BCC Flashcards
What is BCC?
Basal cell carcinoma
Slow growing, locally invasive, malignant epidermal tumour
What are BCC lesions also known as?
Rodent ulcers
What are the risk factors for BCC?
Age Sun exposure Immunosuppression Carcinogens Genetics
What genetics increase risk of BCC?
Fitzpatrick skin type 1
Gorlin’s syndrome
Xeroderma pigmentosum
What is Gorlin syndrome?
Autosomal dominant condition that predisposes to BCC
What is xeroderma pigmentosum?
Skin disorder where a person is highly sensitive to sunlight
What is the pneumonic for clinical features of BCC?
TURP
What are the clinical features of BCC?
Telangiectasia
Ulceration
Rolled edges
Pearly edges
What are the types of BCC?
Nodular Superficial Morphoeic Pigmented Basosquamous
What is nodular BCC?
Most common type
Shiny/pearly nodule with smooth surface
Central ulceration
What is superficial BCC?
Most common in young adults
Scaly, irregular plaque
Thin rolled border
What is morphoeic BCC?
Usually found in mid-facial sites
Waxy, scar like plaque
What is basosquamous BCC?
Mixed BCC + SCC
Infiltrative growth pattern
How is BCC managed?
4mm excisional biopsy
6mm if large
What shape are excision biopsies cut?
Oval/ellipitical
Aids healing
