How can Basal Cell Carcinoma be identified and treated?


BCC stands for Basal Cell Carcinoma or Basal Cell Cancer also known as Basalioma in short is one of the skin cancer types. It is the most common skin cancer in the United States and United Kingdom. However, do you know what the symptoms are? Could it be treated?

BCC (2)

What are the symptoms of BCC?

Most Basal Cell Carcinomas cause no pain. They can look diverse that you may see a skin growth in a dome shape with blood vessels inside. It can be pink, brown, or black. It is fragile and can easily bleed.

A Basalioma can firstly exist as a small “pearly” bump which is similar to a flesh-colored mole or a pimple but does not disappear. The growth can occasionally look dark. You may see shiny pink or red patches which are a little covered in scales.

BCC mostly occurs on the face, head (scalp included), neck, and hands. Basalioma tumors also have the following features:

  • Waxy papules with central depression
  • Pearly appearance
  • Erosion or ulceration: Often central and pigmented
  • Bleeding: Especially when traumatized
  • Oozing or crusted areas: In large BCCs
  • Rolled (raised) border
  • Translucency
  • Telangiectases over the surface
  • Slow growing: 0.5 cm in 1-2 years
  • Black-blue or brown areas

Periocular tumors most commonly involve the following:

  • Lower eyelid: 48.9-72.1%
  • Medial canthus: 25-30%
  • Upper eyelid: 15%
  • Lateral canthus: 5%

Clinicopathologic types of BCC, each of which has a distinct biologic behavior, include the following:

  • Nodular: Cystic, pigmented, keratotic; the most common type of BCC; usually presents as a round, pearly, flesh-colored papule with telangiectases
  • Infiltrative: Tumor infiltrates the dermis in thin strands between collagen fibers, making tumor margins less clinically apparent
  • Micronodular: Not prone to ulceration; may appear yellow-white when stretched, is firm to the touch, and may have a seemingly well-defined border
  • Morpheaform: Appears as a white or yellow, waxy, sclerotic plaque that rarely ulcerates; is flat or slightly depressed, fibrotic, and firm
  • Superficial: Seen mostly on the upper trunk or shoulders; appears clinically as an erythematous, well-circumscribed patch or plaque, often with a whitish scale

What is the BCC treatment?

For the best treatment, your doctor need to look at the size and place of the cancer, the chance of scarring, your overall health as well as how long you have had it.

In general, there are some common treatment options for this skin cancer:

  • Cutting out the tumor
  • Scraping the tumor away and using electricity to kill cancer cells
  • Freezing your cancer cells
  • Radiation therapy
  • Mohs surgery
  • Creams and pills
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