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Basal Cell Carcinoma

William Farkas, DO Reviewed 06/2018
 


BASICS

DESCRIPTION

Basal cell carcinoma (BCC) is the most common cancer, originating from the basal cell layer of the skin appendages. 
  • Rarely metastasizes but capable of local tissue destruction

Geriatr...

DIAGNOSIS

HISTORY

Exposure to risk factors, family history 

PHYSICAL EXAM

  • 80% on face and neck, 20% on trunk and lower limbs (mostly women)

  • Nodular: most common (60%); presents as pinkish, pearly papule, ...

TREATMENT

MEDICATION

  • May be especially useful in those who cannot tolerate surgical procedures and in those who refuse to have surgery as well as for low-risk superficial and/or nodular BCC

  • 5-Fluorourac...

ONGOING CARE

FOLLOW UP RECOMMENDATIONS

  • Seek shade, especially between 10 am and 4 pm.

  • Oral retinoids may prevent the development of new BCCs in patients with Gorlin syndrome, renal transplant recipients...

REFERENCES

1
1 Firnhaber JM. Diagnosis and treatment of basal cell and squamous cell carcinoma. Am Fam Physician.  2012;86(2):161–168. {L-End} {L-End} [View Abstract on OvidMedline]
2
2 Clark CM,...

ADDITIONAL READING

  • Connolly KL, Nehal KS, Disa JJ. Evidence-based medicine: cutaneous facial malignancies: nonmelanoma skin cancer. Plast Reconstr Surg.  2017;139(1):181e–190e. {L-End} {L-End} ...

CODES

ICD10

  • C44.91 Basal cell carcinoma of skin, unspecified

  • C44.31 Basal cell carcinoma of skin of other and unspecified parts of face

  • C44.41 Basal cell carcinoma of skin of scalp and neck

  • C44.61 Basal c...

CLINICAL PEARLS

  • BCC is the most common cancer, originating from the basal cell layer of the skin appendages.

  • Nodular: pearly papule, plaque, or nodule often with telangiectatic vessels, ulceration, and...

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