Basal Cell Carcinoma

Q: What are the common signs and symptoms of basal cell carcinoma?

Commonly abbreviated as BCCs, these localized skin cancers typically appear as a pearly or waxy bump, a flat scar-like area, or a red shiny irritated patch on your skin. It may bleed or crust over and is often found in sun-exposed areas like the face, ears, and neck.

Q: Who is at risk for developing basal cell carcinoma?

Individuals with fair skin, a history of excessive sun exposure, tanning bed use, or a family history of skin cancer are at a higher risk of developing BCCs. Older adults and those with weakened immune systems are also more susceptible.

Q: How is basal cell carcinoma diagnosed?

These skin cancers are diagnosed through a skin examination followed by a small biopsy of the suspicious lesion by a dermatologist to be evaluated under a microscope by a pathologist to confirm the presence of any cancer cells.

Q: What is basal cell carcinoma?

A basal cell carcinoma (BCC) is a common, slow-growing type of localized skin cancer that originates in the basal cells of the skin. It is typically caused by long-term exposure to ultraviolet (UV) light and rarely spreads to other parts of the body.

Q: What are the treatment options for basal cell carcinoma?

Treatment options for BCCs include surgical excision, Mohs surgery, curettage, topical medications, and radiation therapy. The recommended treatment depends on the tumor’s size, location, and subtype.

Q: Can basal cell carcinoma spread to other parts of the body?

It is possible but very unlikely to spread (metastasize) to other parts of the body. However, if left untreated, it can invade surrounding tissue and cause significant damage to nearby skin areas.

Q: How can I prevent basal cell carcinomas?

The best prevention is limiting sun exposure, wearing sun-protective clothing (such as UPF fabric) and sunscreen (re-applying every 2-3 hours on sun-exposed areas), avoiding tanning bed use, and scheduling regular skin checks with your dermatologist.

Q: Can basal cell carcinoma come back after treatment?

Yes, unfortunately these skin cancers can recur, especially if the original tumor was not completely removed. It may also develop on a new part of the body that has not been treated. Regular follow-up skin exams are strongly recommended for early detection of any skin cancer recurrence or new development.

Q: How quickly does basal cell carcinoma grow?

These skin cancers typically grow slowly over months or years; however, its rate can vary based on the type and location of the cancer.

Q: What are the long-term effects of basal cell carcinoma treatment?

The long-term effect of treatment for BCCs are generally minimal but may include permanent scarring or changes in skin texture. Most patients recover fully without any long-term complications when the cancer is treated early.

Home | Conditions | Skin Cancer | Basal Cell Carcinoma

If you notice an unresolving pink patch, growth, or sore that does not heal on your skin, especially if you have fair skin, you may have a localized skin cancer called a basal cell carcinoma. Basal cell carcinoma is a very common type of skin cancer that is rarely life-threatening and typically spreads very slowly on the skin. Sometimes these lesions can be painful or itchy, but often they are completely asymptomatic and go unnoticed for several months to years. Basal cell carcinoma often is easily and quickly treated if it is diagnosed early, but if diagnosed late or allowed to grow, it can lead to discomfort, bleeding, and rarely even death. As a result, it is important to consult a board-certified dermatologist early if you notice a concerning lesion so it can be addressed and treated before causing you additional health problems. At Arlington Dermatology, our board-certified dermatologists are experienced in diagnosing and treating basal cell carcinoma and can make sure your skin health is properly maintained.

What Causes Basal Cell Carcinoma?

The primary cause of basal cell carcinoma is ultraviolet (UV) light exposure. This can be from either excess exposure to natural sunlight or tanning beds. UV damage ultimately results in mutations to the DNA of skin cells, resulting in skin cancer.

Who Gets Basal Cell Carcinoma?

Basal cell carcinoma can affect anyone, however, you are at a higher risk if you fall into the following categories:

Fair skin
Blond or red hair
Skin that freckles easily
Light-colored eyes
Live in a sunny climate
Weakened immune system (medication-induced or medical condition)
Spend a significant amount of time outdoors
History of sunburns, especially to the point of blistering
Certain genetic conditions (ex. Basal cell nevus syndrome)

How Can I Prevent Basal Cell Carcinoma?

Protecting your skin from the sun is just one way to prevent basal cell carcinoma. In addition to avoiding prolonged sun exposure, you should wear sun-protective clothing and SPF 30 or higher sunscreen regularly to protect yourself from damaging UV exposure. It is also important to perform routine skin checks at home and be able to recognize the signs of basal cell carcinoma or other types of skin cancer. If you notice any suspicious signs or symptoms of basal cell carcinoma, schedule an appointment with a board-certified dermatologist for a professional evaluation.

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Beautiful new office and attentive patient care. Dr. Coyne did a thorough skin cancer screening and patiently answered all of my questions. The medical assistants were friendly and the experience overall was great. So glad we have a dermatologist in the Ballston neighborhood!

C.S.

Why Treat Basal Cell Carcinoma?

It is important to promptly treat basal cell carcinoma to prevent further spread of the cancer and potential possible severe effects to one’s overall health. Basal cell carcinoma is usually treatable, especially when diagnosed at early stages, but can be more difficult to treat with progression and time. For this reason, it is important to perform regular self-examinations and to consult a board-certified dermatologist if a concerning lesion is found.

How Can I Treat Basal Cell Carcinoma?

Basal cell carcinoma on the skin of the face. Skin Cancer.

First, your dermatologist will make a formal diagnosis through a careful visual examination and likely a skin biopsy. After diagnosing basal cell carcinoma, the cancerous skin cells can be effectively treated by one of several treatment options including:

Excision
Mohs surgery
Curettage
Topical 5-flourouracil or imiquimod