Chapter 111 :: Basal Cell Carcinoma and Basal Cell Nevus Syndrome Flashcards
most common cancers in humans
have mutations activating the Hedgehog signaling pathway
Basal cell carcinomas (BCCs)
most common clinical subtype of BCC
appears as a translucent papule or nodule.
There are usually telangiectasias and often a rolled border
NODULAR BASAL CELL CARCINOMA
Well-demarcated, erythematous patch
Buds of malignant cells
extending into the dermis from the basal layer of the epidermis. Minimal dermal involvement.
Superficial BCC
preferred treatment for recurrent BCC and for any BCC that occurs at a site where tissue conservation is desired
MOHS MICROGRAPHIC SURGERY
cure rates for standard excisional surgery are inferior to those for MMS in cases of primary morpheaform BCCs, recurrent BCCs, and tumors located in high-risk anatomic sites
Vismodegib
approved by the FDA in 2012 for patients with locally advanced or metastatic BCC