BCC

Question 1

BCC Definition

Answer 1

• Slow growing, locally invasive, malignant epidermal skin tumour thought to arise from hair follicles
• Metastasis rare

Question 2

BCC Epidemiology

Answer 2

-Predominantly affects caucasians, very uncommon in dark-skinned races

Question 3

BCC RFs

Answer 3

• Genetic predisposition and sun exposure

- Increasing age, male sex, skin types I and II

Question 4

BCC Presentation

Answer 4

• Head and neck most common sites
• Early lesions often small, translucent or pearly, raised areas with telangiectasia
• Classic rodent ulcer

Question 5

BCC Types

Answer 5

• Nodular (60-80%, solitary, shiny, red nodule with telangiectasia)
• Superficial (10-30% erythematous plaque with clear borders)
• Morphoeic (yellow plaque)
• Pigmented
• Basosquamous (mixed)

Question 6

BCC Differentials

Answer 6

• Intradermal naevus
• Discoid eczema
• Malignant melanoma

Question 7

BCC Referral

Answer 7

• Routine referral

- Only urgent if suspicious site or size

Question 8

BCC Investigations

Answer 8

-Biopsy

Question 9

BCC Management

Answer 9

• Conventional surgery if not in cosmetically challenging place
• Mohs surgery if in cosmetically challenging place