Basal Cell Carcinoma (BCC) Skin Cancer

This is the most common form of skin cancer (± 80%) and it arises from the epidermis (the upper level of skin).  It is locally destructive, involving the surrounding skin and can involve other tissues as well, even at times bone.  These lesions are usually not pigmented so they present as pink nodular, flat or slightly raised non-healing growths. When BCC is flat it can sometimes be confused with a rash like psoriasis or eczema. Some symptoms include bleeding and tenderness. Any new rash or lesion that does not heal up after 3-4 weeks needs to be brought to the attention of a physician.

BCC left upper back

Dermoscopy image of BCC upper back

BCC right thigh

Dermoscopy image of BCC right thigh

Management of BCC?

Most often a Wide Local Excision (WLE) is done with an appropriate margin. Rarely topical treatment (e.g. imiquimod) is used to treat superficial BCC. Other treatment options include curettage, radiation and Mohs surgery. It is very rare for BCC to metastasize.

For more information, see Management of Skin Cancer.

Following the diagnosis of BCC, an annual Skin Screening Exam is indicated to screen for BCC but also for other skin cancers, including melanoma.