Basal cell carcinoma

Question 1

Basal cell carcinoma presentation

Answer 1

Typically male, elderly and white
Slowly growing irregularly shaped raised lesion
Pearly raised border, not scaly and no ulceration
May have telangiectasia
Usually on face/neck or sun exposed areas

Question 2

What is a superficial BCC

Answer 2

Looks like psoriasis but less scaly - more superficial than normal BCC’s
Common on torso
Can turn into a nodular BCC

Question 3

Superficial BCC Management

Answer 3

Chemotherapy cream - don’t need to biopsy

Question 4

BCC management

Answer 4

Very slow growing and easily treated
Don’t tend to metastasise or spread
If below neck can be removed by GP and sent for histology, if above neck then refer to secondary care for removal
MOHS micrographic surgery for face so you can excise as little as possible
Good sun safety