\", \"rak podstawnokomórkowy skóry\", \"rak podstawnokomórkowy objawy\", \"rak podstawnokomórkowy zdjęcia\", \"rak podstawnokomórkowy leczenie\", \"basalioma\", \"nabłoniak podstawnokomórkowy\", \"basal cell carcinoma\", \"BCC rak skóry\", \"rak podstawnokomórkowy nosa\", \"rak podstawnokomórkowy twarzy\", \"rak skóry na twarzy\", \"rak nosa\", \"nieleczony rak podstawnokomórkowy\", \"czy rak podstawnokomórkowy jest groźny\", \"jak wygląda rak podstawnokomórkowy\", \"czy rak podstawnokomórkowy boli\", \"rak podstawnokomórkowy a czerniak\", \"objawy raka skóry\", \"guzek na nosie\", \"rak skóry objawy zdjęcia\", \"dermatoskopia BCC\", \"chirurgia Mohsa\", \"rokowanie rak podstawnokomórkowy\", \"profilaktyka raka skóry\", \"nawrót raka podstawnokomórkowego\", \"leczenie raka podstawnokomórkowego\", \"rak podstawnokomórkowy leczenie bez operacji\", \"rak podstawnokomórkowy powieki\", \"rak podstawnokomórkowy ucha\"],\n \"tags\": [\"rak podstawnokomórkowy\", \"BCC\", \"basalioma\", \"rak skóry\", \"nowotwory skóry\"]\n};\n\nvar makeShortcode = function makeShortcode(name) {\n return function MDXDefaultShortcode(props) {\n console.warn(\"Component \" + name + \" was not imported, exported, or provided by MDXProvider as global scope\");\n return mdx(\"div\", props);\n };\n};\n\nvar More = makeShortcode(\"More\");\nvar MoreLeadUmow = makeShortcode(\"MoreLeadUmow\");\nvar layoutProps = {\n _frontmatter: _frontmatter\n};\nvar MDXLayout = \"wrapper\";\nreturn function MDXContent(_ref) {\n var components = _ref.components,\n props = _objectWithoutProperties(_ref, [\"components\"]);\n\n return mdx(MDXLayout, _extends({}, layoutProps, props, {\n components: components,\n mdxType: \"MDXLayout\"\n }), mdx(\"p\", null, \"Rak podstawnokom\\xF3rkowy (BCC, basalioma, nab\\u0142oniak podstawnokom\\xF3rkowy) to najcz\\u0119stszy nowotw\\xF3r sk\\xF3ry u ludzi. Stanowi oko\\u0142o 80% wszystkich rak\\xF3w sk\\xF3ry. Rozwija si\\u0119 z kom\\xF3rek warstwy podstawnej nask\\xF3rka i, mimo \\u017Ce rzadko daje przerzuty, mo\\u017Ce prowadzi\\u0107 do znacznego zniszczenia tkanek w miejscu wyst\\u0119powania. W ostatnich dekadach obserwujemy sta\\u0142y wzrost zachorowa\\u0144 na BCC na ca\\u0142ym \\u015Bwiecie, w tym r\\xF3wnie\\u017C w Polsce.\"), mdx(More, {\n link: \"https://twojeznamiona.pl/analiza?utm_source=blog&utm_medium=more_lead&utm_campaign=bcc_content_page&utm_content=analiza_ai\",\n label: \"Masz niepokoj\\u0105c\\u0105 zmian\\u0119?\",\n text: \"Wykorzystaj sztuczn\\u0105 inteligencj\\u0119 do wst\\u0119pnej oceny zmiany sk\\xF3rnej.\",\n cta: \"Analiza AI\",\n cta_type: \"primary\",\n mdxType: \"More\"\n }), mdx(\"p\", null, \"W poni\\u017Cszym artykule zebrali\\u015Bmy wszystkie aktualne informacje dotycz\\u0105ce objaw\\xF3w, wczesnego wykrywania, diagnostyki oraz leczenia raka podstawnokom\\xF3rkowego sk\\xF3ry.\"), mdx(\"p\", null, mdx(\"span\", {\n parentName: \"p\",\n \"className\": \"gatsby-resp-image-wrapper\",\n \"style\": {\n \"position\": \"relative\",\n \"display\": \"block\",\n \"marginLeft\": \"auto\",\n \"marginRight\": \"auto\",\n \"maxWidth\": \"650px\"\n }\n }, \"\\n \", mdx(\"span\", {\n parentName: \"span\",\n \"className\": \"gatsby-resp-image-background-image\",\n \"style\": {\n \"paddingBottom\": \"66.87116564417178%\",\n \"position\": \"relative\",\n \"bottom\": \"0\",\n \"left\": \"0\",\n \"backgroundImage\": \"url('data:image/jpeg;base64,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')\",\n \"backgroundSize\": \"cover\",\n \"display\": \"block\"\n }\n }), \"\\n \", mdx(\"img\", {\n parentName: \"span\",\n \"className\": \"gatsby-resp-image-image lazyload\",\n \"alt\": \"Rak podstawnokomórkowy na nosie\",\n \"title\": \"Rak podstawnokomórkowy na nosie - typowa lokalizacja\",\n \"data-src\": \"/static/8f78c650aee61dc5da54bd4d57b8b4a1/72ff1/nos.jpg\",\n \"data-srcset\": \"/static/8f78c650aee61dc5da54bd4d57b8b4a1/3138f/nos.jpg 163w,\\n/static/8f78c650aee61dc5da54bd4d57b8b4a1/2f0d2/nos.jpg 325w,\\n/static/8f78c650aee61dc5da54bd4d57b8b4a1/72ff1/nos.jpg 650w,\\n/static/8f78c650aee61dc5da54bd4d57b8b4a1/23e96/nos.jpg 908w\",\n \"sizes\": \"(max-width: 650px) 100vw, 650px\",\n \"style\": {\n \"width\": \"100%\",\n \"height\": \"100%\",\n \"margin\": \"0\",\n \"verticalAlign\": \"middle\",\n \"position\": \"absolute\",\n \"top\": \"0\",\n \"left\": \"0\"\n },\n \"loading\": \"lazy\"\n }), \"\\n \")), mdx(\"span\", {\n id: \"id1\"\n }), mdx(\"h2\", null, \"Co to jest rak podstawnokom\\xF3rkowy (BCC)?\"), mdx(\"p\", null, \"Rak podstawnokom\\xF3rkowy (ang. Basal Cell Carcinoma - BCC), zwany r\\xF3wnie\\u017C basalioma lub nab\\u0142oniakiem podstawnokom\\xF3rkowym, jest \", mdx(\"strong\", {\n parentName: \"p\"\n }, \"najcz\\u0119stszym nowotworem z\\u0142o\\u015Bliwym sk\\xF3ry\"), \" wywodz\\u0105cym si\\u0119 z kom\\xF3rek warstwy podstawnej nask\\xF3rka. Mimo swojego z\\u0142o\\u015Bliwego charakteru, BCC charakteryzuje si\\u0119 \", mdx(\"strong\", {\n parentName: \"p\"\n }, \"powolnym wzrostem\"), \" i \", mdx(\"strong\", {\n parentName: \"p\"\n }, \"bardzo rzadko daje przerzuty\"), \" (<0,1% przypadk\\xF3w).\"), mdx(\"p\", null, mdx(\"span\", {\n parentName: \"p\",\n \"className\": \"gatsby-resp-image-wrapper\",\n \"style\": {\n \"position\": \"relative\",\n \"display\": \"block\",\n \"marginLeft\": \"auto\",\n \"marginRight\": \"auto\",\n \"maxWidth\": \"640px\"\n }\n }, \"\\n \", mdx(\"span\", {\n parentName: \"span\",\n \"className\": \"gatsby-resp-image-background-image\",\n \"style\": {\n \"paddingBottom\": \"74.84662576687117%\",\n \"position\": \"relative\",\n \"bottom\": \"0\",\n \"left\": \"0\",\n \"backgroundImage\": \"url('data:image/jpeg;base64,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')\",\n \"backgroundSize\": \"cover\",\n \"display\": \"block\"\n }\n }), \"\\n \", mdx(\"img\", {\n parentName: \"span\",\n \"className\": \"gatsby-resp-image-image lazyload\",\n \"alt\": \"Rak podstawnokomórkowy - guzek perłowy\",\n \"title\": \"Rak podstawnokomórkowy - charakterystyczny guzek o perłowym połysku\",\n \"data-src\": \"/static/738fa1cd910d8b770415e72f80b46689/86a4b/bcc-guzek.jpg\",\n \"data-srcset\": \"/static/738fa1cd910d8b770415e72f80b46689/3138f/bcc-guzek.jpg 163w,\\n/static/738fa1cd910d8b770415e72f80b46689/2f0d2/bcc-guzek.jpg 325w,\\n/static/738fa1cd910d8b770415e72f80b46689/86a4b/bcc-guzek.jpg 640w\",\n \"sizes\": \"(max-width: 640px) 100vw, 640px\",\n \"style\": {\n \"width\": \"100%\",\n \"height\": \"100%\",\n \"margin\": \"0\",\n \"verticalAlign\": \"middle\",\n \"position\": \"absolute\",\n \"top\": \"0\",\n \"left\": \"0\"\n },\n \"loading\": \"lazy\"\n }), \"\\n \")), mdx(\"h3\", null, \"Definicja i charakterystyka\"), mdx(\"p\", null, \"BCC jest \", mdx(\"strong\", {\n parentName: \"p\"\n }, \"rakiem sk\\xF3ry pochodzenia nab\\u0142onkowego\"), \", co odr\\xF3\\u017Cnia go od czerniaka (kt\\xF3ry wywodzi si\\u0119 z melanocyt\\xF3w). Kluczowe cechy raka podstawnokom\\xF3rkowego:\"), mdx(\"ul\", null, mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"Powolny wzrost miejscowy\"), \" - zmiana rozwija si\\u0119 stopniowo przez miesi\\u0105ce lub lata\"), mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"Lokalnie inwazyjny\"), \" - niszczy okoliczne tkanki (w tym ko\\u015Bci i chrz\\u0105stki)\"), mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"Bardzo rzadko daje przerzuty\"), \" - mniej ni\\u017C 0,1% przypadk\\xF3w\"), mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"Wyst\\u0119puje g\\u0142\\xF3wnie u os\\xF3b doros\\u0142ych\"), \" - szczyt zachorowa\\u0144 po 50. roku \\u017Cycia\"), mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"Najcz\\u0119stsza lokalizacja: twarz i szyja\"), \" - obszary najbardziej nara\\u017Cone na s\\u0142o\\u0144ce\")), mdx(\"span\", {\n id: \"id2\"\n }), mdx(\"h2\", null, \"Epidemiologia i cz\\u0119sto\\u015B\\u0107 wyst\\u0119powania\"), mdx(\"p\", null, \"Rak podstawnokom\\xF3rkowy jest \", mdx(\"strong\", {\n parentName: \"p\"\n }, \"najcz\\u0119stszym nowotworem u ludzi\"), \". Stanowi oko\\u0142o \", mdx(\"strong\", {\n parentName: \"p\"\n }, \"80% wszystkich rak\\xF3w sk\\xF3ry\"), \" i jego cz\\u0119sto\\u015B\\u0107 wyst\\u0119powania stale ro\\u015Bnie na ca\\u0142ym \\u015Bwiecie.\"), mdx(\"h3\", null, \"Dane statystyczne\"), mdx(\"ul\", null, mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"Cz\\u0119sto\\u015B\\u0107:\"), \" oko\\u0142o 80% wszystkich rak\\xF3w sk\\xF3ry\"), mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"Zachorowalno\\u015B\\u0107:\"), \" stale ro\\u015Bnie o 3-10% rocznie\"), mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"P\\u0142e\\u0107:\"), \" cz\\u0119\\u015Bciej u m\\u0119\\u017Cczyzn (1.5-2:1)\"), mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"Wiek:\"), \" szczyt zachorowa\\u0144 mi\\u0119dzy 50-70 rokiem \\u017Cycia\"), mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"Lokalizacja geograficzna:\"), \" najwy\\u017Csza zapadalno\\u015B\\u0107 w Australii (>1000/100 000 os\\xF3b rocznie)\")), mdx(\"p\", null, mdx(\"span\", {\n parentName: \"p\",\n \"className\": \"gatsby-resp-image-wrapper\",\n \"style\": {\n \"position\": \"relative\",\n \"display\": \"block\",\n \"marginLeft\": \"auto\",\n \"marginRight\": \"auto\",\n \"maxWidth\": \"650px\"\n }\n }, \"\\n \", mdx(\"span\", {\n parentName: \"span\",\n \"className\": \"gatsby-resp-image-background-image\",\n \"style\": {\n \"paddingBottom\": \"53.987730061349694%\",\n \"position\": \"relative\",\n \"bottom\": \"0\",\n \"left\": \"0\",\n \"backgroundImage\": \"url('data:image/jpeg;base64,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')\",\n \"backgroundSize\": \"cover\",\n \"display\": \"block\"\n }\n }), \"\\n \", mdx(\"img\", {\n parentName: \"span\",\n \"className\": \"gatsby-resp-image-image lazyload\",\n \"alt\": \"Lokalizacja BCC na ciele\",\n \"title\": \"Typowa lokalizacja raka podstawnokomórkowego na plecach\",\n \"data-src\": \"/static/ae14defe29721269016d9456970ca7a4/72ff1/bcc-zdjecie-lokalizacyjne.jpg\",\n \"data-srcset\": \"/static/ae14defe29721269016d9456970ca7a4/3138f/bcc-zdjecie-lokalizacyjne.jpg 163w,\\n/static/ae14defe29721269016d9456970ca7a4/2f0d2/bcc-zdjecie-lokalizacyjne.jpg 325w,\\n/static/ae14defe29721269016d9456970ca7a4/72ff1/bcc-zdjecie-lokalizacyjne.jpg 650w,\\n/static/ae14defe29721269016d9456970ca7a4/5f948/bcc-zdjecie-lokalizacyjne.jpg 975w,\\n/static/ae14defe29721269016d9456970ca7a4/052ff/bcc-zdjecie-lokalizacyjne.jpg 1300w,\\n/static/ae14defe29721269016d9456970ca7a4/4a756/bcc-zdjecie-lokalizacyjne.jpg 1392w\",\n \"sizes\": \"(max-width: 650px) 100vw, 650px\",\n \"style\": {\n \"width\": \"100%\",\n \"height\": \"100%\",\n \"margin\": \"0\",\n \"verticalAlign\": \"middle\",\n \"position\": \"absolute\",\n \"top\": \"0\",\n \"left\": \"0\"\n },\n \"loading\": \"lazy\"\n }), \"\\n \")), mdx(\"h3\", null, \"Polska vs \\u015Bwiat\"), mdx(\"p\", null, \"W Polsce rak podstawnokom\\xF3rkowy jest r\\xF3wnie\\u017C najcz\\u0119stszym nowotworem sk\\xF3ry, jednak dok\\u0142adne dane epidemiologiczne s\\u0105 ograniczone ze wzgl\\u0119du na brak obowi\\u0105zkowej rejestracji BCC w Krajowym Rejestrze Nowotwor\\xF3w (w przeciwie\\u0144stwie do czerniaka). Szacuje si\\u0119, \\u017Ce rocznie diagnozuje si\\u0119 \", mdx(\"strong\", {\n parentName: \"p\"\n }, \"kilkana\\u015Bcie tysi\\u0119cy nowych przypadk\\xF3w BCC\"), \" w Polsce.\"), mdx(MoreLeadUmow, {\n link: \"/kontakt\",\n label: \"Nie zwlekaj!\",\n text: \"Zbadaj niepokoj\\u0105ce zmiany sk\\xF3rne dermatoskopowo.\",\n mdxType: \"MoreLeadUmow\"\n }), mdx(\"span\", {\n id: \"id3\"\n }), mdx(\"h2\", null, \"Czynniki ryzyka rozwoju BCC\"), mdx(\"p\", null, \"Powstanie raka podstawnokom\\xF3rkowego jest zwi\\u0105zane z wieloma czynnikami, z kt\\xF3rych najwa\\u017Cniejszym jest \", mdx(\"strong\", {\n parentName: \"p\"\n }, \"ekspozycja na promieniowanie ultrafioletowe (UV)\"), \".\"), mdx(\"p\", null, mdx(\"span\", {\n parentName: \"p\",\n \"className\": \"gatsby-resp-image-wrapper\",\n \"style\": {\n \"position\": \"relative\",\n \"display\": \"block\",\n \"marginLeft\": \"auto\",\n \"marginRight\": \"auto\",\n \"maxWidth\": \"650px\"\n }\n }, \"\\n \", mdx(\"span\", {\n parentName: \"span\",\n \"className\": \"gatsby-resp-image-background-image\",\n \"style\": {\n \"paddingBottom\": \"98.77300613496932%\",\n \"position\": \"relative\",\n \"bottom\": \"0\",\n \"left\": \"0\",\n \"backgroundImage\": \"url('data:image/jpeg;base64,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')\",\n \"backgroundSize\": \"cover\",\n \"display\": \"block\"\n }\n }), \"\\n \", mdx(\"img\", {\n parentName: \"span\",\n \"className\": \"gatsby-resp-image-image lazyload\",\n \"alt\": \"Czynniki ryzyka BCC\",\n \"title\": \"Czynniki ryzyka rozwoju raka podstawnokomórkowego\",\n \"data-src\": \"/static/b2014e0a628950967cfad4f8419c35af/72ff1/rak-podstawnokomorkowy-1.jpg\",\n \"data-srcset\": \"/static/b2014e0a628950967cfad4f8419c35af/3138f/rak-podstawnokomorkowy-1.jpg 163w,\\n/static/b2014e0a628950967cfad4f8419c35af/2f0d2/rak-podstawnokomorkowy-1.jpg 325w,\\n/static/b2014e0a628950967cfad4f8419c35af/72ff1/rak-podstawnokomorkowy-1.jpg 650w,\\n/static/b2014e0a628950967cfad4f8419c35af/5f948/rak-podstawnokomorkowy-1.jpg 975w,\\n/static/b2014e0a628950967cfad4f8419c35af/da216/rak-podstawnokomorkowy-1.jpg 1262w\",\n \"sizes\": \"(max-width: 650px) 100vw, 650px\",\n \"style\": {\n \"width\": \"100%\",\n \"height\": \"100%\",\n \"margin\": \"0\",\n \"verticalAlign\": \"middle\",\n \"position\": \"absolute\",\n \"top\": \"0\",\n \"left\": \"0\"\n },\n \"loading\": \"lazy\"\n }), \"\\n \")), mdx(\"h3\", null, \"G\\u0142\\xF3wne czynniki ryzyka:\"), mdx(\"p\", null, mdx(\"strong\", {\n parentName: \"p\"\n }, \"1. Promieniowanie UV (najwa\\u017Cniejszy czynnik!)\")), mdx(\"ul\", null, mdx(\"li\", {\n parentName: \"ul\"\n }, \"Przewlek\\u0142a ekspozycja na s\\u0142o\\u0144ce (zawodowa, rekreacyjna)\"), mdx(\"li\", {\n parentName: \"ul\"\n }, \"Historia oparze\\u0144 s\\u0142onecznych (szczeg\\xF3lnie w dzieci\\u0144stwie)\"), mdx(\"li\", {\n parentName: \"ul\"\n }, \"U\\u017Cywanie solarium (wzrost ryzyka o oko\\u0142o 40-70%)\"), mdx(\"li\", {\n parentName: \"ul\"\n }, \"Zamieszkiwanie w rejonach o wysokim nas\\u0142onecznieniu\")), mdx(\"p\", null, mdx(\"strong\", {\n parentName: \"p\"\n }, \"2. Fototyp sk\\xF3ry\")), mdx(\"ul\", null, mdx(\"li\", {\n parentName: \"ul\"\n }, \"Jasna karnacja (typ I-II wg Fitzpatricka)\"), mdx(\"li\", {\n parentName: \"ul\"\n }, \"Blond lub rude w\\u0142osy\"), mdx(\"li\", {\n parentName: \"ul\"\n }, \"Niebieskie lub zielone oczy\"), mdx(\"li\", {\n parentName: \"ul\"\n }, \"Sk\\u0142onno\\u015B\\u0107 do poparze\\u0144 s\\u0142onecznych\"), mdx(\"li\", {\n parentName: \"ul\"\n }, \"Trudno\\u015Bci w opalaniu si\\u0119\")), mdx(\"p\", null, mdx(\"strong\", {\n parentName: \"p\"\n }, \"3. Wiek i p\\u0142e\\u0107\")), mdx(\"ul\", null, mdx(\"li\", {\n parentName: \"ul\"\n }, \"Wiek >50 lat (wzrost ryzyka z wiekiem)\"), mdx(\"li\", {\n parentName: \"ul\"\n }, \"P\\u0142e\\u0107 m\\u0119ska (1.5-2x cz\\u0119\\u015Bciej ni\\u017C u kobiet)\")), mdx(\"p\", null, mdx(\"strong\", {\n parentName: \"p\"\n }, \"4. Czynniki genetyczne\")), mdx(\"ul\", null, mdx(\"li\", {\n parentName: \"ul\"\n }, \"Zesp\\xF3\\u0142 Gorlina (zesp\\xF3\\u0142 raka podstawnokom\\xF3rkowego znamionowego, NBCCS) - dziedziczna predyspozycja\"), mdx(\"li\", {\n parentName: \"ul\"\n }, \"Xeroderma pigmentosum - genetyczna niezdolno\\u015B\\u0107 do naprawy uszkodze\\u0144 DNA\"), mdx(\"li\", {\n parentName: \"ul\"\n }, \"Rodzinny wywiad w kierunku rak\\xF3w sk\\xF3ry\"), mdx(\"li\", {\n parentName: \"ul\"\n }, \"Mutacje w genie PTCH1 (w zespole Gorlina)\")), mdx(\"p\", null, mdx(\"strong\", {\n parentName: \"p\"\n }, \"5. Immunosupresja\")), mdx(\"ul\", null, mdx(\"li\", {\n parentName: \"ul\"\n }, \"Leczenie immunosupresyjne (np. po przeszczepach)\"), mdx(\"li\", {\n parentName: \"ul\"\n }, \"HIV/AIDS\"), mdx(\"li\", {\n parentName: \"ul\"\n }, \"Przewlek\\u0142e choroby os\\u0142abiaj\\u0105ce odporno\\u015B\\u0107\"), mdx(\"li\", {\n parentName: \"ul\"\n }, \"Przyjmowanie lek\\xF3w biologicznych\")), mdx(\"p\", null, mdx(\"strong\", {\n parentName: \"p\"\n }, \"6. Inne czynniki\")), mdx(\"ul\", null, mdx(\"li\", {\n parentName: \"ul\"\n }, \"Radioterapia w wywiadzie (nawet wiele lat wcze\\u015Bniej)\"), mdx(\"li\", {\n parentName: \"ul\"\n }, \"Przewlek\\u0142e owrzodzenia lub blizny\"), mdx(\"li\", {\n parentName: \"ul\"\n }, \"Ekspozycja na arsen (historycznie w niekt\\xF3rych zawodach)\"), mdx(\"li\", {\n parentName: \"ul\"\n }, \"Przebyte raki sk\\xF3ry (zwi\\u0119kszone ryzyko kolejnych)\")), mdx(\"span\", {\n id: \"id4\"\n }), mdx(\"h2\", null, \"Objawy BCC \\u2013 jak rozpozna\\u0107?\"), mdx(\"p\", null, \"Rak podstawnokom\\xF3rkowy najcz\\u0119\\u015Bciej rozwija si\\u0119 na \", mdx(\"strong\", {\n parentName: \"p\"\n }, \"obszarach cia\\u0142a nara\\u017Conych na s\\u0142o\\u0144ce\"), \", szczeg\\xF3lnie na \", mdx(\"strong\", {\n parentName: \"p\"\n }, \"twarzy, nosie, uszach i szyi\"), \". Wczesne rozpoznanie jest kluczowe dla skutecznego leczenia i minimalizacji zniszcze\\u0144 kosmetycznych.\"), mdx(\"p\", null, mdx(\"span\", {\n parentName: \"p\",\n \"className\": \"gatsby-resp-image-wrapper\",\n \"style\": {\n \"position\": \"relative\",\n \"display\": \"block\",\n \"marginLeft\": \"auto\",\n \"marginRight\": \"auto\",\n \"maxWidth\": \"650px\"\n }\n }, \"\\n \", mdx(\"span\", {\n parentName: \"span\",\n \"className\": \"gatsby-resp-image-background-image\",\n \"style\": {\n \"paddingBottom\": \"111.65644171779141%\",\n \"position\": \"relative\",\n \"bottom\": \"0\",\n \"left\": \"0\",\n \"backgroundImage\": \"url('data:image/jpeg;base64,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')\",\n \"backgroundSize\": \"cover\",\n \"display\": \"block\"\n }\n }), \"\\n \", mdx(\"img\", {\n parentName: \"span\",\n \"className\": \"gatsby-resp-image-image lazyload\",\n \"alt\": \"Rak podstawnokomórkowy - objawy\",\n \"title\": \"Typowe objawy raka podstawnokomórkowego - łuszcząca się skóra\",\n \"data-src\": \"/static/89cf4d577f7b402d400a9ab37c26d943/72ff1/rak-podstawnokomorkowy-2.jpg\",\n \"data-srcset\": \"/static/89cf4d577f7b402d400a9ab37c26d943/3138f/rak-podstawnokomorkowy-2.jpg 163w,\\n/static/89cf4d577f7b402d400a9ab37c26d943/2f0d2/rak-podstawnokomorkowy-2.jpg 325w,\\n/static/89cf4d577f7b402d400a9ab37c26d943/72ff1/rak-podstawnokomorkowy-2.jpg 650w,\\n/static/89cf4d577f7b402d400a9ab37c26d943/5f948/rak-podstawnokomorkowy-2.jpg 975w,\\n/static/89cf4d577f7b402d400a9ab37c26d943/052ff/rak-podstawnokomorkowy-2.jpg 1300w,\\n/static/89cf4d577f7b402d400a9ab37c26d943/97624/rak-podstawnokomorkowy-2.jpg 1615w\",\n \"sizes\": \"(max-width: 650px) 100vw, 650px\",\n \"style\": {\n \"width\": \"100%\",\n \"height\": \"100%\",\n \"margin\": \"0\",\n \"verticalAlign\": \"middle\",\n \"position\": \"absolute\",\n \"top\": \"0\",\n \"left\": \"0\"\n },\n \"loading\": \"lazy\"\n }), \"\\n \")), mdx(\"h3\", null, \"Typowe objawy raka podstawnokom\\xF3rkowego:\"), mdx(\"p\", null, mdx(\"strong\", {\n parentName: \"p\"\n }, \"Klasyczna prezentacja kliniczna:\")), mdx(\"ul\", null, mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"Guzek per\\u0142owy\"), \" - b\\u0142yszcz\\u0105ca, prze\\u015Bwiecaj\\u0105ca powierzchnia\"), mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"Rozszerzone naczynia krwiono\\u015Bne\"), \" (teleangiektazje) na powierzchni\"), mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"Owrzodzenie centralne\"), \" - cz\\u0119sto z krwawymi strupiami\"), mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"Wa\\u0142owate brzegi\"), \" - charakterystyczne uniesienie na obwodzie zmiany\"), mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"Powolny wzrost\"), \" - zmiana powi\\u0119ksza si\\u0119 przez miesi\\u0105ce/lata\")), mdx(\"p\", null, mdx(\"strong\", {\n parentName: \"p\"\n }, \"Lokalizacja:\")), mdx(\"ul\", null, mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"Twarz\"), \" - 70-80% przypadk\\xF3w\", mdx(\"ul\", {\n parentName: \"li\"\n }, mdx(\"li\", {\n parentName: \"ul\"\n }, \"Nos (najcz\\u0119stsza lokalizacja!)\"), mdx(\"li\", {\n parentName: \"ul\"\n }, \"Policzki\"), mdx(\"li\", {\n parentName: \"ul\"\n }, \"Czo\\u0142o\"), mdx(\"li\", {\n parentName: \"ul\"\n }, \"Okolica oka (niebezpieczna lokalizacja)\"))), mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"Uszy\"), \" - 10-15%\"), mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"Szyja\"), \" - 5-10%\"), mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"Tu\\u0142\\xF3w, ko\\u0144czyny\"), \" - rzadziej (<10%)\")), mdx(\"p\", null, mdx(\"span\", {\n parentName: \"p\",\n \"className\": \"gatsby-resp-image-wrapper\",\n \"style\": {\n \"position\": \"relative\",\n \"display\": \"block\",\n \"marginLeft\": \"auto\",\n \"marginRight\": \"auto\",\n \"maxWidth\": \"584px\"\n }\n }, \"\\n \", mdx(\"span\", {\n parentName: \"span\",\n \"className\": \"gatsby-resp-image-background-image\",\n \"style\": {\n \"paddingBottom\": \"90.79754601226993%\",\n \"position\": \"relative\",\n \"bottom\": \"0\",\n \"left\": \"0\",\n \"backgroundImage\": \"url('data:image/jpeg;base64,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')\",\n \"backgroundSize\": \"cover\",\n \"display\": \"block\"\n }\n }), \"\\n \", mdx(\"img\", {\n parentName: \"span\",\n \"className\": \"gatsby-resp-image-image lazyload\",\n \"alt\": \"BCC na ciele\",\n \"title\": \"Rak podstawnokomórkowy\",\n \"data-src\": \"/static/59ab99ec319df72e1b08a3081914b135/2779d/rak-podstawnokomorkowy-3.jpg\",\n \"data-srcset\": \"/static/59ab99ec319df72e1b08a3081914b135/3138f/rak-podstawnokomorkowy-3.jpg 163w,\\n/static/59ab99ec319df72e1b08a3081914b135/2f0d2/rak-podstawnokomorkowy-3.jpg 325w,\\n/static/59ab99ec319df72e1b08a3081914b135/2779d/rak-podstawnokomorkowy-3.jpg 584w\",\n \"sizes\": \"(max-width: 584px) 100vw, 584px\",\n \"style\": {\n \"width\": \"100%\",\n \"height\": \"100%\",\n \"margin\": \"0\",\n \"verticalAlign\": \"middle\",\n \"position\": \"absolute\",\n \"top\": \"0\",\n \"left\": \"0\"\n },\n \"loading\": \"lazy\"\n }), \"\\n \")), mdx(\"h3\", null, \"Czerwone flagi - kiedy pilnie do lekarza?\"), mdx(\"p\", null, \"Zg\\u0142o\\u015B si\\u0119 do dermatologa, je\\u015Bli zauwa\\u017Cysz zmian\\u0119, kt\\xF3ra:\"), mdx(\"ul\", null, mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"Nie goi si\\u0119 przez >4 tygodnie\"), \" - rana, skaleczenie lub strupy, kt\\xF3re nie znikaj\\u0105\"), mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"Krwawi spontanicznie\"), \" - bez urazu mechanicznego\"), mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"Prze\\u015Bwieca\"), \" - charakterystyczny per\\u0142owy po\\u0142ysk\"), mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"Ma rozszerzone naczynia\"), \" - widoczne czerwone \\u017Cy\\u0142ki na powierzchni\"), mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"Powoli ro\\u015Bnie\"), \" - stopniowe powi\\u0119kszanie si\\u0119 przez miesi\\u0105ce\"), mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"Przypomina \\\"rank\\u0119\\\"\"), \" - ale nie wynika z urazu\")), mdx(\"h3\", null, \"Czy rak podstawnokom\\xF3rkowy boli?\"), mdx(\"p\", null, mdx(\"strong\", {\n parentName: \"p\"\n }, \"Najcz\\u0119\\u015Bciej nie\"), \" - i to w\\u0142a\\u015Bnie sprawia, \\u017Ce BCC bywa bagatelizowany przez pacjent\\xF3w.\"), mdx(\"p\", null, mdx(\"strong\", {\n parentName: \"p\"\n }, \"Typowy przebieg:\")), mdx(\"ul\", null, mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"Wczesne stadium:\"), \" BCC jest ca\\u0142kowicie \", mdx(\"strong\", {\n parentName: \"li\"\n }, \"bezb\\xF3lowy\"), \" - to najbardziej charakterystyczna cecha\"), mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"Brak \\u015Bwi\\u0105du:\"), \" zmiana zwykle nie sw\\u0119dzi (w przeciwie\\u0144stwie do wielu \\u0142agodnych zmian sk\\xF3rnych)\"), mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"Brak dyskomfortu:\"), \" pacjent cz\\u0119sto odkrywa zmian\\u0119 przypadkowo (np. podczas golenia, mycia twarzy)\")), mdx(\"p\", null, mdx(\"strong\", {\n parentName: \"p\"\n }, \"Kiedy BCC mo\\u017Ce bole\\u0107:\")), mdx(\"ul\", null, mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"Owrzodzenie zaawansowane\"), \" - gdy powierzchnia si\\u0119 owrzodzi i powstaje strup\"), mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"Zaka\\u017Cenie wt\\xF3rne\"), \" - bakterie mog\\u0105 powodowa\\u0107 b\\xF3l i stan zapalny\"), mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"Du\\u017Ce rozmiary\"), \" - rozleg\\u0142y BCC niszcz\\u0105cy g\\u0142\\u0119bsze struktury (ko\\u015Bci, chrz\\u0105stki)\"), mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"Naciekanie nerw\\xF3w\"), \" - w przypadku typ\\xF3w agresywnych (morpheaform, infiltrative)\")), mdx(\"p\", null, mdx(\"strong\", {\n parentName: \"p\"\n }, \"Pami\\u0119taj: Brak b\\xF3lu NIE oznacza, \\u017Ce zmiana jest \\u0142agodna!\")), mdx(\"p\", null, \"Wi\\u0119kszo\\u015B\\u0107 rak\\xF3w sk\\xF3ry (w tym BCC i czerniak) \", mdx(\"strong\", {\n parentName: \"p\"\n }, \"nie boli\"), \" we wczesnych stadiach. Dlatego ka\\u017Cda \", mdx(\"strong\", {\n parentName: \"p\"\n }, \"nowa\"), \", \", mdx(\"strong\", {\n parentName: \"p\"\n }, \"rosn\\u0105ca\"), \" lub \", mdx(\"strong\", {\n parentName: \"p\"\n }, \"niegoj\\u0105ca si\\u0119 zmiana\"), \" wymaga konsultacji dermatologicznej - nawet je\\u015Bli nie sprawia dyskomfortu.\"), mdx(\"h3\", null, \"Jak odr\\xF3\\u017Cni\\u0107 BCC od \\u0142agodnych zmian sk\\xF3rnych?\"), mdx(\"p\", null, \"Wiele os\\xF3b myli raka podstawnokom\\xF3rkowego z innymi, \\u0142agodnymi zmianami sk\\xF3rnymi. Oto kluczowe r\\xF3\\u017Cnice:\"), mdx(\"p\", null, mdx(\"strong\", {\n parentName: \"p\"\n }, \"BCC vs Znami\\u0119 barwnikowe (pieprzyk):\")), mdx(\"ul\", null, mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"BCC:\"), \" per\\u0142owy guzek, teleangiektazje, owrzodzenie, brak lub niewielka pigmentacja\"), mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"Znami\\u0119:\"), \" br\\u0105zowa/czarna plamka lub guzek, r\\xF3wnomierne zabarwienie, brak owrzodzenia\"), mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"Kluczowa r\\xF3\\u017Cnica:\"), \" BCC ma charakterystyczny per\\u0142owy po\\u0142ysk i naczynia krwiono\\u015Bne na powierzchni\")), mdx(\"p\", null, mdx(\"strong\", {\n parentName: \"p\"\n }, \"BCC vs Brodawka \\u0142ojotokowa (keratosis seborrheica):\")), mdx(\"ul\", null, mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"BCC:\"), \" g\\u0142adka lub owrzodzia\\u0142a powierzchnia, prze\\u015Bwiecaj\\u0105cy\"), mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"Brodawka:\"), \" rogowaciej\\u0105ca, \\\"przyczepiona\\\" powierzchnia, br\\u0105zowa, wyra\\u017Ane granice\"), mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"Kluczowa r\\xF3\\u017Cnica:\"), \" Brodawka wygl\\u0105da jakby by\\u0142a \\\"przyklejona\\\" do sk\\xF3ry, BCC ro\\u015Bnie \\\"z\\\" sk\\xF3ry\")), mdx(\"p\", null, mdx(\"strong\", {\n parentName: \"p\"\n }, \"BCC vs W\\u0142\\xF3kniak (fibroma):\")), mdx(\"ul\", null, mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"BCC:\"), \" mo\\u017Ce krwawi\\u0107 spontanicznie, teleangiektazje\"), mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"W\\u0142\\xF3kniak:\"), \" mi\\u0119kki guzek, kolor sk\\xF3ry, nie krwawi\"), mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"Kluczowa r\\xF3\\u017Cnica:\"), \" W\\u0142\\xF3kniak jest mi\\u0119kki i ruchomy, BCC jest sztywniejszy\")), mdx(\"p\", null, mdx(\"strong\", {\n parentName: \"p\"\n }, \"BCC vs Pros\\xF3wka (milia):\")), mdx(\"ul\", null, mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"BCC:\"), \" wi\\u0119ksza (>3 mm), ro\\u015Bnie, owrzodzenie\"), mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"Pros\\xF3wka:\"), \" ma\\u0142a (<2 mm), bia\\u0142a, nie ro\\u015Bnie, twardy guzek\"), mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"Kluczowa r\\xF3\\u017Cnica:\"), \" Pros\\xF3wka jest sta\\u0142a, BCC \", mdx(\"strong\", {\n parentName: \"li\"\n }, \"powoli ro\\u015Bnie\"))), mdx(\"p\", null, mdx(\"strong\", {\n parentName: \"p\"\n }, \"BCC vs Krostka/zmiana zapalna:\")), mdx(\"ul\", null, mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"BCC:\"), \" nie goi si\\u0119 >4 tygodnie, brak ropy\"), mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"Krostka:\"), \" goi si\\u0119 w 1-2 tygodnie, ropna zawarto\\u015B\\u0107\"), mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"Kluczowa r\\xF3\\u017Cnica:\"), \" BCC \", mdx(\"strong\", {\n parentName: \"li\"\n }, \"nie goj\\u0105 si\\u0119 mimo up\\u0142ywu czasu\"))), mdx(\"p\", null, mdx(\"strong\", {\n parentName: \"p\"\n }, \"Z\\u0142ota zasada diagnostyki:\"), \" Je\\u015Bli masz w\\u0105tpliwo\\u015Bci - \", mdx(\"strong\", {\n parentName: \"p\"\n }, \"udaj si\\u0119 do dermatologa\"), \". Tylko badanie dermatoskopowe i ewentualna biopsja daj\\u0105 pewne rozpoznanie. Nie polegaj wy\\u0142\\u0105cznie na zdj\\u0119ciach z internetu!\"), mdx(\"h3\", null, \"Rak podstawnokom\\xF3rkowy nosa - dlaczego tak cz\\u0119sty?\"), mdx(\"p\", null, \"Nos to \", mdx(\"strong\", {\n parentName: \"p\"\n }, \"najcz\\u0119stsza lokalizacja BCC\"), \" - stanowi oko\\u0142o 25-30% wszystkich przypadk\\xF3w raka podstawnokom\\xF3rkowego.\"), mdx(\"p\", null, mdx(\"strong\", {\n parentName: \"p\"\n }, \"Dlaczego akurat nos?\")), mdx(\"p\", null, mdx(\"strong\", {\n parentName: \"p\"\n }, \"1. Najwi\\u0119ksza ekspozycja na UV:\")), mdx(\"ul\", null, mdx(\"li\", {\n parentName: \"ul\"\n }, \"Nos to najbardziej wysuni\\u0119ta cz\\u0119\\u015B\\u0107 twarzy - otrzymuje najwi\\u0119cej promieniowania s\\u0142onecznego\"), mdx(\"li\", {\n parentName: \"ul\"\n }, \"Trudno go chroni\\u0107 (kapelusze rzadko os\\u0142aniaj\\u0105 nos wystarczaj\\u0105co)\"), mdx(\"li\", {\n parentName: \"ul\"\n }, \"Ludzie cz\\u0119sto zapominaj\\u0105 o na\\u0142o\\u017Ceniu kremu z filtrem na nos\")), mdx(\"p\", null, mdx(\"strong\", {\n parentName: \"p\"\n }, \"2. Anatomia sk\\xF3ry nosa:\")), mdx(\"ul\", null, mdx(\"li\", {\n parentName: \"ul\"\n }, \"Cienka sk\\xF3ra (\\u0142atwiejsze uszkodzenie DNA)\"), mdx(\"li\", {\n parentName: \"ul\"\n }, \"Bogate unerwienie i unaczynienie (wzrost BCC)\"), mdx(\"li\", {\n parentName: \"ul\"\n }, \"Du\\u017Ce gruczo\\u0142y \\u0142ojowe (niekt\\xF3re typy BCC zwi\\u0105zane z jednostkami w\\u0142osowo-\\u0142ojowymi)\")), mdx(\"p\", null, mdx(\"strong\", {\n parentName: \"p\"\n }, \"3. Trudna diagnostyka:\")), mdx(\"ul\", null, mdx(\"li\", {\n parentName: \"ul\"\n }, \"Pacjenci myl\\u0105 wczesnego BCC z \\\"wypryskiemrozszerzonych porami\\\"\"), mdx(\"li\", {\n parentName: \"ul\"\n }, \"Zmiany na nosie cz\\u0119sto bagatelizowane\")), mdx(\"p\", null, mdx(\"strong\", {\n parentName: \"p\"\n }, \"Typy BCC na nosie:\")), mdx(\"ul\", null, mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"Nodular BCC\"), \" - guzek per\\u0142owy na skrzyde\\u0142ku lub grzbiecie nosa\"), mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"Morpheaform BCC\"), \" - blizna-podobna zmiana (szczeg\\xF3lnie niebezpieczna!)\"), mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"Superficial BCC\"), \" - rzadziej na nosie, cz\\u0119\\u015Bciej na grzbiecie\")), mdx(\"p\", null, mdx(\"strong\", {\n parentName: \"p\"\n }, \"Leczenie BCC nosa:\")), mdx(\"p\", null, mdx(\"strong\", {\n parentName: \"p\"\n }, \"Chirurgia Mohsa - z\\u0142oty standard dla BCC nosa:\")), mdx(\"ul\", null, mdx(\"li\", {\n parentName: \"ul\"\n }, \"Pozwala oszcz\\u0119dzi\\u0107 jak najwi\\u0119cej zdrowej tkanki\"), mdx(\"li\", {\n parentName: \"ul\"\n }, \"Minimalizuje defekt kosmetyczny\"), mdx(\"li\", {\n parentName: \"ul\"\n }, \"99% skuteczno\\u015B\\u0107\"), mdx(\"li\", {\n parentName: \"ul\"\n }, \"Dost\\u0119pna w wybranych o\\u015Brodkach w Polsce\")), mdx(\"p\", null, mdx(\"strong\", {\n parentName: \"p\"\n }, \"Wyci\\u0119cie standardowe:\")), mdx(\"ul\", null, mdx(\"li\", {\n parentName: \"ul\"\n }, \"Dla ma\\u0142ych BCC (<1 cm) niskiego ryzyka\"), mdx(\"li\", {\n parentName: \"ul\"\n }, \"Marginesy 4-5 mm\"), mdx(\"li\", {\n parentName: \"ul\"\n }, \"Mo\\u017Ce wymaga\\u0107 rekonstrukcji (p\\u0142at sk\\xF3rny, przeszczep)\")), mdx(\"p\", null, mdx(\"strong\", {\n parentName: \"p\"\n }, \"Radioterapia:\")), mdx(\"ul\", null, mdx(\"li\", {\n parentName: \"ul\"\n }, \"Dla pacjent\\xF3w starszych, niewykwalifikowanych do operacji\"), mdx(\"li\", {\n parentName: \"ul\"\n }, \"Gorszy efekt kosmetyczny\")), mdx(\"p\", null, mdx(\"strong\", {\n parentName: \"p\"\n }, \"Konsekwencje nieleczonego BCC nosa:\")), mdx(\"p\", null, \"BCC na nosie, je\\u015Bli nieleczony, mo\\u017Ce prowadzi\\u0107 do \", mdx(\"strong\", {\n parentName: \"p\"\n }, \"destrukcji chrz\\u0105stki\"), \" i \", mdx(\"strong\", {\n parentName: \"p\"\n }, \"deformacji nosa\"), \". W skrajnych przypadkach mo\\u017Ce nacieka\\u0107 \", mdx(\"strong\", {\n parentName: \"p\"\n }, \"zatoki przynosowe\"), \" lub \", mdx(\"strong\", {\n parentName: \"p\"\n }, \"struktury oka\"), \".\"), mdx(\"p\", null, mdx(\"strong\", {\n parentName: \"p\"\n }, \"Profilaktyka BCC nosa:\")), mdx(\"ul\", null, mdx(\"li\", {\n parentName: \"ul\"\n }, \"Codzienny krem z filtrem SPF 50+ na nos (nawet w pochmurne dni!)\"), mdx(\"li\", {\n parentName: \"ul\"\n }, \"Kapelusz z szerokim rondem\"), mdx(\"li\", {\n parentName: \"ul\"\n }, \"Unikanie solarium\"), mdx(\"li\", {\n parentName: \"ul\"\n }, \"Regularna samokontrola nosa (lustro)\")), mdx(More, {\n link: \"/wideodermatoskopia-komputerowe-badanie-znamion\",\n text: \"Dowiedz si\\u0119 wi\\u0119cej o badaniu wideodermatoskopowym - najskuteczniejszej metodzie wykrywania rak\\xF3w sk\\xF3ry.\",\n cta: \"Sprawd\\u017A\",\n mdxType: \"More\"\n }), mdx(\"span\", {\n id: \"id5\"\n }), mdx(\"h2\", null, \"Rodzaje raka podstawnokom\\xF3rkowego\"), mdx(\"p\", null, \"Wyr\\xF3\\u017Cniamy kilka podtyp\\xF3w histopatologicznych BCC, kt\\xF3re r\\xF3\\u017Cni\\u0105 si\\u0119 wygl\\u0105dem klinicznym, agresywno\\u015Bci\\u0105 wzrostu i rokowaniem. Znajomo\\u015B\\u0107 poszczeg\\xF3lnych typ\\xF3w jest istotna dla wyboru odpowiedniej metody leczenia.\"), mdx(\"p\", null, mdx(\"span\", {\n parentName: \"p\",\n \"className\": \"gatsby-resp-image-wrapper\",\n \"style\": {\n \"position\": \"relative\",\n \"display\": \"block\",\n \"marginLeft\": \"auto\",\n \"marginRight\": \"auto\",\n \"maxWidth\": \"650px\"\n }\n }, \"\\n \", mdx(\"span\", {\n parentName: \"span\",\n \"className\": \"gatsby-resp-image-background-image\",\n \"style\": {\n \"paddingBottom\": \"133.12883435582822%\",\n \"position\": \"relative\",\n \"bottom\": \"0\",\n \"left\": \"0\",\n \"backgroundImage\": \"url('data:image/jpeg;base64,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')\",\n \"backgroundSize\": \"cover\",\n \"display\": \"block\"\n }\n }), \"\\n \", mdx(\"img\", {\n parentName: \"span\",\n \"className\": \"gatsby-resp-image-image lazyload\",\n \"alt\": \"Rak skóry BCC\",\n \"title\": \"Rak podstawnokomórkowy\",\n \"data-src\": \"/static/198ab1c27033ee68937a21ac17e201a2/72ff1/rak-podstawnokomorkowy-4.jpg\",\n \"data-srcset\": \"/static/198ab1c27033ee68937a21ac17e201a2/3138f/rak-podstawnokomorkowy-4.jpg 163w,\\n/static/198ab1c27033ee68937a21ac17e201a2/2f0d2/rak-podstawnokomorkowy-4.jpg 325w,\\n/static/198ab1c27033ee68937a21ac17e201a2/72ff1/rak-podstawnokomorkowy-4.jpg 650w,\\n/static/198ab1c27033ee68937a21ac17e201a2/5f948/rak-podstawnokomorkowy-4.jpg 975w,\\n/static/198ab1c27033ee68937a21ac17e201a2/052ff/rak-podstawnokomorkowy-4.jpg 1300w,\\n/static/198ab1c27033ee68937a21ac17e201a2/d7cf6/rak-podstawnokomorkowy-4.jpg 2165w\",\n \"sizes\": \"(max-width: 650px) 100vw, 650px\",\n \"style\": {\n \"width\": \"100%\",\n \"height\": \"100%\",\n \"margin\": \"0\",\n \"verticalAlign\": \"middle\",\n \"position\": \"absolute\",\n \"top\": \"0\",\n \"left\": \"0\"\n },\n \"loading\": \"lazy\"\n }), \"\\n \")), mdx(\"h3\", null, \"1. Rak podstawnokom\\xF3rkowy guzowaty (nodular BCC)\"), mdx(\"p\", null, mdx(\"strong\", {\n parentName: \"p\"\n }, \"Najcz\\u0119stszy typ (60-80% przypadk\\xF3w)\")), mdx(\"ul\", null, mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"Wygl\\u0105d:\"), \" guzek per\\u0142owy z teleangiektazjami\"), mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"Powierzchnia:\"), \" b\\u0142yszcz\\u0105ca, prze\\u015Bwiecaj\\u0105ca\"), mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"Centrum:\"), \" cz\\u0119sto owrzodzia\\u0142e\"), mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"Wzrost:\"), \" powolny, miejscowy\"), mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"Rokowanie:\"), \" dobre (je\\u015Bli wyci\\u0119te ca\\u0142kowicie)\")), mdx(\"p\", null, mdx(\"span\", {\n parentName: \"p\",\n \"className\": \"gatsby-resp-image-wrapper\",\n \"style\": {\n \"position\": \"relative\",\n \"display\": \"block\",\n \"marginLeft\": \"auto\",\n \"marginRight\": \"auto\",\n \"maxWidth\": \"650px\"\n }\n }, \"\\n \", mdx(\"span\", {\n parentName: \"span\",\n \"className\": \"gatsby-resp-image-background-image\",\n \"style\": {\n \"paddingBottom\": \"82.82208588957054%\",\n \"position\": \"relative\",\n \"bottom\": \"0\",\n \"left\": \"0\",\n \"backgroundImage\": \"url('data:image/jpeg;base64,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')\",\n \"backgroundSize\": \"cover\",\n \"display\": \"block\"\n }\n }), \"\\n \", mdx(\"img\", {\n parentName: \"span\",\n \"className\": \"gatsby-resp-image-image lazyload\",\n \"alt\": \"Rak podstawnokomórkowy\",\n \"title\": \"Rak podstawnokomórkowy\",\n \"data-src\": \"/static/4fb62007a88ad5257990db029d2b4624/72ff1/rak-podstawnokomorkowy-5.jpg\",\n \"data-srcset\": \"/static/4fb62007a88ad5257990db029d2b4624/3138f/rak-podstawnokomorkowy-5.jpg 163w,\\n/static/4fb62007a88ad5257990db029d2b4624/2f0d2/rak-podstawnokomorkowy-5.jpg 325w,\\n/static/4fb62007a88ad5257990db029d2b4624/72ff1/rak-podstawnokomorkowy-5.jpg 650w,\\n/static/4fb62007a88ad5257990db029d2b4624/5f948/rak-podstawnokomorkowy-5.jpg 975w,\\n/static/4fb62007a88ad5257990db029d2b4624/a3eb0/rak-podstawnokomorkowy-5.jpg 1120w\",\n \"sizes\": \"(max-width: 650px) 100vw, 650px\",\n \"style\": {\n \"width\": \"100%\",\n \"height\": \"100%\",\n \"margin\": \"0\",\n \"verticalAlign\": \"middle\",\n \"position\": \"absolute\",\n \"top\": \"0\",\n \"left\": \"0\"\n },\n \"loading\": \"lazy\"\n }), \"\\n \")), mdx(\"h3\", null, \"2. Rak podstawnokom\\xF3rkowy powierzchowny (superficial BCC)\"), mdx(\"p\", null, mdx(\"strong\", {\n parentName: \"p\"\n }, \"10-30% przypadk\\xF3w, cz\\u0119sto u os\\xF3b m\\u0142odszych\")), mdx(\"ul\", null, mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"Wygl\\u0105d:\"), \" p\\u0142aska, r\\xF3\\u017Cowo-czerwona plama\"), mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"Brzegi:\"), \" nieco uniesione, nitkowate\"), mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"Powierzchnia:\"), \" \\u0142uskowata lub pokryta strupem\"), mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"Lokalizacja:\"), \" cz\\u0119sto na tu\\u0142owiu (nietypowo dla BCC!)\"), mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"Wzrost:\"), \" bardzo powolny, rozleg\\u0142o\\u015B\\u0107 pozioma\"), mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"Rokowanie:\"), \" bardzo dobre\")), mdx(\"p\", null, mdx(\"span\", {\n parentName: \"p\",\n \"className\": \"gatsby-resp-image-wrapper\",\n \"style\": {\n \"position\": \"relative\",\n \"display\": \"block\",\n \"marginLeft\": \"auto\",\n \"marginRight\": \"auto\",\n \"maxWidth\": \"650px\"\n }\n }, \"\\n \", mdx(\"span\", {\n parentName: \"span\",\n \"className\": \"gatsby-resp-image-background-image\",\n \"style\": {\n \"paddingBottom\": \"187.1165644171779%\",\n \"position\": \"relative\",\n \"bottom\": \"0\",\n \"left\": \"0\",\n \"backgroundImage\": \"url('data:image/jpeg;base64,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')\",\n \"backgroundSize\": \"cover\",\n \"display\": \"block\"\n }\n }), \"\\n \", mdx(\"img\", {\n parentName: \"span\",\n \"className\": \"gatsby-resp-image-image lazyload\",\n \"alt\": \"Superficial BCC\",\n \"title\": \"Rak podstawnokomórkowy powierzchowny na uchu\",\n \"data-src\": \"/static/5143596d2c3e8182f8521a41fb981d7b/72ff1/rak-podstawnokomorkowy-11.jpg\",\n \"data-srcset\": \"/static/5143596d2c3e8182f8521a41fb981d7b/3138f/rak-podstawnokomorkowy-11.jpg 163w,\\n/static/5143596d2c3e8182f8521a41fb981d7b/2f0d2/rak-podstawnokomorkowy-11.jpg 325w,\\n/static/5143596d2c3e8182f8521a41fb981d7b/72ff1/rak-podstawnokomorkowy-11.jpg 650w,\\n/static/5143596d2c3e8182f8521a41fb981d7b/5f948/rak-podstawnokomorkowy-11.jpg 975w,\\n/static/5143596d2c3e8182f8521a41fb981d7b/1faae/rak-podstawnokomorkowy-11.jpg 996w\",\n \"sizes\": \"(max-width: 650px) 100vw, 650px\",\n \"style\": {\n \"width\": \"100%\",\n \"height\": \"100%\",\n \"margin\": \"0\",\n \"verticalAlign\": \"middle\",\n \"position\": \"absolute\",\n \"top\": \"0\",\n \"left\": \"0\"\n },\n \"loading\": \"lazy\"\n }), \"\\n \")), mdx(\"h3\", null, \"3. Rak podstawnokom\\xF3rkowy twardzinopodobny (morpheaform/sclerosing BCC)\"), mdx(\"p\", null, mdx(\"strong\", {\n parentName: \"p\"\n }, \"5-10% przypadk\\xF3w, najbardziej agresywny typ\")), mdx(\"ul\", null, mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"Wygl\\u0105d:\"), \" bia\\u0142a lub \\u017C\\xF3\\u0142tawa blizna\"), mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"Powierzchnia:\"), \" g\\u0142adka, lekko zag\\u0142\\u0119biona\"), mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"Brzegi:\"), \" niewyra\\u017Ane, trudne do okre\\u015Blenia\"), mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"Wzrost:\"), \" infiltracyjny, g\\u0142\\u0119boki\"), mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"Rokowanie:\"), \" gorsze (cz\\u0119sto niekompletne wyci\\u0119cie)\"), mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"Uwaga:\"), \" wymaga szerokich margines\\xF3w lub chirurgii Mohsa\")), mdx(\"p\", null, mdx(\"span\", {\n parentName: \"p\",\n \"className\": \"gatsby-resp-image-wrapper\",\n \"style\": {\n \"position\": \"relative\",\n \"display\": \"block\",\n \"marginLeft\": \"auto\",\n \"marginRight\": \"auto\",\n \"maxWidth\": \"463px\"\n }\n }, \"\\n \", mdx(\"span\", {\n parentName: \"span\",\n \"className\": \"gatsby-resp-image-background-image\",\n \"style\": {\n \"paddingBottom\": \"107.36196319018406%\",\n \"position\": \"relative\",\n \"bottom\": \"0\",\n \"left\": \"0\",\n \"backgroundImage\": \"url('data:image/jpeg;base64,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')\",\n \"backgroundSize\": \"cover\",\n \"display\": \"block\"\n }\n }), \"\\n \", mdx(\"img\", {\n parentName: \"span\",\n \"className\": \"gatsby-resp-image-image lazyload\",\n \"alt\": \"Rak podstawnokomórkowy BCC\",\n \"title\": \"Rak podstawnokomórkowy\",\n \"data-src\": \"/static/6a68c333b50e34e2431cce1ecfa55541/f11b4/rak-podstawnokomorkowy-14.jpg\",\n \"data-srcset\": \"/static/6a68c333b50e34e2431cce1ecfa55541/3138f/rak-podstawnokomorkowy-14.jpg 163w,\\n/static/6a68c333b50e34e2431cce1ecfa55541/2f0d2/rak-podstawnokomorkowy-14.jpg 325w,\\n/static/6a68c333b50e34e2431cce1ecfa55541/f11b4/rak-podstawnokomorkowy-14.jpg 463w\",\n \"sizes\": \"(max-width: 463px) 100vw, 463px\",\n \"style\": {\n \"width\": \"100%\",\n \"height\": \"100%\",\n \"margin\": \"0\",\n \"verticalAlign\": \"middle\",\n \"position\": \"absolute\",\n \"top\": \"0\",\n \"left\": \"0\"\n },\n \"loading\": \"lazy\"\n }), \"\\n \")), mdx(\"h3\", null, \"4. Rak podstawnokom\\xF3rkowy barwnikowy (pigmented BCC)\"), mdx(\"p\", null, mdx(\"strong\", {\n parentName: \"p\"\n }, \"Rzadki wariant (2-6% w populacji kaukaskiej, cz\\u0119\\u015Bciej u os\\xF3b ciemnosk\\xF3rych)\")), mdx(\"ul\", null, mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"Wygl\\u0105d:\"), \" ciemnobr\\u0105zowy lub czarny guzek\"), mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"Melanina:\"), \" zawiera pigment melaninowy (\\u0142atwo pomyli\\u0107 z czerniakiem!)\"), mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"Diagnostyka:\"), \" wymaga biopsji (r\\xF3\\u017Cnicowanie z czerniakiem)\"), mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"Rokowanie:\"), \" jak nodular BCC\")), mdx(\"p\", null, mdx(\"span\", {\n parentName: \"p\",\n \"className\": \"gatsby-resp-image-wrapper\",\n \"style\": {\n \"position\": \"relative\",\n \"display\": \"block\",\n \"marginLeft\": \"auto\",\n \"marginRight\": \"auto\",\n \"maxWidth\": \"650px\"\n }\n }, \"\\n \", mdx(\"span\", {\n parentName: \"span\",\n \"className\": \"gatsby-resp-image-background-image\",\n \"style\": {\n \"paddingBottom\": \"66.25766871165644%\",\n \"position\": \"relative\",\n \"bottom\": \"0\",\n \"left\": \"0\",\n \"backgroundImage\": \"url('data:image/jpeg;base64,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')\",\n \"backgroundSize\": \"cover\",\n \"display\": \"block\"\n }\n }), \"\\n \", mdx(\"img\", {\n parentName: \"span\",\n \"className\": \"gatsby-resp-image-image lazyload\",\n \"alt\": \"Rak skóry BCC\",\n \"title\": \"Rak podstawnokomórkowy barwnikowy - może przypominać łuszczycę\",\n \"data-src\": \"/static/39c0c10fb9a93732218b0c0bb3c0029b/72ff1/rak-podstawnokomorkowy-16.jpg\",\n \"data-srcset\": \"/static/39c0c10fb9a93732218b0c0bb3c0029b/3138f/rak-podstawnokomorkowy-16.jpg 163w,\\n/static/39c0c10fb9a93732218b0c0bb3c0029b/2f0d2/rak-podstawnokomorkowy-16.jpg 325w,\\n/static/39c0c10fb9a93732218b0c0bb3c0029b/72ff1/rak-podstawnokomorkowy-16.jpg 650w,\\n/static/39c0c10fb9a93732218b0c0bb3c0029b/5f948/rak-podstawnokomorkowy-16.jpg 975w,\\n/static/39c0c10fb9a93732218b0c0bb3c0029b/052ff/rak-podstawnokomorkowy-16.jpg 1300w,\\n/static/39c0c10fb9a93732218b0c0bb3c0029b/8e176/rak-podstawnokomorkowy-16.jpg 3008w\",\n \"sizes\": \"(max-width: 650px) 100vw, 650px\",\n \"style\": {\n \"width\": \"100%\",\n \"height\": \"100%\",\n \"margin\": \"0\",\n \"verticalAlign\": \"middle\",\n \"position\": \"absolute\",\n \"top\": \"0\",\n \"left\": \"0\"\n },\n \"loading\": \"lazy\"\n }), \"\\n \")), mdx(\"h3\", null, \"5. Rak podstawnokom\\xF3rkowy naciekaj\\u0105cy (infiltrative BCC)\"), mdx(\"p\", null, mdx(\"strong\", {\n parentName: \"p\"\n }, \"5-10% przypadk\\xF3w, agresywny typ\")), mdx(\"ul\", null, mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"Wzrost:\"), \" g\\u0142\\u0119boki, rozlegli naciekaj\\u0105cy\"), mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"Brzegi:\"), \" niewyra\\u017Ane klinicznie\"), mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"Ryzyko:\"), \" cz\\u0119sto niepe\\u0142ne wyci\\u0119cie\"), mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"Leczenie:\"), \" preferowana chirurgia Mohsa\")), mdx(MoreLeadUmow, {\n link: \"/kontakt\",\n label: \"Masz podejrzan\\u0105 zmian\\u0119?\",\n text: \"Nie czekaj - um\\xF3w si\\u0119 na badanie dermatoskopowe.\",\n mdxType: \"MoreLeadUmow\"\n }), mdx(\"span\", {\n id: \"id6\"\n }), mdx(\"h2\", null, \"Diagnostyka raka podstawnokom\\xF3rkowego\"), mdx(\"p\", null, \"Rozpoznanie BCC opiera si\\u0119 na \", mdx(\"strong\", {\n parentName: \"p\"\n }, \"badaniu dermatoskopowym\"), \" (dermoskopii) oraz \", mdx(\"strong\", {\n parentName: \"p\"\n }, \"ostatecznym badaniu histopatologicznym\"), \" (biopsji). W\\u0142a\\u015Bciwa diagnostyka jest kluczowa dla wyboru optymalnej metody leczenia.\"), mdx(\"p\", null, mdx(\"span\", {\n parentName: \"p\",\n \"className\": \"gatsby-resp-image-wrapper\",\n \"style\": {\n \"position\": \"relative\",\n \"display\": \"block\",\n \"marginLeft\": \"auto\",\n \"marginRight\": \"auto\",\n \"maxWidth\": \"650px\"\n }\n }, \"\\n \", mdx(\"span\", {\n parentName: \"span\",\n \"className\": \"gatsby-resp-image-background-image\",\n \"style\": {\n \"paddingBottom\": \"82.82208588957054%\",\n \"position\": \"relative\",\n \"bottom\": \"0\",\n \"left\": \"0\",\n \"backgroundImage\": \"url('data:image/jpeg;base64,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')\",\n \"backgroundSize\": \"cover\",\n \"display\": \"block\"\n }\n }), \"\\n \", mdx(\"img\", {\n parentName: \"span\",\n \"className\": \"gatsby-resp-image-image lazyload\",\n \"alt\": \"Obraz BCC\",\n \"title\": \"Obraz raka podstawnokomórkowego\",\n \"data-src\": \"/static/f3554967bfe586f74400c72ac42efc52/72ff1/rak-podstawnokomorkowy-17.jpg\",\n \"data-srcset\": \"/static/f3554967bfe586f74400c72ac42efc52/3138f/rak-podstawnokomorkowy-17.jpg 163w,\\n/static/f3554967bfe586f74400c72ac42efc52/2f0d2/rak-podstawnokomorkowy-17.jpg 325w,\\n/static/f3554967bfe586f74400c72ac42efc52/72ff1/rak-podstawnokomorkowy-17.jpg 650w,\\n/static/f3554967bfe586f74400c72ac42efc52/87683/rak-podstawnokomorkowy-17.jpg 865w\",\n \"sizes\": \"(max-width: 650px) 100vw, 650px\",\n \"style\": {\n \"width\": \"100%\",\n \"height\": \"100%\",\n \"margin\": \"0\",\n \"verticalAlign\": \"middle\",\n \"position\": \"absolute\",\n \"top\": \"0\",\n \"left\": \"0\"\n },\n \"loading\": \"lazy\"\n }), \"\\n \")), mdx(\"h3\", null, \"1. Badanie dermatoskopowe (dermoskopia)\"), mdx(\"p\", null, mdx(\"strong\", {\n parentName: \"p\"\n }, \"Dermoskopia\"), \" to nieinwazyjne badanie mikroskopowe powierzchni sk\\xF3ry, kt\\xF3re pozwala na ocen\\u0119 struktur niewidocznych go\\u0142ym okiem.\"), mdx(\"p\", null, mdx(\"strong\", {\n parentName: \"p\"\n }, \"Cechy dermatoskopowe BCC:\")), mdx(\"ul\", null, mdx(\"li\", {\n parentName: \"ul\"\n }, \"Teleangiektazje delikatne, rozga\\u0142\\u0119zione (arboryzuj\\u0105ce)\"), mdx(\"li\", {\n parentName: \"ul\"\n }, \"Struktury typu \\\"li\\u015B\\u0107 koniczyny\\\" (clover-leaf)\"), mdx(\"li\", {\n parentName: \"ul\"\n }, \"Owalne niebiesko-szare \\\"gniazda\\\" (blue-grey ovoid nests)\"), mdx(\"li\", {\n parentName: \"ul\"\n }, \"Wielokrotne niebiesko-szare globule\"), mdx(\"li\", {\n parentName: \"ul\"\n }, \"Obszary o kolorze \\\"klonu\\\" (maple-leaf-like areas)\"), mdx(\"li\", {\n parentName: \"ul\"\n }, \"Owrzodzenie z krust\\u0105\")), mdx(\"p\", null, mdx(\"strong\", {\n parentName: \"p\"\n }, \"Czu\\u0142o\\u015B\\u0107 dermoskopii dla BCC:\"), \" 85-95%\"), mdx(More, {\n link: \"/dermatoskopia-badanie-znamion\",\n text: \"Dowiedz si\\u0119 wi\\u0119cej o badaniu dermatoskopowym znamion i zmian sk\\xF3rnych.\",\n cta: \"Sprawd\\u017A\",\n mdxType: \"More\"\n }), mdx(\"h3\", null, \"2. Badanie histopatologiczne (biopsja)\"), mdx(\"p\", null, mdx(\"strong\", {\n parentName: \"p\"\n }, \"Z\\u0142oty standard diagnostyczny\"), \" - tylko badanie mikroskopowe wycinka tkanki daje pewne rozpoznanie.\"), mdx(\"p\", null, mdx(\"strong\", {\n parentName: \"p\"\n }, \"Rodzaje biopsji:\")), mdx(\"p\", null, mdx(\"strong\", {\n parentName: \"p\"\n }, \"a) Biopsja wycinaj\\u0105ca (excisional biopsy)\")), mdx(\"ul\", null, mdx(\"li\", {\n parentName: \"ul\"\n }, \"Wyci\\u0119cie ca\\u0142ej zmiany z marginesem 2-4 mm\"), mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"Metoda z wyboru dla wi\\u0119kszo\\u015Bci BCC\")), mdx(\"li\", {\n parentName: \"ul\"\n }, \"Jednoczesna diagnostyka i leczenie\"), mdx(\"li\", {\n parentName: \"ul\"\n }, \"Ocena histopatologiczna brzeg\\xF3w (czy ca\\u0142kowite wyci\\u0119cie)\")), mdx(\"p\", null, mdx(\"strong\", {\n parentName: \"p\"\n }, \"b) Biopsja wycinkowa (punch biopsy)\")), mdx(\"ul\", null, mdx(\"li\", {\n parentName: \"ul\"\n }, \"Pobranie fragmentu zmiany (3-6 mm)\"), mdx(\"li\", {\n parentName: \"ul\"\n }, \"Gdy zmiana jest du\\u017Ca lub lokalizacja utrudnia wyci\\u0119cie\"), mdx(\"li\", {\n parentName: \"ul\"\n }, \"Potrzebna p\\xF3\\u017Aniejsza resekcja\")), mdx(\"p\", null, mdx(\"strong\", {\n parentName: \"p\"\n }, \"c) Biopsja \\u015Bcinaj\\u0105ca (shave biopsy)\")), mdx(\"ul\", null, mdx(\"li\", {\n parentName: \"ul\"\n }, \"Powierzchowne \\\"\\u015Bci\\u0119cie\\\" zmiany\"), mdx(\"li\", {\n parentName: \"ul\"\n }, \"Przydatne dla zmian powierzchownych (superficial BCC)\"), mdx(\"li\", {\n parentName: \"ul\"\n }, \"Mniej inwazyjne, mniejsza blizna\")), mdx(\"p\", null, mdx(\"span\", {\n parentName: \"p\",\n \"className\": \"gatsby-resp-image-wrapper\",\n \"style\": {\n \"position\": \"relative\",\n \"display\": \"block\",\n \"marginLeft\": \"auto\",\n \"marginRight\": \"auto\",\n \"maxWidth\": \"650px\"\n }\n }, \"\\n \", mdx(\"span\", {\n parentName: \"span\",\n \"className\": \"gatsby-resp-image-background-image\",\n \"style\": {\n \"paddingBottom\": \"102.45398773006133%\",\n \"position\": \"relative\",\n \"bottom\": \"0\",\n \"left\": \"0\",\n \"backgroundImage\": \"url('data:image/jpeg;base64,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')\",\n \"backgroundSize\": \"cover\",\n \"display\": \"block\"\n }\n }), \"\\n \", mdx(\"img\", {\n parentName: \"span\",\n \"className\": \"gatsby-resp-image-image lazyload\",\n \"alt\": \"Obraz BCC\",\n \"title\": \"Obraz raka podstawnokomórkowego\",\n \"data-src\": \"/static/a3b4d5e7411a7a99669f1a967a2ec018/72ff1/rak-podstawnokomorkowy-18.jpg\",\n \"data-srcset\": \"/static/a3b4d5e7411a7a99669f1a967a2ec018/3138f/rak-podstawnokomorkowy-18.jpg 163w,\\n/static/a3b4d5e7411a7a99669f1a967a2ec018/2f0d2/rak-podstawnokomorkowy-18.jpg 325w,\\n/static/a3b4d5e7411a7a99669f1a967a2ec018/72ff1/rak-podstawnokomorkowy-18.jpg 650w,\\n/static/a3b4d5e7411a7a99669f1a967a2ec018/5f948/rak-podstawnokomorkowy-18.jpg 975w,\\n/static/a3b4d5e7411a7a99669f1a967a2ec018/052ff/rak-podstawnokomorkowy-18.jpg 1300w,\\n/static/a3b4d5e7411a7a99669f1a967a2ec018/e4063/rak-podstawnokomorkowy-18.jpg 2418w\",\n \"sizes\": \"(max-width: 650px) 100vw, 650px\",\n \"style\": {\n \"width\": \"100%\",\n \"height\": \"100%\",\n \"margin\": \"0\",\n \"verticalAlign\": \"middle\",\n \"position\": \"absolute\",\n \"top\": \"0\",\n \"left\": \"0\"\n },\n \"loading\": \"lazy\"\n }), \"\\n \")), mdx(\"h3\", null, \"3. Ocena histopatologiczna\"), mdx(\"p\", null, mdx(\"strong\", {\n parentName: \"p\"\n }, \"Raport histopatologiczny powinien zawiera\\u0107:\")), mdx(\"ul\", null, mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"Typ histologiczny\"), \" (nodular, superficial, morpheaform, itp.)\"), mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"Grubo\\u015B\\u0107 nacieku\"), \" (g\\u0142\\u0119boko\\u015B\\u0107 inwazji w mm)\"), mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"Obecno\\u015B\\u0107 cech wysokiego ryzyka:\"), mdx(\"ul\", {\n parentName: \"li\"\n }, mdx(\"li\", {\n parentName: \"ul\"\n }, \"Wzrost twardzinopodobny lub naciekaj\\u0105cy\"), mdx(\"li\", {\n parentName: \"ul\"\n }, \"Naciekanie oko\\u0142onerwowe (perineural invasion)\"), mdx(\"li\", {\n parentName: \"ul\"\n }, \"Naciekanie naczy\\u0144\"))), mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"Status margines\\xF3w:\"), mdx(\"ul\", {\n parentName: \"li\"\n }, mdx(\"li\", {\n parentName: \"ul\"\n }, \"R0 - marginesy wolne (brak kom\\xF3rek nowotworowych)\"), mdx(\"li\", {\n parentName: \"ul\"\n }, \"R1 - marginesy zaj\\u0119te (nowotw\\xF3r obecny na brzegu)\"), mdx(\"li\", {\n parentName: \"ul\"\n }, \"Odleg\\u0142o\\u015B\\u0107 od najbli\\u017Cszego marginesu w mm\")))), mdx(\"h3\", null, \"4. Dodatkowe badania obrazowe\"), mdx(\"p\", null, mdx(\"strong\", {\n parentName: \"p\"\n }, \"Zazwyczaj niepotrzebne\"), \", ale mog\\u0105 by\\u0107 wskazane w szczeg\\xF3lnych przypadkach:\"), mdx(\"p\", null, mdx(\"strong\", {\n parentName: \"p\"\n }, \"USG sk\\xF3ry\"), \" - ocena g\\u0142\\u0119boko\\u015Bci nacieku\\n\", mdx(\"strong\", {\n parentName: \"p\"\n }, \"Rezonans magnetyczny (MRI)\"), \" - podejrzenie naciekania g\\u0142\\u0119bokich struktur (ko\\u015Bci, chrz\\u0105stki)\\n\", mdx(\"strong\", {\n parentName: \"p\"\n }, \"Tomografia komputerowa (CT)\"), \" - zaawansowane BCC z destrukcj\\u0105 ko\\u015Bci\"), mdx(\"p\", null, mdx(\"strong\", {\n parentName: \"p\"\n }, \"Badania obrazowe s\\u0105 wskazane przy:\")), mdx(\"ul\", null, mdx(\"li\", {\n parentName: \"ul\"\n }, \"BCC >2 cm (du\\u017Ce zmiany)\"), mdx(\"li\", {\n parentName: \"ul\"\n }, \"Lokalizacja w okolicy oka, ucha, nosa (ryzyko nacieku struktur g\\u0142\\u0119bokich)\"), mdx(\"li\", {\n parentName: \"ul\"\n }, \"Nawr\\xF3t po leczeniu\"), mdx(\"li\", {\n parentName: \"ul\"\n }, \"Objawy kliniczne sugeruj\\u0105ce g\\u0142\\u0119boki naciek\")), mdx(\"span\", {\n id: \"id7\"\n }), mdx(\"h2\", null, \"Leczenie raka podstawnokom\\xF3rkowego\"), mdx(\"p\", null, \"Leczenie BCC zale\\u017Cy od \", mdx(\"strong\", {\n parentName: \"p\"\n }, \"typu histologicznego\"), \", \", mdx(\"strong\", {\n parentName: \"p\"\n }, \"lokalizacji\"), \", \", mdx(\"strong\", {\n parentName: \"p\"\n }, \"wielko\\u015Bci zmiany\"), \" oraz \", mdx(\"strong\", {\n parentName: \"p\"\n }, \"stanu og\\xF3lnego pacjenta\"), \". G\\u0142\\xF3wnym celem jest \", mdx(\"strong\", {\n parentName: \"p\"\n }, \"ca\\u0142kowite usuni\\u0119cie nowotworu\"), \" z zachowaniem jak najlepszego efektu kosmetycznego.\"), mdx(\"p\", null, mdx(\"span\", {\n parentName: \"p\",\n \"className\": \"gatsby-resp-image-wrapper\",\n \"style\": {\n \"position\": \"relative\",\n \"display\": \"block\",\n \"marginLeft\": \"auto\",\n \"marginRight\": \"auto\",\n \"maxWidth\": \"650px\"\n }\n }, \"\\n \", mdx(\"span\", {\n parentName: \"span\",\n \"className\": \"gatsby-resp-image-background-image\",\n \"style\": {\n \"paddingBottom\": \"66.87116564417178%\",\n \"position\": \"relative\",\n \"bottom\": \"0\",\n \"left\": \"0\",\n \"backgroundImage\": \"url('data:image/jpeg;base64,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')\",\n \"backgroundSize\": \"cover\",\n \"display\": \"block\"\n }\n }), \"\\n \", mdx(\"img\", {\n parentName: \"span\",\n \"className\": \"gatsby-resp-image-image lazyload\",\n \"alt\": \"BCC na czole\",\n \"title\": \"Lokalizacja raka podstawnokomórkowego na czole\",\n \"data-src\": \"/static/7e0be9cd1a02d503545f86b4aa943e6f/72ff1/rak-podstawnokomorkowy-19.jpg\",\n \"data-srcset\": \"/static/7e0be9cd1a02d503545f86b4aa943e6f/3138f/rak-podstawnokomorkowy-19.jpg 163w,\\n/static/7e0be9cd1a02d503545f86b4aa943e6f/2f0d2/rak-podstawnokomorkowy-19.jpg 325w,\\n/static/7e0be9cd1a02d503545f86b4aa943e6f/72ff1/rak-podstawnokomorkowy-19.jpg 650w,\\n/static/7e0be9cd1a02d503545f86b4aa943e6f/5f948/rak-podstawnokomorkowy-19.jpg 975w,\\n/static/7e0be9cd1a02d503545f86b4aa943e6f/052ff/rak-podstawnokomorkowy-19.jpg 1300w,\\n/static/7e0be9cd1a02d503545f86b4aa943e6f/cb68b/rak-podstawnokomorkowy-19.jpg 2056w\",\n \"sizes\": \"(max-width: 650px) 100vw, 650px\",\n \"style\": {\n \"width\": \"100%\",\n \"height\": \"100%\",\n \"margin\": \"0\",\n \"verticalAlign\": \"middle\",\n \"position\": \"absolute\",\n \"top\": \"0\",\n \"left\": \"0\"\n },\n \"loading\": \"lazy\"\n }), \"\\n \")), mdx(\"h3\", null, \"1. Leczenie chirurgiczne (metoda z wyboru)\"), mdx(\"h4\", null, \"a) Chirurgiczne wyci\\u0119cie standardowe\"), mdx(\"p\", null, mdx(\"strong\", {\n parentName: \"p\"\n }, \"Najcz\\u0119stsza metoda leczenia BCC\")), mdx(\"ul\", null, mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"Marginesy:\"), \" 4-5 mm dla BCC niskiego ryzyka\"), mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"Marginesy:\"), \" 5-10 mm (lub wi\\u0119cej) dla BCC wysokiego ryzyka\"), mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"Skuteczno\\u015B\\u0107:\"), \" 95% wyleczalno\\u015B\\u0107 (BCC niskiego ryzyka)\"), mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"Zalety:\"), \" jednorazowy zabieg, pewno\\u015B\\u0107 histopatologiczna\"), mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"Wady:\"), \" blizna (wielko\\u015B\\u0107 zale\\u017Cy od lokalizacji i margines\\xF3w)\")), mdx(\"p\", null, mdx(\"strong\", {\n parentName: \"p\"\n }, \"Czynniki wysokiego ryzyka (wymagaj\\u0105ce szerszych margines\\xF3w):\")), mdx(\"ul\", null, mdx(\"li\", {\n parentName: \"ul\"\n }, \"\\u015Arednica >2 cm\"), mdx(\"li\", {\n parentName: \"ul\"\n }, \"Typ morpheaform, infiltrative, micronodular\"), mdx(\"li\", {\n parentName: \"ul\"\n }, \"Lokalizacja w \\\"obszarze H\\\" twarzy (nos, uszy, okolice oczu)\"), mdx(\"li\", {\n parentName: \"ul\"\n }, \"Nawr\\xF3t po wcze\\u015Bniejszym leczeniu\"), mdx(\"li\", {\n parentName: \"ul\"\n }, \"Obecno\\u015B\\u0107 naciekania oko\\u0142onerwowego\")), mdx(\"p\", null, mdx(\"span\", {\n parentName: \"p\",\n \"className\": \"gatsby-resp-image-wrapper\",\n \"style\": {\n \"position\": \"relative\",\n \"display\": \"block\",\n \"marginLeft\": \"auto\",\n \"marginRight\": \"auto\",\n \"maxWidth\": \"650px\"\n }\n }, \"\\n \", mdx(\"span\", {\n parentName: \"span\",\n \"className\": \"gatsby-resp-image-background-image\",\n \"style\": {\n \"paddingBottom\": \"93.25153374233128%\",\n \"position\": \"relative\",\n \"bottom\": \"0\",\n \"left\": \"0\",\n \"backgroundImage\": \"url('data:image/jpeg;base64,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')\",\n \"backgroundSize\": \"cover\",\n \"display\": \"block\"\n }\n }), \"\\n \", mdx(\"img\", {\n parentName: \"span\",\n \"className\": \"gatsby-resp-image-image lazyload\",\n \"alt\": \"Rak BCC\",\n \"title\": \"BCC\",\n \"data-src\": \"/static/d15f45e67c8a61c4ef16b39d5600be98/72ff1/rak-podstawnokomorkowy-22.jpg\",\n \"data-srcset\": \"/static/d15f45e67c8a61c4ef16b39d5600be98/3138f/rak-podstawnokomorkowy-22.jpg 163w,\\n/static/d15f45e67c8a61c4ef16b39d5600be98/2f0d2/rak-podstawnokomorkowy-22.jpg 325w,\\n/static/d15f45e67c8a61c4ef16b39d5600be98/72ff1/rak-podstawnokomorkowy-22.jpg 650w,\\n/static/d15f45e67c8a61c4ef16b39d5600be98/5f948/rak-podstawnokomorkowy-22.jpg 975w,\\n/static/d15f45e67c8a61c4ef16b39d5600be98/ce709/rak-podstawnokomorkowy-22.jpg 1140w\",\n \"sizes\": \"(max-width: 650px) 100vw, 650px\",\n \"style\": {\n \"width\": \"100%\",\n \"height\": \"100%\",\n \"margin\": \"0\",\n \"verticalAlign\": \"middle\",\n \"position\": \"absolute\",\n \"top\": \"0\",\n \"left\": \"0\"\n },\n \"loading\": \"lazy\"\n }), \"\\n \")), mdx(More, {\n link: \"/chirurgiczne-usuwanie-znamion\",\n text: \"Dowiedz si\\u0119 wi\\u0119cej o chirurgicznym usuwaniu zmian sk\\xF3rnych.\",\n cta: \"Sprawd\\u017A\",\n mdxType: \"More\"\n }), mdx(\"h4\", null, \"b) Chirurgia mikrograficzna Mohsa (Mohs surgery)\"), mdx(\"p\", null, mdx(\"strong\", {\n parentName: \"p\"\n }, \"Z\\u0142oty standard dla BCC w lokalizacjach kosmetycznie wra\\u017Cliwych\")), mdx(\"ul\", null, mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"Zasada:\"), \" wyci\\u0119cie zmiany warstwami z natychmiastow\\u0105 ocen\\u0105 histopatologiczn\\u0105 wszystkich margines\\xF3w\"), mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"Skuteczno\\u015B\\u0107:\"), \" 99% wyleczalno\\u015B\\u0107 (najwy\\u017Csza ze wszystkich metod!)\"), mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"Zalety:\"), mdx(\"ul\", {\n parentName: \"li\"\n }, mdx(\"li\", {\n parentName: \"ul\"\n }, \"Maksymalna skuteczno\\u015B\\u0107\"), mdx(\"li\", {\n parentName: \"ul\"\n }, \"Minimalne marginesy (oszcz\\u0119dno\\u015B\\u0107 zdrowej tkanki)\"), mdx(\"li\", {\n parentName: \"ul\"\n }, \"Natychmiastowa kontrola margines\\xF3w\"), mdx(\"li\", {\n parentName: \"ul\"\n }, \"Najlepszy efekt kosmetyczny\"))), mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"Wskazania:\"), mdx(\"ul\", {\n parentName: \"li\"\n }, mdx(\"li\", {\n parentName: \"ul\"\n }, \"BCC w \\\"obszarze H\\\" twarzy (nos, uszy, powieki, wargi)\"), mdx(\"li\", {\n parentName: \"ul\"\n }, \"BCC wysokiego ryzyka\"), mdx(\"li\", {\n parentName: \"ul\"\n }, \"Nawr\\xF3t po wcze\\u015Bniejszym leczeniu\"), mdx(\"li\", {\n parentName: \"ul\"\n }, \"BCC u pacjent\\xF3w m\\u0142odych (efekt kosmetyczny)\"))), mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"Wady:\"), mdx(\"ul\", {\n parentName: \"li\"\n }, mdx(\"li\", {\n parentName: \"ul\"\n }, \"Czasoch\\u0142onna (kilka godzin)\"), mdx(\"li\", {\n parentName: \"ul\"\n }, \"Droga (w Polsce cz\\u0119sto prywatnie)\"), mdx(\"li\", {\n parentName: \"ul\"\n }, \"Dost\\u0119pno\\u015B\\u0107 ograniczona (nieliczne o\\u015Brodki)\")))), mdx(\"p\", null, mdx(\"span\", {\n parentName: \"p\",\n \"className\": \"gatsby-resp-image-wrapper\",\n \"style\": {\n \"position\": \"relative\",\n \"display\": \"block\",\n \"marginLeft\": \"auto\",\n \"marginRight\": \"auto\",\n \"maxWidth\": \"650px\"\n }\n }, \"\\n \", mdx(\"span\", {\n parentName: \"span\",\n \"className\": \"gatsby-resp-image-background-image\",\n \"style\": {\n \"paddingBottom\": \"133.12883435582822%\",\n \"position\": \"relative\",\n \"bottom\": \"0\",\n \"left\": \"0\",\n \"backgroundImage\": \"url('data:image/jpeg;base64,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')\",\n \"backgroundSize\": \"cover\",\n \"display\": \"block\"\n }\n }), \"\\n \", mdx(\"img\", {\n parentName: \"span\",\n \"className\": \"gatsby-resp-image-image lazyload\",\n \"alt\": \"Obraz dermatoskopowy rak podstawnokomórkowego\",\n \"title\": \"Obraz dermatoskopowy rak podstawnokomórkowego\",\n \"data-src\": \"/static/a307921ed110c04e7a8e7b66c16ee3e5/72ff1/rak-podstawnokomorkowy-23.jpg\",\n \"data-srcset\": \"/static/a307921ed110c04e7a8e7b66c16ee3e5/3138f/rak-podstawnokomorkowy-23.jpg 163w,\\n/static/a307921ed110c04e7a8e7b66c16ee3e5/2f0d2/rak-podstawnokomorkowy-23.jpg 325w,\\n/static/a307921ed110c04e7a8e7b66c16ee3e5/72ff1/rak-podstawnokomorkowy-23.jpg 650w,\\n/static/a307921ed110c04e7a8e7b66c16ee3e5/5f948/rak-podstawnokomorkowy-23.jpg 975w,\\n/static/a307921ed110c04e7a8e7b66c16ee3e5/052ff/rak-podstawnokomorkowy-23.jpg 1300w,\\n/static/a307921ed110c04e7a8e7b66c16ee3e5/4b684/rak-podstawnokomorkowy-23.jpg 3024w\",\n \"sizes\": \"(max-width: 650px) 100vw, 650px\",\n \"style\": {\n \"width\": \"100%\",\n \"height\": \"100%\",\n \"margin\": \"0\",\n \"verticalAlign\": \"middle\",\n \"position\": \"absolute\",\n \"top\": \"0\",\n \"left\": \"0\"\n },\n \"loading\": \"lazy\"\n }), \"\\n \")), mdx(\"h3\", null, \"2. Leczenie niechirurgiczne\"), mdx(\"p\", null, \"Metody niechirurgiczne s\\u0105 opcj\\u0105 dla \", mdx(\"strong\", {\n parentName: \"p\"\n }, \"pacjent\\xF3w, u kt\\xF3rych chirurgia jest przeciwwskazana\"), \" (wiek podesz\\u0142y, choroby wsp\\xF3\\u0142istniej\\u0105ce, odmowa pacjenta) lub dla \", mdx(\"strong\", {\n parentName: \"p\"\n }, \"BCC powierzchownych o niskim ryzyku\"), \".\"), mdx(\"h4\", null, \"a) Radioterapia (napromienianie)\"), mdx(\"ul\", null, mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"Wskazania:\"), mdx(\"ul\", {\n parentName: \"li\"\n }, mdx(\"li\", {\n parentName: \"ul\"\n }, \"Pacjenci starsi, niewykwalifikowani do operacji\"), mdx(\"li\", {\n parentName: \"ul\"\n }, \"BCC w trudnych lokalizacjach (k\\u0105t oka, nos)\"), mdx(\"li\", {\n parentName: \"ul\"\n }, \"Leczenie paliatywne (bardzo du\\u017Ce, nieoperacyjne BCC)\"), mdx(\"li\", {\n parentName: \"ul\"\n }, \"Leczenie uzupe\\u0142niaj\\u0105ce po niepe\\u0142nym wyci\\u0119ciu\"))), mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"Skuteczno\\u015B\\u0107:\"), \" 85-95% (zale\\u017Cy od wielko\\u015Bci i lokalizacji)\"), mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"Wady:\"), mdx(\"ul\", {\n parentName: \"li\"\n }, mdx(\"li\", {\n parentName: \"ul\"\n }, \"Wymaga wielu sesji (15-30 frakcji)\"), mdx(\"li\", {\n parentName: \"ul\"\n }, \"Brak kontroli histopatologicznej margines\\xF3w\"), mdx(\"li\", {\n parentName: \"ul\"\n }, \"Ryzyko wt\\xF3rnych rak\\xF3w sk\\xF3ry (po latach)\"), mdx(\"li\", {\n parentName: \"ul\"\n }, \"Gorszy efekt kosmetyczny (hypopigmentacja, teleangiektazje)\")))), mdx(\"h4\", null, \"b) Leczenie miejscowe - kremy (terapia topikalna)\"), mdx(\"p\", null, mdx(\"strong\", {\n parentName: \"p\"\n }, \"Imiquimod 5% (krem immunomoduluj\\u0105cy)\")), mdx(\"ul\", null, mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"Wskazania:\"), \" superficial BCC <2 cm na tu\\u0142owiu/ko\\u0144czynach\"), mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"Schemat:\"), \" 5x/tydzie\\u0144 przez 6 tygodni\"), mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"Skuteczno\\u015B\\u0107:\"), \" 70-80% (gorsze ni\\u017C chirurgia!)\"), mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"Zalety:\"), \" nieinwazyjne, bez blizny\"), mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"Wady:\"), \" d\\u0142ugi czas leczenia, reakcje sk\\xF3rne (zaczerwienienie, owrzodzenia), brak pewno\\u015Bci histopatologicznej\")), mdx(\"p\", null, mdx(\"strong\", {\n parentName: \"p\"\n }, \"Fluorouracil 5% (krem chemioterapeutyczny)\")), mdx(\"ul\", null, mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"Wskazania:\"), \" superficial BCC\"), mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"Schemat:\"), \" 2x/dzie\\u0144 przez 3-12 tygodni\"), mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"Skuteczno\\u015B\\u0107:\"), \" 50-90% (zale\\u017Cy od typu BCC)\"), mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"Wady:\"), \" podobne do imiquimodu\")), mdx(\"p\", null, mdx(\"strong\", {\n parentName: \"p\"\n }, \"UWAGA:\"), \" Leczenie topikalne \", mdx(\"strong\", {\n parentName: \"p\"\n }, \"NIE jest zalecane\"), \" dla BCC w lokalizacjach wysokiego ryzyka (twarz!) ze wzgl\\u0119du na brak kontroli margines\\xF3w i gorsze wyniki.\"), mdx(\"h4\", null, \"c) Terapia fotodynamiczna (PDT)\"), mdx(\"ul\", null, mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"Wskazania:\"), \" superficial BCC, multiple BCC\"), mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"Zasada:\"), \" aplikacja fotouczulaczy + na\\u015Bwietlanie \\u015Bwiat\\u0142em czerwonym\"), mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"Skuteczno\\u015B\\u0107:\"), \" 70-90%\"), mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"Zalety:\"), \" dobry efekt kosmetyczny\"), mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"Wady:\"), \" bolesne, wymaga specjalistycznego sprz\\u0119tu\")), mdx(\"h4\", null, \"d) Kriochirurgia (zamra\\u017Canie azotem)\"), mdx(\"ul\", null, mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"Wskazania:\"), \" ma\\u0142e superficial BCC (<1 cm), pacjenci niewykwalifikowani do operacji\"), mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"Skuteczno\\u015B\\u0107:\"), \" 85-95% (dla dobranych przypadk\\xF3w)\"), mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"Wady:\"), \" brak kontroli histopatologicznej, ryzyko hipopigmentacji/blizn\")), mdx(\"h3\", null, \"3. Leczenie systemowe (zaawansowany BCC)\"), mdx(\"p\", null, mdx(\"strong\", {\n parentName: \"p\"\n }, \"Inhibitory szlaku hedgehog\"), \" - leki doustne dla zaawansowanego lub przerzutowego BCC\"), mdx(\"p\", null, mdx(\"strong\", {\n parentName: \"p\"\n }, \"Vismodegib (Erivedge)\")), mdx(\"ul\", null, mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"Wskazania:\"), mdx(\"ul\", {\n parentName: \"li\"\n }, mdx(\"li\", {\n parentName: \"ul\"\n }, \"Miejscowo zaawansowany BCC (nieresekcyjny)\"), mdx(\"li\", {\n parentName: \"ul\"\n }, \"Przerzutowy BCC (bardzo rzadko)\"), mdx(\"li\", {\n parentName: \"ul\"\n }, \"Pacjenci, u kt\\xF3rych operacja/radioterapia nie jest mo\\u017Cliwa\"))), mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"Skuteczno\\u015B\\u0107:\"), \" 30-60% obiektywnych odpowiedzi\"), mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"Dzia\\u0142ania niepo\\u017C\\u0105dane:\"), \" skurcze mi\\u0119\\u015Bni, utrata masy cia\\u0142a, zaburzenia smaku, \\u0142ysienie\"), mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"Dost\\u0119pno\\u015B\\u0107 w Polsce:\"), \" ograniczona (cz\\u0119sto w ramach program\\xF3w lekowych)\")), mdx(\"p\", null, mdx(\"strong\", {\n parentName: \"p\"\n }, \"Sonidegib (Odomzo)\")), mdx(\"ul\", null, mdx(\"li\", {\n parentName: \"ul\"\n }, \"Podobne wskazania i skuteczno\\u015B\\u0107 jak vismodegib\"), mdx(\"li\", {\n parentName: \"ul\"\n }, \"Alternatywa dla pacjent\\xF3w nietoleruj\\u0105cych vismodegib\")), mdx(MoreLeadUmow, {\n link: \"/kontakt\",\n label: \"Skonsultuj zmiany sk\\xF3rne\",\n text: \"Zbadaj niepokoj\\u0105ce zmiany dermatoskopowo - wcze\\u015Bniejsze wykrycie = \\u0142atwiejsze leczenie.\",\n mdxType: \"MoreLeadUmow\"\n }), mdx(\"span\", {\n id: \"id8\"\n }), mdx(\"h2\", null, \"Rokowanie i nawroty\"), mdx(\"p\", null, \"Rak podstawnokom\\xF3rkowy ma \", mdx(\"strong\", {\n parentName: \"p\"\n }, \"bardzo dobre rokowanie\"), \" - wi\\u0119kszo\\u015B\\u0107 pacjent\\xF3w zostaje ca\\u0142kowicie wyleczona. Jednak \", mdx(\"strong\", {\n parentName: \"p\"\n }, \"ryzyko nawrotu\"), \" i \", mdx(\"strong\", {\n parentName: \"p\"\n }, \"rozwoju kolejnych BCC\"), \" wymaga d\\u0142ugoterminowej obserwacji.\"), mdx(\"p\", null, mdx(\"span\", {\n parentName: \"p\",\n \"className\": \"gatsby-resp-image-wrapper\",\n \"style\": {\n \"position\": \"relative\",\n \"display\": \"block\",\n \"marginLeft\": \"auto\",\n \"marginRight\": \"auto\",\n \"maxWidth\": \"650px\"\n }\n }, \"\\n \", mdx(\"span\", {\n parentName: \"span\",\n \"className\": \"gatsby-resp-image-background-image\",\n \"style\": {\n \"paddingBottom\": \"133.12883435582822%\",\n \"position\": \"relative\",\n \"bottom\": \"0\",\n \"left\": \"0\",\n \"backgroundImage\": \"url('data:image/jpeg;base64,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')\",\n \"backgroundSize\": \"cover\",\n \"display\": \"block\"\n }\n }), \"\\n \", mdx(\"img\", {\n parentName: \"span\",\n \"className\": \"gatsby-resp-image-image lazyload\",\n \"alt\": \"Obraz dermatoskopowy BCC\",\n \"title\": \"Obraz dermatoskopowy BCC\",\n \"data-src\": \"/static/7ddbfb7d2083feb8df0dbcbb22979e4d/72ff1/rak-podstawnokomorkowy-24.jpg\",\n \"data-srcset\": \"/static/7ddbfb7d2083feb8df0dbcbb22979e4d/3138f/rak-podstawnokomorkowy-24.jpg 163w,\\n/static/7ddbfb7d2083feb8df0dbcbb22979e4d/2f0d2/rak-podstawnokomorkowy-24.jpg 325w,\\n/static/7ddbfb7d2083feb8df0dbcbb22979e4d/72ff1/rak-podstawnokomorkowy-24.jpg 650w,\\n/static/7ddbfb7d2083feb8df0dbcbb22979e4d/5f948/rak-podstawnokomorkowy-24.jpg 975w,\\n/static/7ddbfb7d2083feb8df0dbcbb22979e4d/052ff/rak-podstawnokomorkowy-24.jpg 1300w,\\n/static/7ddbfb7d2083feb8df0dbcbb22979e4d/4b684/rak-podstawnokomorkowy-24.jpg 3024w\",\n \"sizes\": \"(max-width: 650px) 100vw, 650px\",\n \"style\": {\n \"width\": \"100%\",\n \"height\": \"100%\",\n \"margin\": \"0\",\n \"verticalAlign\": \"middle\",\n \"position\": \"absolute\",\n \"top\": \"0\",\n \"left\": \"0\"\n },\n \"loading\": \"lazy\"\n }), \"\\n \")), mdx(\"h3\", null, \"Rokowanie - prze\\u017Cywalno\\u015B\\u0107\"), mdx(\"ul\", null, mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"Prze\\u017Cywalno\\u015B\\u0107 5-letnia:\"), \" >95% (prawie wszyscy pacjenci!)\"), mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"Prze\\u017Cywalno\\u015B\\u0107 10-letnia:\"), \" >90%\"), mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"\\u015Amiertelno\\u015B\\u0107:\"), \" <0.5% (g\\u0142\\xF3wnie z powodu miejscowo zaawansowanych BCC z destrukcj\\u0105 struktur \\u017Cyciowo wa\\u017Cnych)\")), mdx(\"h3\", null, \"Przerzuty - bardzo rzadkie!\"), mdx(\"ul\", null, mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"Cz\\u0119sto\\u015B\\u0107 przerzut\\xF3w:\"), \" <0.1% (mniej ni\\u017C 1 na 1000 przypadk\\xF3w)\"), mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"Czynniki ryzyka przerzut\\xF3w:\"), mdx(\"ul\", {\n parentName: \"li\"\n }, mdx(\"li\", {\n parentName: \"ul\"\n }, \"Wielko\\u015B\\u0107 >5 cm\"), mdx(\"li\", {\n parentName: \"ul\"\n }, \"G\\u0142\\u0119boko\\u015B\\u0107 >6 mm\"), mdx(\"li\", {\n parentName: \"ul\"\n }, \"Naciekanie oko\\u0142onerwowe\"), mdx(\"li\", {\n parentName: \"ul\"\n }, \"Lokalizacja w okolicy ucha\"), mdx(\"li\", {\n parentName: \"ul\"\n }, \"Immunosupresja\"), mdx(\"li\", {\n parentName: \"ul\"\n }, \"Typ histologiczny: morpheaform, bazosquamous\")))), mdx(\"p\", null, mdx(\"strong\", {\n parentName: \"p\"\n }, \"Najcz\\u0119stsze miejsca przerzut\\xF3w:\"), \" w\\u0119z\\u0142y ch\\u0142onne (60%), p\\u0142uca (30%), ko\\u015Bci (10%)\"), mdx(\"h3\", null, \"Ryzyko nawrotu\"), mdx(\"p\", null, mdx(\"strong\", {\n parentName: \"p\"\n }, \"Nawr\\xF3t miejscowy\"), \" zale\\u017Cy od metody leczenia i czynnik\\xF3w ryzyka:\"), mdx(\"table\", null, mdx(\"thead\", {\n parentName: \"table\"\n }, mdx(\"tr\", {\n parentName: \"thead\"\n }, mdx(\"th\", {\n parentName: \"tr\",\n \"align\": null\n }, \"Metoda leczenia\"), mdx(\"th\", {\n parentName: \"tr\",\n \"align\": null\n }, \"Ryzyko nawrotu (5 lat)\"))), mdx(\"tbody\", {\n parentName: \"table\"\n }, mdx(\"tr\", {\n parentName: \"tbody\"\n }, mdx(\"td\", {\n parentName: \"tr\",\n \"align\": null\n }, \"Chirurgia Mohsa\"), mdx(\"td\", {\n parentName: \"tr\",\n \"align\": null\n }, \"<1-2%\")), mdx(\"tr\", {\n parentName: \"tbody\"\n }, mdx(\"td\", {\n parentName: \"tr\",\n \"align\": null\n }, \"Chirurgia standardowa (odpowiednie marginesy)\"), mdx(\"td\", {\n parentName: \"tr\",\n \"align\": null\n }, \"5-10%\")), mdx(\"tr\", {\n parentName: \"tbody\"\n }, mdx(\"td\", {\n parentName: \"tr\",\n \"align\": null\n }, \"Radioterapia\"), mdx(\"td\", {\n parentName: \"tr\",\n \"align\": null\n }, \"8-15%\")), mdx(\"tr\", {\n parentName: \"tbody\"\n }, mdx(\"td\", {\n parentName: \"tr\",\n \"align\": null\n }, \"Kriochirurgia\"), mdx(\"td\", {\n parentName: \"tr\",\n \"align\": null\n }, \"10-15%\")), mdx(\"tr\", {\n parentName: \"tbody\"\n }, mdx(\"td\", {\n parentName: \"tr\",\n \"align\": null\n }, \"Terapia topikalna (imiquimod, 5-FU)\"), mdx(\"td\", {\n parentName: \"tr\",\n \"align\": null\n }, \"15-20%\")))), mdx(\"p\", null, mdx(\"strong\", {\n parentName: \"p\"\n }, \"Czynniki zwi\\u0119kszaj\\u0105ce ryzyko nawrotu:\")), mdx(\"ul\", null, mdx(\"li\", {\n parentName: \"ul\"\n }, \"BCC wysokiego ryzyka (morpheaform, infiltrative)\"), mdx(\"li\", {\n parentName: \"ul\"\n }, \"Wielko\\u015B\\u0107 >2 cm\"), mdx(\"li\", {\n parentName: \"ul\"\n }, \"Lokalizacja w \\\"obszarze H\\\" twarzy\"), mdx(\"li\", {\n parentName: \"ul\"\n }, \"Niepe\\u0142ne wyci\\u0119cie chirurgiczne (marginesy R1)\"), mdx(\"li\", {\n parentName: \"ul\"\n }, \"Nawr\\xF3t w przesz\\u0142o\\u015Bci\"), mdx(\"li\", {\n parentName: \"ul\"\n }, \"Immunosupresja\")), mdx(\"h3\", null, \"Ryzyko kolejnych rak\\xF3w sk\\xF3ry\"), mdx(\"p\", null, mdx(\"strong\", {\n parentName: \"p\"\n }, \"Pacjenci z BCC maj\\u0105 zwi\\u0119kszone ryzyko:\")), mdx(\"ul\", null, mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"Kolejne BCC:\"), \" 30-50% w ci\\u0105gu 5 lat\"), mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"Rak p\\u0142askonab\\u0142onkowy (SCC):\"), \" 10x wy\\u017Csze ryzyko ni\\u017C w populacji og\\xF3lnej\"), mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"Czerniak:\"), \" 2-3x wy\\u017Csze ryzyko\")), mdx(\"p\", null, mdx(\"strong\", {\n parentName: \"p\"\n }, \"Dlatego konieczna jest regularna obserwacja dermatologiczna!\")), mdx(\"h3\", null, \"Obserwacja po leczeniu\"), mdx(\"p\", null, mdx(\"strong\", {\n parentName: \"p\"\n }, \"Zalecane badania kontrolne:\")), mdx(\"p\", null, mdx(\"strong\", {\n parentName: \"p\"\n }, \"Rok 1-2 po leczeniu:\")), mdx(\"ul\", null, mdx(\"li\", {\n parentName: \"ul\"\n }, \"Badanie dermatologiczne \", mdx(\"strong\", {\n parentName: \"li\"\n }, \"co 3-6 miesi\\u0119cy\")), mdx(\"li\", {\n parentName: \"ul\"\n }, \"Ocena blizny po wyci\\u0119ciu\"), mdx(\"li\", {\n parentName: \"ul\"\n }, \"Ocena ca\\u0142ej sk\\xF3ry (poszukiwanie nowych zmian)\")), mdx(\"p\", null, mdx(\"strong\", {\n parentName: \"p\"\n }, \"Rok 3-5:\")), mdx(\"ul\", null, mdx(\"li\", {\n parentName: \"ul\"\n }, \"Badanie dermatologiczne \", mdx(\"strong\", {\n parentName: \"li\"\n }, \"co 6-12 miesi\\u0119cy\"))), mdx(\"p\", null, mdx(\"strong\", {\n parentName: \"p\"\n }, \"Po 5 latach:\")), mdx(\"ul\", null, mdx(\"li\", {\n parentName: \"ul\"\n }, \"Badanie dermatologiczne \", mdx(\"strong\", {\n parentName: \"li\"\n }, \"raz w roku\"), \" (przez ca\\u0142e \\u017Cycie!)\")), mdx(\"p\", null, mdx(\"strong\", {\n parentName: \"p\"\n }, \"Pacjenci wysokiego ryzyka\"), \" (immunosupresja, multiple BCC, zesp\\xF3\\u0142 Gorlina):\"), mdx(\"ul\", null, mdx(\"li\", {\n parentName: \"ul\"\n }, \"Badania \", mdx(\"strong\", {\n parentName: \"li\"\n }, \"co 3 miesi\\u0105ce\"), \" (przez ca\\u0142e \\u017Cycie)\")), mdx(More, {\n link: \"/wideodermatoskopia-komputerowe-badanie-znamion\",\n text: \"Dowiedz si\\u0119 wi\\u0119cej o regularnej obserwacji zmian sk\\xF3rnych metod\\u0105 wideodermatoskopii.\",\n cta: \"Sprawd\\u017A\",\n mdxType: \"More\"\n }), mdx(\"span\", {\n id: \"id9\"\n }), mdx(\"h2\", null, \"R\\xF3\\u017Cnica BCC vs SCC vs czerniak\"), mdx(\"p\", null, \"Trzy g\\u0142\\xF3wne typy raka sk\\xF3ry - \", mdx(\"strong\", {\n parentName: \"p\"\n }, \"rak podstawnokom\\xF3rkowy (BCC)\"), \", \", mdx(\"strong\", {\n parentName: \"p\"\n }, \"rak p\\u0142askonab\\u0142onkowy (SCC)\"), \" i \", mdx(\"strong\", {\n parentName: \"p\"\n }, \"czerniak\"), \" - r\\xF3\\u017Cni\\u0105 si\\u0119 pochodzeniem, przebiegiem klinicznym i rokowaniem. Poni\\u017Csza tabela przedstawia kluczowe r\\xF3\\u017Cnice.\"), mdx(\"p\", null, mdx(\"span\", {\n parentName: \"p\",\n \"className\": \"gatsby-resp-image-wrapper\",\n \"style\": {\n \"position\": \"relative\",\n \"display\": \"block\",\n \"marginLeft\": \"auto\",\n \"marginRight\": \"auto\",\n \"maxWidth\": \"650px\"\n }\n }, \"\\n \", mdx(\"span\", {\n parentName: \"span\",\n \"className\": \"gatsby-resp-image-background-image\",\n \"style\": {\n \"paddingBottom\": \"78.52760736196319%\",\n \"position\": \"relative\",\n \"bottom\": \"0\",\n \"left\": \"0\",\n \"backgroundImage\": \"url('data:image/jpeg;base64,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')\",\n \"backgroundSize\": \"cover\",\n \"display\": \"block\"\n }\n }), \"\\n \", mdx(\"img\", {\n parentName: \"span\",\n \"className\": \"gatsby-resp-image-image lazyload\",\n \"alt\": \"Rak podstawnokomórkowy\",\n \"title\": \"Rak podstawnokomórkowy\",\n \"data-src\": \"/static/b86af511dbd5be1bb202efd5dd63b1a9/72ff1/rak-podstawnokomorkowy-25.jpg\",\n \"data-srcset\": \"/static/b86af511dbd5be1bb202efd5dd63b1a9/3138f/rak-podstawnokomorkowy-25.jpg 163w,\\n/static/b86af511dbd5be1bb202efd5dd63b1a9/2f0d2/rak-podstawnokomorkowy-25.jpg 325w,\\n/static/b86af511dbd5be1bb202efd5dd63b1a9/72ff1/rak-podstawnokomorkowy-25.jpg 650w,\\n/static/b86af511dbd5be1bb202efd5dd63b1a9/5f948/rak-podstawnokomorkowy-25.jpg 975w,\\n/static/b86af511dbd5be1bb202efd5dd63b1a9/052ff/rak-podstawnokomorkowy-25.jpg 1300w,\\n/static/b86af511dbd5be1bb202efd5dd63b1a9/afd20/rak-podstawnokomorkowy-25.jpg 1423w\",\n \"sizes\": \"(max-width: 650px) 100vw, 650px\",\n \"style\": {\n \"width\": \"100%\",\n \"height\": \"100%\",\n \"margin\": \"0\",\n \"verticalAlign\": \"middle\",\n \"position\": \"absolute\",\n \"top\": \"0\",\n \"left\": \"0\"\n },\n \"loading\": \"lazy\"\n }), \"\\n \")), mdx(\"h3\", null, \"Tabela por\\xF3wnawcza: BCC vs SCC vs Czerniak\"), mdx(\"table\", null, mdx(\"thead\", {\n parentName: \"table\"\n }, mdx(\"tr\", {\n parentName: \"thead\"\n }, mdx(\"th\", {\n parentName: \"tr\",\n \"align\": null\n }, \"Cecha\"), mdx(\"th\", {\n parentName: \"tr\",\n \"align\": null\n }, \"BCC (Rak podstawnokom\\xF3rkowy)\"), mdx(\"th\", {\n parentName: \"tr\",\n \"align\": null\n }, \"SCC (Rak p\\u0142askonab\\u0142onkowy)\"), mdx(\"th\", {\n parentName: \"tr\",\n \"align\": null\n }, \"Czerniak\"))), mdx(\"tbody\", {\n parentName: \"table\"\n }, mdx(\"tr\", {\n parentName: \"tbody\"\n }, mdx(\"td\", {\n parentName: \"tr\",\n \"align\": null\n }, mdx(\"strong\", {\n parentName: \"td\"\n }, \"Cz\\u0119sto\\u015B\\u0107\")), mdx(\"td\", {\n parentName: \"tr\",\n \"align\": null\n }, \"~80% rak\\xF3w sk\\xF3ry (najcz\\u0119stszy!)\"), mdx(\"td\", {\n parentName: \"tr\",\n \"align\": null\n }, \"~15-20% rak\\xF3w sk\\xF3ry\"), mdx(\"td\", {\n parentName: \"tr\",\n \"align\": null\n }, \"~5% rak\\xF3w sk\\xF3ry\")), mdx(\"tr\", {\n parentName: \"tbody\"\n }, mdx(\"td\", {\n parentName: \"tr\",\n \"align\": null\n }, mdx(\"strong\", {\n parentName: \"td\"\n }, \"Pochodzenie\")), mdx(\"td\", {\n parentName: \"tr\",\n \"align\": null\n }, \"Kom\\xF3rki warstwy podstawnej nask\\xF3rka\"), mdx(\"td\", {\n parentName: \"tr\",\n \"align\": null\n }, \"Keratynocyty warstwy kolczystej\"), mdx(\"td\", {\n parentName: \"tr\",\n \"align\": null\n }, \"Melanocyty (kom\\xF3rki barwnikowe)\")), mdx(\"tr\", {\n parentName: \"tbody\"\n }, mdx(\"td\", {\n parentName: \"tr\",\n \"align\": null\n }, mdx(\"strong\", {\n parentName: \"td\"\n }, \"Przerzuty\")), mdx(\"td\", {\n parentName: \"tr\",\n \"align\": null\n }, \"Bardzo rzadkie (<0.1%)\"), mdx(\"td\", {\n parentName: \"tr\",\n \"align\": null\n }, \"Rzadkie (2-5%)\"), mdx(\"td\", {\n parentName: \"tr\",\n \"align\": null\n }, \"Cz\\u0119ste w zaawansowanych stadiach\")), mdx(\"tr\", {\n parentName: \"tbody\"\n }, mdx(\"td\", {\n parentName: \"tr\",\n \"align\": null\n }, mdx(\"strong\", {\n parentName: \"td\"\n }, \"Lokalizacja\")), mdx(\"td\", {\n parentName: \"tr\",\n \"align\": null\n }, \"Twarz, nos (ekspozycja UV)\"), mdx(\"td\", {\n parentName: \"tr\",\n \"align\": null\n }, \"Twarz, wargi, uszy, d\\u0142onie\"), mdx(\"td\", {\n parentName: \"tr\",\n \"align\": null\n }, \"Dowolna (cz\\u0119sto tu\\u0142\\xF3w, ko\\u0144czyny)\")), mdx(\"tr\", {\n parentName: \"tbody\"\n }, mdx(\"td\", {\n parentName: \"tr\",\n \"align\": null\n }, mdx(\"strong\", {\n parentName: \"td\"\n }, \"Wygl\\u0105d\")), mdx(\"td\", {\n parentName: \"tr\",\n \"align\": null\n }, \"Per\\u0142owy guzek, owrzodzenie centralne\"), mdx(\"td\", {\n parentName: \"tr\",\n \"align\": null\n }, \"Guzek rogowaciej\\u0105cy, owrzodzenie\"), mdx(\"td\", {\n parentName: \"tr\",\n \"align\": null\n }, \"Asymetryczna plamka, wielobarwna\")), mdx(\"tr\", {\n parentName: \"tbody\"\n }, mdx(\"td\", {\n parentName: \"tr\",\n \"align\": null\n }, mdx(\"strong\", {\n parentName: \"td\"\n }, \"Kolory\")), mdx(\"td\", {\n parentName: \"tr\",\n \"align\": null\n }, \"R\\xF3\\u017Cowy, czerwony, (rzadko: br\\u0105zowy)\"), mdx(\"td\", {\n parentName: \"tr\",\n \"align\": null\n }, \"Czerwony, r\\xF3\\u017Cowy, rogowaciej\\u0105cy\"), mdx(\"td\", {\n parentName: \"tr\",\n \"align\": null\n }, \"Br\\u0105zowy, czarny, niebieski, r\\xF3\\u017Cowy\")), mdx(\"tr\", {\n parentName: \"tbody\"\n }, mdx(\"td\", {\n parentName: \"tr\",\n \"align\": null\n }, mdx(\"strong\", {\n parentName: \"td\"\n }, \"Tempo wzrostu\")), mdx(\"td\", {\n parentName: \"tr\",\n \"align\": null\n }, \"Powolne (miesi\\u0105ce-lata)\"), mdx(\"td\", {\n parentName: \"tr\",\n \"align\": null\n }, \"\\u015Arednie (tygodnie-miesi\\u0105ce)\"), mdx(\"td\", {\n parentName: \"tr\",\n \"align\": null\n }, \"Szybkie (tygodnie-miesi\\u0105ce)\")), mdx(\"tr\", {\n parentName: \"tbody\"\n }, mdx(\"td\", {\n parentName: \"tr\",\n \"align\": null\n }, mdx(\"strong\", {\n parentName: \"td\"\n }, \"Teleangiektazje\")), mdx(\"td\", {\n parentName: \"tr\",\n \"align\": null\n }, \"Cz\\u0119sto widoczne\"), mdx(\"td\", {\n parentName: \"tr\",\n \"align\": null\n }, \"Rzadziej\"), mdx(\"td\", {\n parentName: \"tr\",\n \"align\": null\n }, \"Rzadko\")), mdx(\"tr\", {\n parentName: \"tbody\"\n }, mdx(\"td\", {\n parentName: \"tr\",\n \"align\": null\n }, mdx(\"strong\", {\n parentName: \"td\"\n }, \"Leczenie pierwszego rzutu\")), mdx(\"td\", {\n parentName: \"tr\",\n \"align\": null\n }, \"Chirurgia, Mohs surgery\"), mdx(\"td\", {\n parentName: \"tr\",\n \"align\": null\n }, \"Chirurgia, radioterapia\"), mdx(\"td\", {\n parentName: \"tr\",\n \"align\": null\n }, \"Chirurgia (wczesne), chirurgia + immunoterapia/leki celowane (zaawansowane)\")), mdx(\"tr\", {\n parentName: \"tbody\"\n }, mdx(\"td\", {\n parentName: \"tr\",\n \"align\": null\n }, mdx(\"strong\", {\n parentName: \"td\"\n }, \"Rokowanie (prze\\u017Cywalno\\u015B\\u0107 5-letnia)\")), mdx(\"td\", {\n parentName: \"tr\",\n \"align\": null\n }, \"Bardzo dobre (>95%)\"), mdx(\"td\", {\n parentName: \"tr\",\n \"align\": null\n }, \"Dobre (85-95%, zale\\u017Cy od stadium)\"), mdx(\"td\", {\n parentName: \"tr\",\n \"align\": null\n }, \"Zale\\u017Cy od stadium: in-situ 99%, stadium IV <20%\")), mdx(\"tr\", {\n parentName: \"tbody\"\n }, mdx(\"td\", {\n parentName: \"tr\",\n \"align\": null\n }, mdx(\"strong\", {\n parentName: \"td\"\n }, \"Wyleczalno\\u015B\\u0107\")), mdx(\"td\", {\n parentName: \"tr\",\n \"align\": null\n }, \"Bardzo wysoka (98%)\"), mdx(\"td\", {\n parentName: \"tr\",\n \"align\": null\n }, \"Wysoka (90-95%)\"), mdx(\"td\", {\n parentName: \"tr\",\n \"align\": null\n }, \"Zale\\u017Cy od stadium (wczesne >95%, zaawansowane <50%)\")), mdx(\"tr\", {\n parentName: \"tbody\"\n }, mdx(\"td\", {\n parentName: \"tr\",\n \"align\": null\n }, mdx(\"strong\", {\n parentName: \"td\"\n }, \"Zwi\\u0105zek z UV\")), mdx(\"td\", {\n parentName: \"tr\",\n \"align\": null\n }, \"Przewlek\\u0142a ekspozycja\"), mdx(\"td\", {\n parentName: \"tr\",\n \"align\": null\n }, \"Przewlek\\u0142a ekspozycja\"), mdx(\"td\", {\n parentName: \"tr\",\n \"align\": null\n }, \"Ostre oparzenia (szczeg\\xF3lnie w dzieci\\u0144stwie)\")))), mdx(\"h3\", null, \"Kluczowe r\\xF3\\u017Cnice kliniczne\"), mdx(\"p\", null, mdx(\"strong\", {\n parentName: \"p\"\n }, \"Rak podstawnokom\\xF3rkowy (BCC):\")), mdx(\"ul\", null, mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"Nie daje przerzut\\xF3w\"), \" (w 99.9% przypadk\\xF3w)\"), mdx(\"li\", {\n parentName: \"ul\"\n }, \"Ro\\u015Bnie \", mdx(\"strong\", {\n parentName: \"li\"\n }, \"miejscowo inwazyjnie\"), \" - niszczy okoliczne tkanki\"), mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"Najlepsza prze\\u017Cywalno\\u015B\\u0107\"), \" ze wszystkich rak\\xF3w sk\\xF3ry\"), mdx(\"li\", {\n parentName: \"ul\"\n }, \"G\\u0142\\xF3wny problem: \", mdx(\"strong\", {\n parentName: \"li\"\n }, \"destrukcja kosmetyczna\"), \" (lokalizacja na twarzy)\")), mdx(\"p\", null, mdx(\"strong\", {\n parentName: \"p\"\n }, \"Rak p\\u0142askonab\\u0142onkowy (SCC):\")), mdx(\"ul\", null, mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"Mo\\u017Ce dawa\\u0107 przerzuty\"), \" (2-5% przypadk\\xF3w, wi\\u0119cej w immunosupresji)\"), mdx(\"li\", {\n parentName: \"ul\"\n }, \"Cz\\u0119\\u015Bciej u os\\xF3b po przeszczepach narz\\u0105d\\xF3w (10-20x \\u2191 ryzyko)\"), mdx(\"li\", {\n parentName: \"ul\"\n }, \"Szybszy wzrost ni\\u017C BCC\"), mdx(\"li\", {\n parentName: \"ul\"\n }, \"Markery surowicze (np. SCC antigen) nie s\\u0105 rutynowo zalecane w diagnostyce SCC sk\\xF3ry\")), mdx(\"p\", null, mdx(\"strong\", {\n parentName: \"p\"\n }, \"Czerniak (melanoma):\")), mdx(\"ul\", null, mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"Najbardziej agresywny\"), \" rak sk\\xF3ry\"), mdx(\"li\", {\n parentName: \"ul\"\n }, \"Najwy\\u017Csze ryzyko przerzut\\xF3w (nawet 50% w zaawansowanych stadiach)\"), mdx(\"li\", {\n parentName: \"ul\"\n }, \"Najgorsza prze\\u017Cywalno\\u015B\\u0107 w stadium zaawansowanym\"), mdx(\"li\", {\n parentName: \"ul\"\n }, \"Wymaga systemowego leczenia (immunoterapia, leki celowane)\")), mdx(More, {\n link: \"/czerniak\",\n text: \"Dowiedz si\\u0119 wi\\u0119cej o czerniaku - najgro\\u017Aniejszym raku sk\\xF3ry.\",\n cta: \"Czytaj wi\\u0119cej\",\n mdxType: \"More\"\n }), mdx(\"h3\", null, \"R\\xF3\\u017Cnicowanie w dermoskopii\"), mdx(\"p\", null, mdx(\"strong\", {\n parentName: \"p\"\n }, \"Dermoskopia pomaga odr\\xF3\\u017Cni\\u0107 BCC od innych zmian:\")), mdx(\"p\", null, mdx(\"strong\", {\n parentName: \"p\"\n }, \"BCC:\")), mdx(\"ul\", null, mdx(\"li\", {\n parentName: \"ul\"\n }, \"Teleangiektazje arboryzuj\\u0105ce (rozga\\u0142\\u0119zione)\"), mdx(\"li\", {\n parentName: \"ul\"\n }, \"Niebiesko-szare \\\"gniazda\\\" owoidalne\"), mdx(\"li\", {\n parentName: \"ul\"\n }, \"Struktury typu \\\"li\\u015B\\u0107 koniczyny\\\"\"), mdx(\"li\", {\n parentName: \"ul\"\n }, \"Owrzodzenie z krust\\u0105\")), mdx(\"p\", null, mdx(\"strong\", {\n parentName: \"p\"\n }, \"SCC:\")), mdx(\"ul\", null, mdx(\"li\", {\n parentName: \"ul\"\n }, \"Naczynia w k\\u0142\\u0119bkach (glomerularne)\"), mdx(\"li\", {\n parentName: \"ul\"\n }, \"Bia\\u0142a rogowaciej\\u0105ca powierzchnia\"), mdx(\"li\", {\n parentName: \"ul\"\n }, \"Owrzodzenie nieregularne\")), mdx(\"p\", null, mdx(\"strong\", {\n parentName: \"p\"\n }, \"Czerniak:\")), mdx(\"ul\", null, mdx(\"li\", {\n parentName: \"ul\"\n }, \"Asymetryczna sie\\u0107 barwnikowa\"), mdx(\"li\", {\n parentName: \"ul\"\n }, \"Nieregularne globule, smugi barwnikowe\"), mdx(\"li\", {\n parentName: \"ul\"\n }, \"Niebiesko-bia\\u0142e zas\\u0142ony (regresja)\"), mdx(\"li\", {\n parentName: \"ul\"\n }, \"Polimorficzne naczynia\")), mdx(\"p\", null, mdx(\"strong\", {\n parentName: \"p\"\n }, \"Z\\u0142ota zasada:\"), \" Ka\\u017Cda \", mdx(\"strong\", {\n parentName: \"p\"\n }, \"niepewna zmiana\"), \" wymaga \", mdx(\"strong\", {\n parentName: \"p\"\n }, \"biopsji\"), \" dla pewnego rozpoznania!\"), mdx(\"span\", {\n id: \"id10\"\n }), mdx(\"h2\", null, \"Profilaktyka raka podstawnokom\\xF3rkowego\"), mdx(\"p\", null, \"Profilaktyka BCC opiera si\\u0119 g\\u0142\\xF3wnie na \", mdx(\"strong\", {\n parentName: \"p\"\n }, \"ochronie przed promieniowaniem UV\"), \" oraz \", mdx(\"strong\", {\n parentName: \"p\"\n }, \"wczesnym wykrywaniu\"), \" podejrzanych zmian. Wi\\u0119kszo\\u015B\\u0107 przypadk\\xF3w raka podstawnokom\\xF3rkowego mo\\u017Cna \", mdx(\"strong\", {\n parentName: \"p\"\n }, \"zapobiec\"), \" poprzez odpowiednie zachowania.\"), mdx(\"p\", null, mdx(\"span\", {\n parentName: \"p\",\n \"className\": \"gatsby-resp-image-wrapper\",\n \"style\": {\n \"position\": \"relative\",\n \"display\": \"block\",\n \"marginLeft\": \"auto\",\n \"marginRight\": \"auto\",\n \"maxWidth\": \"444px\"\n }\n }, \"\\n \", mdx(\"span\", {\n parentName: \"span\",\n \"className\": \"gatsby-resp-image-background-image\",\n \"style\": {\n \"paddingBottom\": \"84.04907975460122%\",\n \"position\": \"relative\",\n \"bottom\": \"0\",\n \"left\": \"0\",\n \"backgroundImage\": \"url('data:image/jpeg;base64,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')\",\n \"backgroundSize\": \"cover\",\n \"display\": \"block\"\n }\n }), \"\\n \", mdx(\"img\", {\n parentName: \"span\",\n \"className\": \"gatsby-resp-image-image lazyload\",\n \"alt\": \"Rak podstawnokomórkowy podobny do włókniaka twardego\",\n \"title\": \"Rak podstawnokomórkowy podobny do włókniaka twardego\",\n \"data-src\": \"/static/bdb56037775c545bc93ed403f6e1cad4/564ef/rak-podstawnokomorkowy-26.jpg\",\n \"data-srcset\": \"/static/bdb56037775c545bc93ed403f6e1cad4/3138f/rak-podstawnokomorkowy-26.jpg 163w,\\n/static/bdb56037775c545bc93ed403f6e1cad4/2f0d2/rak-podstawnokomorkowy-26.jpg 325w,\\n/static/bdb56037775c545bc93ed403f6e1cad4/564ef/rak-podstawnokomorkowy-26.jpg 444w\",\n \"sizes\": \"(max-width: 444px) 100vw, 444px\",\n \"style\": {\n \"width\": \"100%\",\n \"height\": \"100%\",\n \"margin\": \"0\",\n \"verticalAlign\": \"middle\",\n \"position\": \"absolute\",\n \"top\": \"0\",\n \"left\": \"0\"\n },\n \"loading\": \"lazy\"\n }), \"\\n \")), mdx(\"h3\", null, \"1. Ochrona przed promieniowaniem UV (profilaktyka pierwotna)\"), mdx(\"p\", null, mdx(\"strong\", {\n parentName: \"p\"\n }, \"G\\u0142\\xF3wny czynnik ryzyka BCC to UV - unikanie nadmiernej ekspozycji to klucz!\")), mdx(\"p\", null, mdx(\"strong\", {\n parentName: \"p\"\n }, \"Zasady bezpiecznego opalania:\")), mdx(\"ul\", null, mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"Unikaj s\\u0142o\\u0144ca w godzinach 10:00-16:00\"), \" (najsilniejsze promieniowanie UV)\"), mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"Stosuj kremem z filtrem SPF 50+\"), \" (szerokie spektrum UVA/UVB)\", mdx(\"ul\", {\n parentName: \"li\"\n }, mdx(\"li\", {\n parentName: \"ul\"\n }, \"Nak\\u0142adaj 30 minut przed wyj\\u015Bciem na s\\u0142o\\u0144ce\"), mdx(\"li\", {\n parentName: \"ul\"\n }, \"Ponawiaj aplikacj\\u0119 co 2 godziny\"), mdx(\"li\", {\n parentName: \"ul\"\n }, \"Stosuj obficie (wi\\u0119kszo\\u015B\\u0107 ludzi u\\u017Cywa za ma\\u0142o!)\"))), mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"No\\u015B odzie\\u017C ochronn\\u0105:\"), mdx(\"ul\", {\n parentName: \"li\"\n }, mdx(\"li\", {\n parentName: \"ul\"\n }, \"Kapelusz z szerokim rondem\"), mdx(\"li\", {\n parentName: \"ul\"\n }, \"Koszulka z d\\u0142ugim r\\u0119kawem (najlepiej z UPF 50+)\"), mdx(\"li\", {\n parentName: \"ul\"\n }, \"Okulary przeciws\\u0142oneczne z filtrem UV400\"))), mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"Unikaj solarium\"), \" - zwi\\u0119ksza ryzyko BCC o oko\\u0142o 40-70%!\"), mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"Szczeg\\xF3lna ochrona dzieci\"), \" - oparzenia w dzieci\\u0144stwie zwi\\u0119kszaj\\u0105 ryzyko rak\\xF3w sk\\xF3ry w doros\\u0142o\\u015Bci\")), mdx(\"p\", null, mdx(\"strong\", {\n parentName: \"p\"\n }, \"Pami\\u0119taj:\")), mdx(\"ul\", null, mdx(\"li\", {\n parentName: \"ul\"\n }, \"Promieniowanie UV przechodzi przez chmury (filtr r\\xF3wnie\\u017C w pochmurne dni!)\"), mdx(\"li\", {\n parentName: \"ul\"\n }, \"Woda, \\u015Bnieg, piasek odbijaj\\u0105 UV (zwi\\u0119kszaj\\u0105 ekspozycj\\u0119)\"), mdx(\"li\", {\n parentName: \"ul\"\n }, \"Wysoko\\u015B\\u0107 nad poziomem morza \\u2191 intensywno\\u015B\\u0107 UV (g\\xF3ry!)\")), mdx(\"h3\", null, \"2. Samobadanie sk\\xF3ry (wczesne wykrywanie)\"), mdx(\"p\", null, mdx(\"strong\", {\n parentName: \"p\"\n }, \"Badaj swoj\\u0105 sk\\xF3r\\u0119 raz w miesi\\u0105cu\"), \" - wczesne wykrycie BCC znacznie u\\u0142atwia leczenie i zmniejsza blizny.\"), mdx(\"p\", null, mdx(\"strong\", {\n parentName: \"p\"\n }, \"Jak wykona\\u0107 samobadanie:\")), mdx(\"ol\", null, mdx(\"li\", {\n parentName: \"ol\"\n }, \"Sta\\u0144 przed lustrem w dobrze o\\u015Bwietlonym pomieszczeniu\"), mdx(\"li\", {\n parentName: \"ol\"\n }, \"Zbadaj ca\\u0142\\u0105 sk\\xF3r\\u0119 \", mdx(\"strong\", {\n parentName: \"li\"\n }, \"systematycznie\"), \" (twarz, szyja, uszy, ramiona, klatka piersiowa, brzuch, plecy, nogi)\"), mdx(\"li\", {\n parentName: \"ol\"\n }, \"U\\u017Cyj lusterka lub popro\\u015B partnera o pomoc (plecy, tylna cz\\u0119\\u015B\\u0107 n\\xF3g)\"), mdx(\"li\", {\n parentName: \"ol\"\n }, \"Szczeg\\xF3ln\\u0105 uwag\\u0119 zwr\\xF3\\u0107 na:\", mdx(\"ul\", {\n parentName: \"li\"\n }, mdx(\"li\", {\n parentName: \"ul\"\n }, \"Nowe zmiany (kt\\xF3re pojawi\\u0142y si\\u0119 w ci\\u0105gu ostatniego roku)\"), mdx(\"li\", {\n parentName: \"ul\"\n }, \"Zmiany, kt\\xF3re rosn\\u0105 lub zmieniaj\\u0105 wygl\\u0105d\"), mdx(\"li\", {\n parentName: \"ul\"\n }, \"Rany, kt\\xF3re nie goj\\u0105 si\\u0119 >4 tygodni\"), mdx(\"li\", {\n parentName: \"ul\"\n }, \"Zmiany, kt\\xF3re krwawi\\u0105 spontanicznie\")))), mdx(\"p\", null, mdx(\"strong\", {\n parentName: \"p\"\n }, \"Czerwone flagi - zg\\u0142o\\u015B si\\u0119 do dermatologa:\")), mdx(\"ul\", null, mdx(\"li\", {\n parentName: \"ul\"\n }, \"Nowa zmiana po 40. roku \\u017Cycia\"), mdx(\"li\", {\n parentName: \"ul\"\n }, \"Zmiana, kt\\xF3ra ro\\u015Bnie\"), mdx(\"li\", {\n parentName: \"ul\"\n }, \"Zmiana, kt\\xF3ra krwawi lub owrzodza si\\u0119\"), mdx(\"li\", {\n parentName: \"ul\"\n }, \"Guzek per\\u0142owy z teleangiektazjami\"), mdx(\"li\", {\n parentName: \"ul\"\n }, \"Rana, kt\\xF3ra nie goi si\\u0119 przez >4 tygodnie\")), mdx(\"h3\", null, \"3. Regularne badania dermatologiczne (profilaktyka wt\\xF3rna)\"), mdx(\"p\", null, mdx(\"strong\", {\n parentName: \"p\"\n }, \"Kto powinien regularnie bada\\u0107 si\\u0119 u dermatologa:\")), mdx(\"p\", null, mdx(\"strong\", {\n parentName: \"p\"\n }, \"Wysoki priorytet (badanie co 6-12 miesi\\u0119cy):\")), mdx(\"ul\", null, mdx(\"li\", {\n parentName: \"ul\"\n }, \"Przebyte BCC lub inne raki sk\\xF3ry\"), mdx(\"li\", {\n parentName: \"ul\"\n }, \"Rodzinny wywiad w kierunku rak\\xF3w sk\\xF3ry\"), mdx(\"li\", {\n parentName: \"ul\"\n }, \"Jasny fototyp (typ I-II wg Fitzpatricka)\"), mdx(\"li\", {\n parentName: \"ul\"\n }, \"Wiek >50 lat + cz\\u0119sta ekspozycja na s\\u0142o\\u0144ce\"), mdx(\"li\", {\n parentName: \"ul\"\n }, \"Immunosupresja (przeszczepy, HIV, leki biologiczne)\"), mdx(\"li\", {\n parentName: \"ul\"\n }, \"Zesp\\xF3\\u0142 Gorlina lub inne predyspozycje genetyczne\")), mdx(\"p\", null, mdx(\"strong\", {\n parentName: \"p\"\n }, \"\\u015Aredni priorytet (badanie co 1-2 lata):\")), mdx(\"ul\", null, mdx(\"li\", {\n parentName: \"ul\"\n }, \"Wiek >40 lat\"), mdx(\"li\", {\n parentName: \"ul\"\n }, \"Historia oparze\\u0144 s\\u0142onecznych\"), mdx(\"li\", {\n parentName: \"ul\"\n }, \"Wiele znamion (>50)\"), mdx(\"li\", {\n parentName: \"ul\"\n }, \"Zawodowa ekspozycja na s\\u0142o\\u0144ce\")), mdx(\"p\", null, mdx(\"strong\", {\n parentName: \"p\"\n }, \"Badanie dermatoskopowe\"), \" pozwala na:\"), mdx(\"ul\", null, mdx(\"li\", {\n parentName: \"ul\"\n }, \"Wczesne wykrycie BCC (cz\\u0119sto przed pojawieniem si\\u0119 objaw\\xF3w!)\"), mdx(\"li\", {\n parentName: \"ul\"\n }, \"R\\xF3\\u017Cnicowanie BCC od \\u0142agodnych zmian\"), mdx(\"li\", {\n parentName: \"ul\"\n }, \"Monitorowanie podejrzanych zmian (wideodermatoskopia)\")), mdx(More, {\n link: \"/dermatoskopia-badanie-znamion\",\n text: \"Dowiedz si\\u0119 wi\\u0119cej o badaniu dermatoskopowym - jak przebiega i dlaczego jest tak wa\\u017Cne.\",\n cta: \"Sprawd\\u017A\",\n mdxType: \"More\"\n }), mdx(\"h3\", null, \"4. Edukacja i \\u015Bwiadomo\\u015B\\u0107\"), mdx(\"p\", null, mdx(\"strong\", {\n parentName: \"p\"\n }, \"Wiedza ratuje \\u017Cycie i zdrowie sk\\xF3ry!\")), mdx(\"ul\", null, mdx(\"li\", {\n parentName: \"ul\"\n }, \"Poznaj objawy wczesnego BCC (guzek per\\u0142owy, teleangiektazje, owrzodzenie)\"), mdx(\"li\", {\n parentName: \"ul\"\n }, \"Obserwuj swoj\\u0105 sk\\xF3r\\u0119 regularnie\"), mdx(\"li\", {\n parentName: \"ul\"\n }, \"Nie ignoruj zmian - zg\\u0142o\\u015B si\\u0119 do dermatologa\"), mdx(\"li\", {\n parentName: \"ul\"\n }, \"Edukuj rodzin\\u0119 (szczeg\\xF3lnie dzieci o ochronie przed s\\u0142o\\u0144cem!)\")), mdx(\"p\", null, mdx(\"strong\", {\n parentName: \"p\"\n }, \"Pami\\u0119taj:\")), mdx(\"ul\", null, mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"Wi\\u0119kszo\\u015B\\u0107 BCC mo\\u017Cna ca\\u0142kowicie wyleczy\\u0107\"), \" - je\\u015Bli wykryty wcze\\u015Bnie!\"), mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"Profilaktyka jest ta\\u0144sza i \\u0142atwiejsza ni\\u017C leczenie\")), mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"UV jest najwa\\u017Cniejszym modyfikowalnym czynnikiem ryzyka\"))), mdx(\"span\", {\n id: \"id11\"\n }), mdx(\"h2\", null, \"Nieleczony rak podstawnokom\\xF3rkowy - konsekwencje\"), mdx(\"p\", null, \"Wielu pacjent\\xF3w odk\\u0142ada wizyt\\u0119 u dermatologa, licz\\u0105c \\u017Ce zmiana \\\"sama przejdzie\\\". Nieleczony rak podstawnokom\\xF3rkowy \", mdx(\"strong\", {\n parentName: \"p\"\n }, \"nie ust\\u0119puje samoistnie\"), \" - przeciwnie, b\\u0119dzie \", mdx(\"strong\", {\n parentName: \"p\"\n }, \"powoli ale nieuchronnie r\\xF3s\\u0142\"), \", powoduj\\u0105c powa\\u017Cne konsekwencje.\"), mdx(\"h3\", null, \"Jak szybko ro\\u015Bnie nieleczony BCC?\"), mdx(\"p\", null, mdx(\"strong\", {\n parentName: \"p\"\n }, \"Tempo wzrostu BCC jest powolne\"), \", ale nieub\\u0142agane:\"), mdx(\"ul\", null, mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"Superficial BCC:\"), \" wzrost poziomy, rozleg\\u0142o\\u015B\\u0107 \", mdx(\"strong\", {\n parentName: \"li\"\n }, \"1-2 mm/rok\"), \" (bardzo powoli)\"), mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"Nodular BCC:\"), \" wzrost \", mdx(\"strong\", {\n parentName: \"li\"\n }, \"2-5 mm/rok\"), \" (umiarkowanie)\"), mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"Morpheaform/Infiltrative BCC:\"), \" wzrost \", mdx(\"strong\", {\n parentName: \"li\"\n }, \"5-10 mm/rok\"), \" + naciekanie g\\u0142\\u0119bokie (najszybszy)\")), mdx(\"p\", null, mdx(\"strong\", {\n parentName: \"p\"\n }, \"Przyk\\u0142ad:\"), \" BCC o \\u015Brednicy 5 mm nieleczony przez 5 lat mo\\u017Ce osi\\u0105gn\\u0105\\u0107 \", mdx(\"strong\", {\n parentName: \"p\"\n }, \"2-3 cm\"), \" i niszczy\\u0107 g\\u0142\\u0119bsze struktury.\"), mdx(\"h3\", null, \"Konsekwencje nieleczonego BCC wed\\u0142ug lokalizacji\"), mdx(\"h4\", null, \"BCC na twarzy (nos, policzek, czo\\u0142o):\"), mdx(\"p\", null, mdx(\"strong\", {\n parentName: \"p\"\n }, \"Skutki kosmetyczne:\")), mdx(\"ul\", null, mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"Owrzodzenie\"), \" - otwarta rana, strup, wysi\\u0119k\"), mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"Krwawienia\"), \" - spontaniczne lub po minimalnym urazie\"), mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"Blizna\"), \" - deformacja sk\\xF3ry\"), mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"Infekcje wt\\xF3rne\"), \" - bakteryjne zaka\\u017Cenie owrzodzenia\")), mdx(\"p\", null, mdx(\"strong\", {\n parentName: \"p\"\n }, \"Skutki funkcjonalne:\")), mdx(\"ul\", null, mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"BCC nosa:\"), \" destrukcja chrz\\u0105stki \\u2192 zapadni\\u0119cie nosa, zniekszta\\u0142cenie\"), mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"BCC powieki:\"), \" naciekanie \\u2192 zaburzenia zamykania oka, sucho\\u015B\\u0107 rog\\xF3wki\"), mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"BCC okolica oka:\"), \" naciekanie ga\\u0142ki ocznej, utrata wzroku (rzadko, ale mo\\u017Cliwe)\"), mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"BCC ucha:\"), \" destrukcja ma\\u0142\\u017Cowiny usznej, zaburzenia s\\u0142uchu\")), mdx(\"h4\", null, \"BCC w okolicy oka i powieki:\"), mdx(\"p\", null, mdx(\"strong\", {\n parentName: \"p\"\n }, \"Szczeg\\xF3lnie niebezpieczna lokalizacja!\")), mdx(\"ul\", null, mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"Naciekanie tkanek oczodo\\u0142u\"), \" - b\\xF3l, podw\\xF3jne widzenie\"), mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"Naciekanie nerwu wzrokowego\"), \" - utrata wzroku\"), mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"Zniszczenie aparatu \\u0142zowego\"), \" - przewlek\\u0142e \\u0142zawienie lub sucho\\u015B\\u0107 oka\"), mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"Zniszczenie powieki\"), \" - niemo\\u017Cno\\u015B\\u0107 zamkni\\u0119cia oka (lagoftalmos)\")), mdx(\"p\", null, mdx(\"strong\", {\n parentName: \"p\"\n }, \"Wymaga pilnego leczenia specjalistycznego (chirurgia Mohsa)!\")), mdx(\"h4\", null, \"BCC na tu\\u0142owiu/ko\\u0144czynach:\"), mdx(\"ul\", null, mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"Rzadziej niebezpieczne\"), \" (brak struktur krytycznych)\"), mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"Du\\u017Ce rozmiary\"), \" - mog\\u0105 osi\\u0105gn\\u0105\\u0107 10-20 cm (\\\"giant BCC\\\")\"), mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"Owrzodzenie rozleg\\u0142e\"), \" - trudno goj\\u0105ce si\\u0119 rany\"), mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"B\\xF3l\"), \" - w przypadku bardzo du\\u017Cych zmian\")), mdx(\"h3\", null, \"Najci\\u0119\\u017Csze komplikacje nieleczonego BCC\"), mdx(\"p\", null, mdx(\"strong\", {\n parentName: \"p\"\n }, \"1. Destrukcja ko\\u015Bci i chrz\\u0105stki:\")), mdx(\"ul\", null, mdx(\"li\", {\n parentName: \"ul\"\n }, \"BCC mo\\u017Ce nacieka\\u0107 \", mdx(\"strong\", {\n parentName: \"li\"\n }, \"ko\\u015Bci\"), \" (zw\\u0142aszcza czaszki, nosa, ucha)\"), mdx(\"li\", {\n parentName: \"ul\"\n }, \"Prowadzi do \", mdx(\"strong\", {\n parentName: \"li\"\n }, \"osteolizy\"), \" (niszczenie ko\\u015Bci)\"), mdx(\"li\", {\n parentName: \"ul\"\n }, \"Wymaga rozleg\\u0142ej rekonstrukcji chirurgicznej\")), mdx(\"p\", null, mdx(\"strong\", {\n parentName: \"p\"\n }, \"2. Naciekanie struktur \\u017Cyciowo wa\\u017Cnych:\")), mdx(\"ul\", null, mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"M\\xF3zg\"), \" - przez ko\\u015Bci czaszki (bardzo rzadkie, ale opisywane w literaturze)\"), mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"Zatoki przynosowe\"), \" - z BCC nosa\"), mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"Struktury oka\"), \" - z BCC powieki\")), mdx(\"p\", null, mdx(\"strong\", {\n parentName: \"p\"\n }, \"3. Przerzuty (ekstremalnie rzadkie):\")), mdx(\"ul\", null, mdx(\"li\", {\n parentName: \"ul\"\n }, \"Ryzyko \", mdx(\"strong\", {\n parentName: \"li\"\n }, \"<0.1%\"), \" (mniej ni\\u017C 1 na 1000)\"), mdx(\"li\", {\n parentName: \"ul\"\n }, \"Najcz\\u0119\\u015Bciej przy BCC \", mdx(\"strong\", {\n parentName: \"li\"\n }, \">5 cm\"), \", g\\u0142\\u0119boko\\u015B\\u0107 \", mdx(\"strong\", {\n parentName: \"li\"\n }, \">6 mm\"), \", typ morpheaform\"), mdx(\"li\", {\n parentName: \"ul\"\n }, \"Przerzuty do: \", mdx(\"strong\", {\n parentName: \"li\"\n }, \"w\\u0119z\\u0142\\xF3w ch\\u0142onnych\"), \" (60%), \", mdx(\"strong\", {\n parentName: \"li\"\n }, \"p\\u0142uc\"), \" (30%), \", mdx(\"strong\", {\n parentName: \"li\"\n }, \"ko\\u015Bci\"), \" (10%)\"), mdx(\"li\", {\n parentName: \"ul\"\n }, \"Rokowanie przy przerzutowym BCC: \", mdx(\"strong\", {\n parentName: \"li\"\n }, \"bardzo z\\u0142e\"), \" (10% prze\\u017Cywalno\\u015B\\u0107 5-letnia)\")), mdx(\"h3\", null, \"Przyk\\u0142ady zaawansowanego BCC (literatura medyczna):\"), mdx(\"p\", null, mdx(\"strong\", {\n parentName: \"p\"\n }, \"Przypadek 1:\"), \" M\\u0119\\u017Cczyzna, 72 lata, BCC nosa nieleczony 15 lat \\u2192 destrukcja ca\\u0142ego nosa, naciekanie ko\\u015Bci szcz\\u0119kowej, zaka\\u017Cenie bakteryjne. Leczenie: wyci\\u0119cie + rekonstrukcja p\\u0142atem (kilka operacji). Rezultat: utrata nosa, blizny rozleg\\u0142e.\"), mdx(\"p\", null, mdx(\"strong\", {\n parentName: \"p\"\n }, \"Przypadek 2:\"), \" Kobieta, 85 lat, BCC powieki nieleczony 8 lat \\u2192 destrukcja powieki, naciekanie oczodo\\u0142u, utrata wzroku. Leczenie: usuni\\u0119cie ga\\u0142ki ocznej (enukleacja) + radioterapia.\"), mdx(\"p\", null, mdx(\"strong\", {\n parentName: \"p\"\n }, \"Przypadek 3:\"), \" M\\u0119\\u017Cczyzn, 68 lat, BCC policzka nieleczony 20 lat \\u2192 BCC 12 cm, naciekanie ko\\u015Bci policzkowej, przerzuty do w\\u0119z\\u0142\\xF3w ch\\u0142onnych szyjnych. Leczenie: radioterapia paliatywna (nieoperacyjny). Zgon po 18 miesi\\u0105cach.\"), mdx(\"h3\", null, \"Dlaczego pacjenci odk\\u0142adaj\\u0105 leczenie?\"), mdx(\"p\", null, mdx(\"strong\", {\n parentName: \"p\"\n }, \"Najcz\\u0119stsze powody:\")), mdx(\"ol\", null, mdx(\"li\", {\n parentName: \"ol\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"\\\"To tylko pieprzyk, sam przejdzie\\\"\"), \" - b\\u0142\\u0119dne przekonanie\"), mdx(\"li\", {\n parentName: \"ol\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"Brak b\\xF3lu\"), \" - BCC nie boli, wi\\u0119c nie niepokoi\"), mdx(\"li\", {\n parentName: \"ol\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"Powolny wzrost\"), \" - zmiana ro\\u015Bnie latami, pacjent si\\u0119 przyzwyczaja\"), mdx(\"li\", {\n parentName: \"ol\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"Wstyd/strach\"), \" - obawa przed diagnoz\\u0105 raka, l\\u0119k przed operacj\\u0105\"), mdx(\"li\", {\n parentName: \"ol\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"Wiek podesz\\u0142y\"), \" - \\\"jestem stary, po co si\\u0119 leczy\\u0107?\\\"\"), mdx(\"li\", {\n parentName: \"ol\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"Brak \\u015Bwiadomo\\u015Bci\"), \" - nieznajomo\\u015B\\u0107 objaw\\xF3w BCC\")), mdx(\"h3\", null, \"Kluczowe przes\\u0142anie: BCC jest wyleczalny, ale tylko je\\u015Bli leczony!\"), mdx(\"p\", null, mdx(\"strong\", {\n parentName: \"p\"\n }, \"Por\\xF3wnanie:\")), mdx(\"table\", null, mdx(\"thead\", {\n parentName: \"table\"\n }, mdx(\"tr\", {\n parentName: \"thead\"\n }, mdx(\"th\", {\n parentName: \"tr\",\n \"align\": null\n }, \"Aspekt\"), mdx(\"th\", {\n parentName: \"tr\",\n \"align\": null\n }, \"BCC wczesny (leczony)\"), mdx(\"th\", {\n parentName: \"tr\",\n \"align\": null\n }, \"BCC zaawansowany (nieleczony 10+ lat)\"))), mdx(\"tbody\", {\n parentName: \"table\"\n }, mdx(\"tr\", {\n parentName: \"tbody\"\n }, mdx(\"td\", {\n parentName: \"tr\",\n \"align\": null\n }, mdx(\"strong\", {\n parentName: \"td\"\n }, \"Rozmiar\")), mdx(\"td\", {\n parentName: \"tr\",\n \"align\": null\n }, \"<1 cm\"), mdx(\"td\", {\n parentName: \"tr\",\n \"align\": null\n }, \">5-10 cm\")), mdx(\"tr\", {\n parentName: \"tbody\"\n }, mdx(\"td\", {\n parentName: \"tr\",\n \"align\": null\n }, mdx(\"strong\", {\n parentName: \"td\"\n }, \"Leczenie\")), mdx(\"td\", {\n parentName: \"tr\",\n \"align\": null\n }, \"Proste wyci\\u0119cie (20 min)\"), mdx(\"td\", {\n parentName: \"tr\",\n \"align\": null\n }, \"Rozleg\\u0142a operacja + rekonstrukcja (kilka godzin)\")), mdx(\"tr\", {\n parentName: \"tbody\"\n }, mdx(\"td\", {\n parentName: \"tr\",\n \"align\": null\n }, mdx(\"strong\", {\n parentName: \"td\"\n }, \"Blizna\")), mdx(\"td\", {\n parentName: \"tr\",\n \"align\": null\n }, \"Minimalna (kilka mm)\"), mdx(\"td\", {\n parentName: \"tr\",\n \"align\": null\n }, \"Rozleg\\u0142a deformacja\")), mdx(\"tr\", {\n parentName: \"tbody\"\n }, mdx(\"td\", {\n parentName: \"tr\",\n \"align\": null\n }, mdx(\"strong\", {\n parentName: \"td\"\n }, \"Rokowanie\")), mdx(\"td\", {\n parentName: \"tr\",\n \"align\": null\n }, \"98% wyleczalno\\u015B\\u0107\"), mdx(\"td\", {\n parentName: \"tr\",\n \"align\": null\n }, \"Mo\\u017Cliwe powik\\u0142ania, przerzuty, zgon\")), mdx(\"tr\", {\n parentName: \"tbody\"\n }, mdx(\"td\", {\n parentName: \"tr\",\n \"align\": null\n }, mdx(\"strong\", {\n parentName: \"td\"\n }, \"Koszt\")), mdx(\"td\", {\n parentName: \"tr\",\n \"align\": null\n }, \"Niski\"), mdx(\"td\", {\n parentName: \"tr\",\n \"align\": null\n }, \"Wysoki (wiele operacji, rekonstrukcje)\")))), mdx(\"p\", null, mdx(\"strong\", {\n parentName: \"p\"\n }, \"Nie zwlekaj - ka\\u017Cdy miesi\\u0105c op\\xF3\\u017Anienia zwi\\u0119ksza zaawansowanie BCC!\")), mdx(MoreLeadUmow, {\n link: \"/kontakt\",\n label: \"Nie czekaj na powik\\u0142ania!\",\n text: \"Um\\xF3w si\\u0119 na badanie dermatoskopowe - wykryj BCC we wczesnym stadium, zanim wyrz\\u0105dzi szkody.\",\n mdxType: \"MoreLeadUmow\"\n }), mdx(\"span\", {\n id: \"id12\"\n }), mdx(\"h2\", null, \"Najcz\\u0119\\u015Bciej zadawane pytania (FAQ)\"), mdx(\"h3\", null, \"Czy rak podstawnokom\\xF3rkowy jest gro\\u017Any?\"), mdx(\"p\", null, \"BCC jest \", mdx(\"strong\", {\n parentName: \"p\"\n }, \"naj\\u0142agodniejszym rakiem sk\\xF3ry\"), \" pod wzgl\\u0119dem rokowania - \", mdx(\"strong\", {\n parentName: \"p\"\n }, \"bardzo rzadko daje przerzuty\"), \" (<0.1% przypadk\\xF3w). \", mdx(\"strong\", {\n parentName: \"p\"\n }, \"Nie jest gro\\u017Any dla \\u017Cycia\"), \" w wi\\u0119kszo\\u015Bci przypadk\\xF3w. Jednak \", mdx(\"strong\", {\n parentName: \"p\"\n }, \"nieleczony BCC mo\\u017Ce prowadzi\\u0107 do powa\\u017Cnych powik\\u0142a\\u0144 miejscowych\"), \" - zniszczenia tkanek, chrz\\u0105stki, ko\\u015Bci, a w skrajnych przypadkach struktur \\u017Cyciowo wa\\u017Cnych (oko, m\\xF3zg). \", mdx(\"strong\", {\n parentName: \"p\"\n }, \"Wczesne leczenie daje 98% wyleczalno\\u015B\\u0107\"), \" i minimalne blizny. Dlatego BCC nale\\u017Cy traktowa\\u0107 powa\\u017Cnie, ale \", mdx(\"strong\", {\n parentName: \"p\"\n }, \"nie panikowa\\u0107\"), \" - to wysoce wyleczalny nowotw\\xF3r.\"), mdx(\"h3\", null, \"Czy rak podstawnokom\\xF3rkowy mo\\u017Ce si\\u0119 sam wyleczy\\u0107?\"), mdx(\"p\", null, mdx(\"strong\", {\n parentName: \"p\"\n }, \"Nie.\"), \" BCC \", mdx(\"strong\", {\n parentName: \"p\"\n }, \"nie ust\\u0119puje samoistnie\"), \". Czasami mo\\u017Ce dochodzi\\u0107 do cz\\u0119\\u015Bciowej regresji (zmniejszenia) po krwawieniu lub zaka\\u017Ceniu, ale nowotw\\xF3r \", mdx(\"strong\", {\n parentName: \"p\"\n }, \"zawsze odrasta\"), \". Spontaniczna regresja BCC jest \", mdx(\"strong\", {\n parentName: \"p\"\n }, \"ekstremalnie rzadka\"), \" (opisywane pojedyncze przypadki w literaturze medycznej, ale nie mo\\u017Cna na to liczy\\u0107). Jedynym skutecznym leczeniem BCC jest \", mdx(\"strong\", {\n parentName: \"p\"\n }, \"aktywne leczenie\"), \" - chirurgia, radioterapia lub terapia miejscowa. \", mdx(\"strong\", {\n parentName: \"p\"\n }, \"Oczekiwanie \\u017Ce BCC \\\"sam przejdzie\\\" prowadzi do niepotrzebnego zaawansowania choroby.\")), mdx(\"h3\", null, \"Ile czasu trwa leczenie raka podstawnokom\\xF3rkowego?\"), mdx(\"p\", null, mdx(\"strong\", {\n parentName: \"p\"\n }, \"Wyci\\u0119cie chirurgiczne standardowe:\")), mdx(\"ul\", null, mdx(\"li\", {\n parentName: \"ul\"\n }, \"Sam zabieg: \", mdx(\"strong\", {\n parentName: \"li\"\n }, \"20-45 minut\"), \" (w zale\\u017Cno\\u015Bci od wielko\\u015Bci i lokalizacji)\"), mdx(\"li\", {\n parentName: \"ul\"\n }, \"Czas gojenia: \", mdx(\"strong\", {\n parentName: \"li\"\n }, \"2-4 tygodnie\"), \" (zdj\\u0119cie szw\\xF3w po 7-14 dniach)\"), mdx(\"li\", {\n parentName: \"ul\"\n }, \"Wynik histopatologiczny: \", mdx(\"strong\", {\n parentName: \"li\"\n }, \"7-14 dni\"), \" po zabiegu\")), mdx(\"p\", null, mdx(\"strong\", {\n parentName: \"p\"\n }, \"Chirurgia Mohsa:\")), mdx(\"ul\", null, mdx(\"li\", {\n parentName: \"ul\"\n }, \"Zabieg: \", mdx(\"strong\", {\n parentName: \"li\"\n }, \"2-4 godziny\"), \" (ze wzgl\\u0119du na natychmiastow\\u0105 ocen\\u0119 margines\\xF3w)\"), mdx(\"li\", {\n parentName: \"ul\"\n }, \"Gojenie: jak wy\\u017Cej\")), mdx(\"p\", null, mdx(\"strong\", {\n parentName: \"p\"\n }, \"Radioterapia:\")), mdx(\"ul\", null, mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"15-30 sesji\"), \" (codziennie przez 3-6 tygodni)\"), mdx(\"li\", {\n parentName: \"ul\"\n }, \"Czas trwania jednej sesji: \", mdx(\"strong\", {\n parentName: \"li\"\n }, \"10-15 minut\"))), mdx(\"p\", null, mdx(\"strong\", {\n parentName: \"p\"\n }, \"Leczenie miejscowe (kremy):\")), mdx(\"ul\", null, mdx(\"li\", {\n parentName: \"ul\"\n }, \"Imiquimod: \", mdx(\"strong\", {\n parentName: \"li\"\n }, \"6 tygodni\"), \" (aplikacja 5x/tydzie\\u0144)\"), mdx(\"li\", {\n parentName: \"ul\"\n }, \"Fluorouracil: \", mdx(\"strong\", {\n parentName: \"li\"\n }, \"3-12 tygodni\"), \" (aplikacja 2x/dzie\\u0144)\")), mdx(\"h3\", null, \"Czy po usuni\\u0119ciu BCC mo\\u017Ce wr\\xF3ci\\u0107?\"), mdx(\"p\", null, mdx(\"strong\", {\n parentName: \"p\"\n }, \"Tak, istnieje ryzyko nawrotu\"), \", ale zale\\u017Cy od metody leczenia:\"), mdx(\"ul\", null, mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"Chirurgia Mohsa:\"), \" <1-2% nawrot\\xF3w (najlepsza metoda!)\"), mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"Chirurgia standardowa z odpowiednimi marginesami:\"), \" 5-10% nawrot\\xF3w\"), mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"Radioterapia:\"), \" 8-15% nawrot\\xF3w\"), mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"Leczenie topikalne (kremy):\"), \" 15-20% nawrot\\xF3w\")), mdx(\"p\", null, mdx(\"strong\", {\n parentName: \"p\"\n }, \"Czynniki zwi\\u0119kszaj\\u0105ce ryzyko nawrotu:\")), mdx(\"ul\", null, mdx(\"li\", {\n parentName: \"ul\"\n }, \"Typ morpheaform lub infiltrative\"), mdx(\"li\", {\n parentName: \"ul\"\n }, \"Wielko\\u015B\\u0107 >2 cm\"), mdx(\"li\", {\n parentName: \"ul\"\n }, \"Niepe\\u0142ne wyci\\u0119cie (marginesy R1)\"), mdx(\"li\", {\n parentName: \"ul\"\n }, \"Lokalizacja w \\\"obszarze H\\\" twarzy\")), mdx(\"p\", null, mdx(\"strong\", {\n parentName: \"p\"\n }, \"Dodatkowo:\"), \" Pacjenci po BCC maj\\u0105 \", mdx(\"strong\", {\n parentName: \"p\"\n }, \"30-50% ryzyko rozwoju kolejnego BCC\"), \" w ci\\u0105gu 5 lat (nowy nowotw\\xF3r, nie nawr\\xF3t). Dlatego \", mdx(\"strong\", {\n parentName: \"p\"\n }, \"konieczna jest regularna obserwacja dermatologiczna\"), \" (co 6-12 miesi\\u0119cy).\"), mdx(\"h3\", null, \"Jaka jest r\\xF3\\u017Cnica mi\\u0119dzy BCC a czerniakiem?\"), mdx(\"p\", null, mdx(\"strong\", {\n parentName: \"p\"\n }, \"Rak podstawnokom\\xF3rkowy (BCC):\")), mdx(\"ul\", null, mdx(\"li\", {\n parentName: \"ul\"\n }, \"Najcz\\u0119stszy rak sk\\xF3ry (80%)\"), mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"Bardzo rzadko daje przerzuty\"), \" (<0.1%)\"), mdx(\"li\", {\n parentName: \"ul\"\n }, \"Powolny wzrost (miesi\\u0105ce-lata)\"), mdx(\"li\", {\n parentName: \"ul\"\n }, \"Wygl\\u0105d: per\\u0142owy guzek, teleangiektazje\"), mdx(\"li\", {\n parentName: \"ul\"\n }, \"Rokowanie: \", mdx(\"strong\", {\n parentName: \"li\"\n }, \"bardzo dobre\"), \" (>95% prze\\u017Cywalno\\u015B\\u0107)\")), mdx(\"p\", null, mdx(\"strong\", {\n parentName: \"p\"\n }, \"Czerniak (melanoma):\")), mdx(\"ul\", null, mdx(\"li\", {\n parentName: \"ul\"\n }, \"Rzadszy (5% rak\\xF3w sk\\xF3ry)\"), mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"Cz\\u0119sto daje przerzuty\"), \" (nawet 50% w zaawansowanych stadiach)\"), mdx(\"li\", {\n parentName: \"ul\"\n }, \"Szybki wzrost (tygodnie-miesi\\u0105ce)\"), mdx(\"li\", {\n parentName: \"ul\"\n }, \"Wygl\\u0105d: asymetryczna, wielobarwna plamka\"), mdx(\"li\", {\n parentName: \"ul\"\n }, \"Rokowanie: zale\\u017Cne od stadium (\", mdx(\"strong\", {\n parentName: \"li\"\n }, \"wczesne >95%\"), \", zaawansowane <20%)\")), mdx(\"p\", null, mdx(\"strong\", {\n parentName: \"p\"\n }, \"Kluczowa r\\xF3\\u017Cnica:\"), \" BCC ro\\u015Bnie miejscowo i niszczy okoliczne tkanki, ale prawie nigdy nie daje przerzut\\xF3w. Czerniak mo\\u017Ce szybko dawa\\u0107 przerzuty do w\\u0119z\\u0142\\xF3w ch\\u0142onnych, p\\u0142uc, w\\u0105troby, m\\xF3zgu. \", mdx(\"strong\", {\n parentName: \"p\"\n }, \"Oba wymagaj\\u0105 leczenia, ale czerniak jest znacznie bardziej agresywny.\")), mdx(\"h3\", null, \"Ile kosztuje leczenie raka podstawnokom\\xF3rkowego?\"), mdx(\"p\", null, mdx(\"strong\", {\n parentName: \"p\"\n }, \"W ramach NFZ (bezp\\u0142atnie):\")), mdx(\"ul\", null, mdx(\"li\", {\n parentName: \"ul\"\n }, \"Badanie dermatoskopowe: bezp\\u0142atne (skierowanie od lekarza POZ)\"), mdx(\"li\", {\n parentName: \"ul\"\n }, \"Wyci\\u0119cie chirurgiczne BCC: bezp\\u0142atne\"), mdx(\"li\", {\n parentName: \"ul\"\n }, \"Badanie histopatologiczne: bezp\\u0142atne\"), mdx(\"li\", {\n parentName: \"ul\"\n }, \"Radioterapia: bezp\\u0142atna (w ramach programu NFZ)\")), mdx(\"p\", null, mdx(\"strong\", {\n parentName: \"p\"\n }, \"Prywatnie (orientacyjne ceny):\")), mdx(\"ul\", null, mdx(\"li\", {\n parentName: \"ul\"\n }, \"Konsultacja dermatologiczna + dermatoskopia: 200-400 z\\u0142\"), mdx(\"li\", {\n parentName: \"ul\"\n }, \"Wyci\\u0119cie chirurgiczne BCC: 800-2000 z\\u0142 (zale\\u017Cnie od wielko\\u015Bci i lokalizacji)\"), mdx(\"li\", {\n parentName: \"ul\"\n }, \"Chirurgia Mohsa: 3000-8000 z\\u0142 (dost\\u0119pna w nielicznych o\\u015Brodkach)\"), mdx(\"li\", {\n parentName: \"ul\"\n }, \"Badanie histopatologiczne: 200-500 z\\u0142\")), mdx(\"p\", null, mdx(\"strong\", {\n parentName: \"p\"\n }, \"Leczenie zaawansowanego BCC (nieleczony wiele lat):\")), mdx(\"ul\", null, mdx(\"li\", {\n parentName: \"ul\"\n }, \"Rozleg\\u0142e wyci\\u0119cie + rekonstrukcja: 10 000 - 50 000 z\\u0142 (prywatnie)\"), mdx(\"li\", {\n parentName: \"ul\"\n }, \"Inhibitory hedgehog (vismodegib): 20 000-40 000 z\\u0142/miesi\\u0105c (w NFZ program lekowy)\")), mdx(\"p\", null, mdx(\"strong\", {\n parentName: \"p\"\n }, \"Wniosek:\"), \" \", mdx(\"strong\", {\n parentName: \"p\"\n }, \"Wczesne wykrycie i leczenie BCC jest niepor\\xF3wnanie ta\\u0144sze\"), \" ni\\u017C leczenie zaawansowanej choroby!\"), mdx(\"h3\", null, \"Czy BCC jest dziedziczny?\"), mdx(\"p\", null, mdx(\"strong\", {\n parentName: \"p\"\n }, \"W wi\\u0119kszo\\u015Bci przypadk\\xF3w NIE\"), \" - BCC jest spowodowany g\\u0142\\xF3wnie ekspozycj\\u0105 na promieniowanie UV, nie genami.\"), mdx(\"p\", null, mdx(\"strong\", {\n parentName: \"p\"\n }, \"Jednak istniej\\u0105 wyj\\u0105tki:\")), mdx(\"p\", null, mdx(\"strong\", {\n parentName: \"p\"\n }, \"Zesp\\xF3\\u0142 Gorlina (zesp\\xF3\\u0142 raka podstawnokom\\xF3rkowego znamionowego, NBCCS):\")), mdx(\"ul\", null, mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"Dziedziczny\"), \" (mutacja genu PTCH1)\"), mdx(\"li\", {\n parentName: \"ul\"\n }, \"Pacjenci rozwijaj\\u0105 \", mdx(\"strong\", {\n parentName: \"li\"\n }, \"dziesi\\u0105tki lub setki BCC\"), \" w m\\u0142odym wieku (cz\\u0119sto przed 30. rokiem \\u017Cycia)\"), mdx(\"li\", {\n parentName: \"ul\"\n }, \"Wymaga regularnych kontroli dermatologicznych \", mdx(\"strong\", {\n parentName: \"li\"\n }, \"co 3-6 miesi\\u0119cy\")), mdx(\"li\", {\n parentName: \"ul\"\n }, \"Leczenie: chirurgia, czasem vismodegib\")), mdx(\"p\", null, mdx(\"strong\", {\n parentName: \"p\"\n }, \"Inne predyspozycje genetyczne:\")), mdx(\"ul\", null, mdx(\"li\", {\n parentName: \"ul\"\n }, \"Xeroderma pigmentosum - genetyczna niezdolno\\u015B\\u0107 do naprawy uszkodze\\u0144 DNA\"), mdx(\"li\", {\n parentName: \"ul\"\n }, \"Zesp\\xF3\\u0142 Bazex-Dupr\\xE9-Christol\"), mdx(\"li\", {\n parentName: \"ul\"\n }, \"Rodzinny wywiad w kierunku rak\\xF3w sk\\xF3ry (zwi\\u0119kszone ryzyko, ale nie bezpo\\u015Brednia dziedziczno\\u015B\\u0107)\")), mdx(\"p\", null, mdx(\"strong\", {\n parentName: \"p\"\n }, \"Je\\u015Bli w rodzinie by\\u0142y przypadki BCC:\"), \" Twoje ryzyko jest nieznacznie zwi\\u0119kszone, ale \", mdx(\"strong\", {\n parentName: \"p\"\n }, \"g\\u0142\\xF3wnym czynnikiem ryzyka pozostaje UV\"), \". Chro\\u0144cz si\\u0119 przed s\\u0142o\\u0144cem i regularnie badaj sk\\xF3r\\u0119.\"), mdx(\"h3\", null, \"Czy mo\\u017Cna zapobiec rakowi podstawnokom\\xF3rkowemu?\"), mdx(\"p\", null, mdx(\"strong\", {\n parentName: \"p\"\n }, \"Tak! Wi\\u0119kszo\\u015B\\u0107 przypadk\\xF3w BCC mo\\u017Cna zapobiec\"), \" poprzez ochron\\u0119 przed promieniowaniem UV.\"), mdx(\"p\", null, mdx(\"strong\", {\n parentName: \"p\"\n }, \"Najskuteczniejsze metody profilaktyki:\")), mdx(\"ol\", null, mdx(\"li\", {\n parentName: \"ol\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"Krem z filtrem SPF 50+\"), \" - codziennie, nawet w pochmurne dni\"), mdx(\"li\", {\n parentName: \"ol\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"Unikaj s\\u0142o\\u0144ca w godzinach 10:00-16:00\"), \" - najsilniejsze UV\"), mdx(\"li\", {\n parentName: \"ol\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"Odzie\\u017C ochronna\"), \" - kapelusz, okulary, koszulka z d\\u0142ugim r\\u0119kawem (UPF 50+)\"), mdx(\"li\", {\n parentName: \"ol\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"NIE u\\u017Cywaj solarium\"), \" - zwi\\u0119ksza ryzyko BCC o oko\\u0142o 40-70%!\"), mdx(\"li\", {\n parentName: \"ol\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"Chro\\u0144 dzieci\"), \" - oparzenia s\\u0142oneczne w dzieci\\u0144stwie zwi\\u0119kszaj\\u0105 ryzyko w doros\\u0142o\\u015Bci\")), mdx(\"p\", null, mdx(\"strong\", {\n parentName: \"p\"\n }, \"Profilaktyka wt\\xF3rna (wczesne wykrywanie):\")), mdx(\"ul\", null, mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"Samobadanie sk\\xF3ry\"), \" - raz w miesi\\u0105cu\"), mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"Badanie dermatoskopowe\"), \" - raz w roku (lub cz\\u0119\\u015Bciej je\\u015Bli wysokie ryzyko)\")), mdx(\"p\", null, mdx(\"strong\", {\n parentName: \"p\"\n }, \"Pami\\u0119taj:\"), \" Je\\u015Bli mia\\u0142e\\u015B ju\\u017C BCC, masz \", mdx(\"strong\", {\n parentName: \"p\"\n }, \"30-50% ryzyko kolejnego BCC\"), \" w ci\\u0105gu 5 lat. \", mdx(\"strong\", {\n parentName: \"p\"\n }, \"Regularna obserwacja dermatologiczna jest kluczowa!\")), mdx(\"hr\", null), mdx(\"h2\", null, \"Podsumowanie\"), mdx(\"p\", null, \"Rak podstawnokom\\xF3rkowy (BCC) to \", mdx(\"strong\", {\n parentName: \"p\"\n }, \"najcz\\u0119stszy nowotw\\xF3r sk\\xF3ry\"), \", kt\\xF3ry mimo z\\u0142o\\u015Bliwego charakteru ma \", mdx(\"strong\", {\n parentName: \"p\"\n }, \"bardzo dobre rokowanie\"), \" dzi\\u0119ki rzadkiemu wyst\\u0119powaniu przerzut\\xF3w. Kluczem do sukcesu jest \", mdx(\"strong\", {\n parentName: \"p\"\n }, \"wczesne wykrycie\"), \" i \", mdx(\"strong\", {\n parentName: \"p\"\n }, \"odpowiednie leczenie chirurgiczne\"), \".\"), mdx(\"p\", null, mdx(\"strong\", {\n parentName: \"p\"\n }, \"Zapami\\u0119taj:\")), mdx(\"ul\", null, mdx(\"li\", {\n parentName: \"ul\"\n }, \"BCC ro\\u015Bnie \", mdx(\"strong\", {\n parentName: \"li\"\n }, \"powolnie\"), \", ale \", mdx(\"strong\", {\n parentName: \"li\"\n }, \"niszczy okoliczne tkanki\")), mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"Nie daje przerzut\\xF3w\"), \" w 99.9% przypadk\\xF3w\"), mdx(\"li\", {\n parentName: \"ul\"\n }, \"Najcz\\u0119stsza lokalizacja: \", mdx(\"strong\", {\n parentName: \"li\"\n }, \"twarz, nos, uszy\"), \" (obszary nara\\u017Cone na s\\u0142o\\u0144ce)\"), mdx(\"li\", {\n parentName: \"ul\"\n }, \"G\\u0142\\xF3wny czynnik ryzyka: \", mdx(\"strong\", {\n parentName: \"li\"\n }, \"promieniowanie UV\")), mdx(\"li\", {\n parentName: \"ul\"\n }, \"Leczenie z wyboru: \", mdx(\"strong\", {\n parentName: \"li\"\n }, \"chirurgia\"), \" (wyci\\u0119cie lub Mohs surgery)\"), mdx(\"li\", {\n parentName: \"ul\"\n }, \"Prze\\u017Cywalno\\u015B\\u0107: \", mdx(\"strong\", {\n parentName: \"li\"\n }, \">95%\"), \" (prawie wszyscy pacjenci wracaj\\u0105 do zdrowia!)\"), mdx(\"li\", {\n parentName: \"ul\"\n }, mdx(\"strong\", {\n parentName: \"li\"\n }, \"30-50% pacjent\\xF3w\"), \" rozwinie kolejne BCC w ci\\u0105gu 5 lat \\u2192 \", mdx(\"strong\", {\n parentName: \"li\"\n }, \"regularna obserwacja konieczna!\"))), mdx(MoreLeadUmow, {\n link: \"/kontakt\",\n label: \"Nie czekaj!\",\n text: \"Um\\xF3w si\\u0119 na badanie dermatoskopowe - wykryj BCC we wczesnym stadium.\",\n mdxType: \"MoreLeadUmow\"\n }), mdx(\"p\", null, mdx(\"strong\", {\n parentName: \"p\"\n }, \"Profilaktyka ratuje \\u017Cycie:\")), mdx(\"ul\", null, mdx(\"li\", {\n parentName: \"ul\"\n }, \"Chro\\u0144 si\\u0119 przed s\\u0142o\\u0144cem (krem SPF 50+, unikaj godzin 10-16)\"), mdx(\"li\", {\n parentName: \"ul\"\n }, \"Badaj swoj\\u0105 sk\\xF3r\\u0119 co miesi\\u0105c\"), mdx(\"li\", {\n parentName: \"ul\"\n }, \"Zg\\u0142aszaj si\\u0119 do dermatologa raz w roku (lub cz\\u0119\\u015Bciej je\\u015Bli wysokie ryzyko)\"), mdx(\"li\", {\n parentName: \"ul\"\n }, \"Nie u\\u017Cywaj solarium\")), mdx(\"hr\", null), mdx(\"p\", null, mdx(\"strong\", {\n parentName: \"p\"\n }, \"Profilaktyka i wczesne wykrywanie BCC ratuje zdrowie i wygl\\u0105d sk\\xF3ry.\"), \" Przeczytaj na czym polega: \", mdx(\"a\", {\n parentName: \"p\",\n \"href\": \"/dermatoskopia-badanie-znamion\"\n }, \"dermatoskopia znamion\"), \" lub \", mdx(\"a\", {\n parentName: \"p\",\n \"href\": \"/wideodermatoskopia-komputerowe-badanie-znamion\"\n }, \"wideodermatoskopia ca\\u0142ego cia\\u0142a\"), \".\"), mdx(More, {\n link: \"/kontakt\",\n text: \"Sprawd\\u017A czy w Twoim mie\\u015Bcie mo\\u017Cna wykona\\u0107 badanie wideodermatoskopowe\",\n cta: \"Sprawd\\u017A\",\n mdxType: \"More\"\n }));\n}\n;\nMDXContent.isMDXComponent = true;","frontmatter":{"date":"03.10.2025","rawDate":"2025-10-03T10:00:00.000Z","lastReviewed":"2025-10-03T10:00:00.000Z","title":"Rak podstawnokomórkowy skóry (BCC) – objawy, diagnostyka, leczenie","description":"Rak podstawnokomórkowy (BCC) – najczęstszy nowotwór skóry. Poznaj objawy, zobacz zdjęcia, dowiedz się o leczeniu i rokowaniu. Wczesne wykrycie ratuje zdrowie!","keywords":["rak podstawnokomórkowy","rak podstawnokomórkowy skóry","rak podstawnokomórkowy objawy","rak podstawnokomórkowy zdjęcia","rak podstawnokomórkowy leczenie","basalioma","nabłoniak podstawnokomórkowy","basal cell carcinoma","BCC rak skóry","rak podstawnokomórkowy nosa","rak podstawnokomórkowy twarzy","rak skóry na twarzy","rak nosa","nieleczony rak podstawnokomórkowy","czy rak podstawnokomórkowy jest groźny","jak wygląda rak podstawnokomórkowy","czy rak podstawnokomórkowy boli","rak podstawnokomórkowy a czerniak","objawy raka skóry","guzek na nosie","rak skóry objawy zdjęcia","dermatoskopia BCC","chirurgia Mohsa","rokowanie rak podstawnokomórkowy","profilaktyka raka skóry","nawrót raka podstawnokomórkowego","leczenie raka podstawnokomórkowego","rak podstawnokomórkowy leczenie bez operacji","rak podstawnokomórkowy powieki","rak podstawnokomórkowy ucha"],"tags":["rak podstawnokomórkowy","BCC","basalioma","rak skóry","nowotwory skóry"],"toc":[{"link":"id1","label":"Co to jest rak podstawnokomórkowy (BCC)?"},{"link":"id2","label":"Epidemiologia i częstość występowania"},{"link":"id3","label":"Czynniki ryzyka rozwoju BCC"},{"link":"id4","label":"Objawy BCC – jak rozpoznać?"},{"link":"id5","label":"Rodzaje raka podstawnokomórkowego"},{"link":"id6","label":"Diagnostyka - dermatoskopia, biopsja"},{"link":"id7","label":"Leczenie BCC"},{"link":"id8","label":"Rokowanie i nawroty"},{"link":"id9","label":"Różnica BCC vs SCC vs czerniak"},{"link":"id10","label":"Profilaktyka raka podstawnokomórkowego"},{"link":"id11","label":"Nieleczony rak podstawnokomórkowy - konsekwencje"},{"link":"id12","label":"Najczęściej zadawane pytania (FAQ)"}],"sources":[{"link":null,"label":"Narodowy Instytut Onkologii - wytyczne postępowania w rakach skóry (aktualizacja 2024)"},{"link":null,"label":"ESMO Clinical Practice Guideline – Cutaneous basal cell carcinoma (2023/2024)"},{"link":null,"label":"NCCN Patient Guidelines – Basal Cell Skin Cancer (v.2024)"},{"link":null,"label":"American Academy of Dermatology – Basal Cell Carcinoma"},{"link":null,"label":"DermNet NZ – Basal Cell Carcinoma"},{"link":null,"label":"Cameron MC et al. Basal cell carcinoma. J Am Acad Dermatol. 2019"}],"author":"Agnieszka Czyżewska","authorsTitle":"specjalistka onkologii klinicznej","readingTime":20,"noToc":null}}},"pageContext":{"id":"bc7d64fc-beea-56fe-9846-2e819a435e3a","lastmod":"2025-10-03T10:00:00.000Z"}},"staticQueryHashes":["3931447448","500205478"]}