Coupon Accepted Successfully!


Basal Cell Carcinoma

  1. MC type of skin cancer
  2. Slow growing tumor that rarely metastasize.
  3. Lymphatic spread is not seen.
  4. MC site of occurrence: FACE (above the imaginary line joining the corner of mouth to ear lobule)
  5. Inner canthus of eye is most common site.

Commonest site being around the inner canthus of the eye.Q
  1. Origin = Epidermal basal cells
  2. Mostly seen in elderly persons especially those with fair skin and long standing-sun exposure.
  3. Clinically, these tumors presents as pearly papules, often with small telengiectatic vessels on its surface.
  4. Advanced lesions may ulcerate (called RODENT ULCERQ) and may cause extensive local bone invasion and facial sinuses may be formed. But occasionally basal cell carcinoma arises from the basal cells of the hair follicles and sweat glands. Such tumors are mostly seen in the scalp of adolescents and are called “TURBAN TUMOR”. Q
  5. Risk factors —
    1. Sunlight exposure (UV-B)
    2. Xeroderma pigmentosa
    3. Arsenic exposure
  6. Treatment
    1. Electrodesiccation and Curettage (ED & C)
      1. Most commonly employed by dermatologists.
      2. Selected for low risk tumors
    2. Surgical excision (TOC) indicated for
      1. More aggressive tumors
      2. Those in high risk locations
    3. Radiotherapy
      It is ideal for extensive lesion where surgery is less efficient.
      Contraindication to radiotherapy are -
      1. If lesion is very close to the eye.
      2. If lesion is on the back of the hand.
      3. If the lesion adheres to cartilage or bone.

Test Your Skills Now!
Take a Quiz now
Reviewer Name