Skip to main content

Basal Cell Carcinoma

William G. Farkas, DO, FS Reviewed 06/2019
 


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 (50–80%); presents as pinkish, pearly papul...

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
Cameron MC, Lee E, Hibler B, et al. Basal cell carcinoma: part 1 [published online ahead of print May 18, 2018]. J Am Acad Dermatol. doi:10.1016/j.jaad.2018.03.060. [View Abstract on OvidM...

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. [View Abstract on ...

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...

Subscribe to Access Full Content

Sign Up for a 10-Day Free Trial

Sign up for a 10-day FREE Trial now and receive full access to all content.

 
×