Introduction
Basal cell carcinoma (BCC) is one of the three main types of skin cancer. Lesions are also known as rodent ulcers and are characterised by slow-growth and local invasion. Metastases are extremely rare. BCC is the most common type of cancer in the Western world.
Clinical features
Features
- many types of BCC are described. The most common type is nodular BCC, which is described here
- sun-exposed sites, especially the head and neck account for the majority of lesions
- initially a pearly, flesh-coloured papule with telangiectasia
- may later ulcerate leaving a central 'crater'
Management
Referral
Management options:
- generally, if a BCC is suspected, a routine referral should be made
Management options:
- surgical removal
- curettage
- cryotherapy
- topical cream: imiquimod, fluorouracil
- radiotherapy