Basal Cell Carcinoma

Basal Cell Carcinoma (BCC) - Frequently Asked Questions

What is BCC?

BCC is the most common form of non-melanoma skin cancer.

What does it look like?

BCC lesions are usually superficial and appear as a scaly red flat mark, whilst others show a white pearly rim surrounding a central crater.

A typical BCC lesion:

Please note, the appearance of BCC can vary among individuals.

What are the symptoms?

It often presents itself as a scab that bleeds occasionally and does not heal completely.

Who is at risk?

BCC occurs more frequently with increasing age and on fair skin. Individuals who have been exposed to excess ultraviolet light are at the greatest risk of developing BCC.

Is it a skin cancer?

Yes, BCC is the most common form of skin cancer. Although it causes damage to both the skin and the surrounding tissue, there is only a small probability that this form of cancer will prove to be fatal. If it is left untreated for a long period of time however, it will grow larger, may ulcerate and can eventually spread through the body via the blood stream. 

Does it lead to any other illnesses?

If it is left untreated for a long period of time then it can spread through the body via the blood stream and develop into a malignant skin cancer.
 
How is it diagnosed?

The medical history of the patient is checked to identify when the change in the skin occurred.  Biopsy is considered to be the gold standard of diagnosis.

What treatment options do I have available?

  • Photodynamic Therapy (PDT) - Metvix®
  • Cryotherapy
  • Surgical approaches
    • Curettage
    • Elliptical excision
    • Excision and reconstructive surgery
    • Mohs' micrographic surgery
  • Radiotherapy

Your doctor can tell you the advantages and disadvantages of all the available treatments.

Can it be cured?

Yes, treatment is usually successful. Early detection is key.

What future precautions should I take?

  • Always avoid strong sunlight whenever possible.
  • Use a sun block with a SPF of at least 30
  • Wear clothing that keeps your skin covered while out in the sun.
  • Examine your skin frequently and if there are any changes make an appointment with your dermatologist or doctor.