March 31, 2013

Basal Cell Carcinoma


Basal Cell Carcinoma (BCC) is the most common form of skin cancer, with over two million cases being diagnosed every year in the United States alone.  This type of cancer is slow growing and rarely spreads to other parts of the body.  If left untreated, however, it can cause disfigurement by invading and damaging the surrounding nerves and tissues.  Most cases of BCC are caused by cumulative UV exposure but can also occur in areas that are protected from the sun.  

Basal cells line the deepest layer of the epidermis.  They are responsible for producing new skin cells to replace the dead ones that are regularly sloughed off.  With enough UV damage, these cells produce skin cells at an abnormal, uncontrolled rate.

BCCs often look like open sores, red patches, pearly pink growths, or scars.  Since they can take on such a variety of appearances, a biopsy is the only reliable way to make a definitive diagnosis.


Nodular:  The most common type of BCC.  Usually presents as a round, pearly growth with rolled edges that may be pigmented (brown) or have small blood vessels on the surface.

Superficial: A less common form of BCC.  Looks like a crusty red patch with a threadlike waxy border.  Is often mistaken for other skin conditions such as eczema or psoriasis. 


Fibrosing or Sclerotic:  A fairly uncommon type of BCC.  Appears ivory-white, is flat or slightly depressed like a scar, and feels firm to the touch.  Difficult to excise because it is often infiltrative and has indistinct margins.