Basal Cell Carcinoma

Basal cell carcinoma (BCC) is the most common form of skin cancer. It usually grows slowly, rarely spreads, but can cause significant local damage if untreated. Treatment is generally curative when caught early.

Quick Facts

  • ICD-10: C44
  • Most common skin cancer: Yes
  • Spread risk: Very low

How It Looks

  • A pearly or waxy bump, often with visible small blood vessels
  • A flat flesh-colored or brown scar-like lesion
  • A sore that bleeds, scabs, heals, and returns
  • A reddish patch or irritated area

BCC most often appears on sun-exposed areas — face, ears, neck, arms.

Risk Factors

  • Cumulative sun exposure and tanning beds
  • Fair skin, light eyes, blonde or red hair
  • Older age
  • Previous skin cancer
  • Immunosuppression (organ transplant)
  • Radiation therapy in the past

Diagnosis

  • Skin examination by a dermatologist
  • Skin biopsy to confirm diagnosis

Treatment

  • Surgical excision
  • Mohs surgery (especially on the face)
  • Curettage and electrodessication for small superficial lesions
  • Topical therapies (imiquimod, fluorouracil) for select cases
  • Radiation therapy for patients who can't have surgery
  • Targeted therapy for advanced disease

Prevention

  • Daily broad-spectrum sunscreen (SPF 30+)
  • Sun-protective clothing and hats
  • Avoid peak UV hours
  • No tanning beds
  • Regular self skin checks and dermatologist visits

When to See a Doctor

See a dermatologist for any new, changing, bleeding, or non-healing skin lesion. Early treatment is highly effective.

Frequently Asked Questions

Is basal cell carcinoma dangerous?

BCC very rarely spreads to other parts of the body, but it can cause significant local damage if untreated. Treatment is almost always successful when caught early.

Medical Disclaimer: This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider with questions about a medical condition. If you are experiencing a medical emergency, call your local emergency number immediately.

References

  • American Academy of Dermatology. Basal Cell Carcinoma.