Basal Cell Carcinoma

What You Need to Know About Basal Cell Carcinoma (BCC)


Basal cell carcinoma (BCC) is the most prevalent type of skin cancer, responsible for the majority of skin cancer cases. This form of cancer develops in the basal cells, located in the lowest layer of the epidermis, which is the skin's outermost layer. Although basal cell carcinoma is typically known for its slow growth and non-aggressive nature, it can still lead to significant local tissue damage if not treated promptly.

Basal cell carcinomas can manifest in various ways on the skin, including as red patches, pink growths, open sores, or shiny bumps. The primary cause of BCC is prolonged exposure to ultraviolet (UV) rays. While BCCs are rarely life-threatening when treated appropriately, they require medical attention to prevent complications.

Each year, nearly three million people are diagnosed with basal cell carcinoma. The condition is most commonly found in individuals with lifestyles that involve excessive exposure to UV rays. Although the average age of BCC patients is decreasing, the condition remains most prevalent among individuals over the age of 40. People with fair skin, blond or red hair, and blue, green, or grey eyes are at higher risk, as are men.


Effective Treatment Options for Basal Cell Carcinoma


When it comes to treating basal cell carcinoma (BCC), there are several effective options available, with the choice depending on the size, location, and severity of the cancer. One of the most precise and highly regarded treatments is Mohs surgery, a procedure where layers of cancerous tissue are progressively removed and examined until only cancer-free tissue remains.

This technique is particularly beneficial for BCCs located in areas where preserving healthy tissue is crucial, such as the face. Other treatment options include standard excisional surgery, where the tumor and some surrounding tissue are removed, cryotherapy, which involves freezing the cancer cells, and topical medications that can be applied directly to the skin. Radiation therapy is also an option for cases where surgery might not be feasible.

Early diagnosis and treatment are key to achieving the best outcomes and minimizing the risk of recurrence.

Symptoms of Basal Cell Carcinoma

  • Basal cell carcinoma (BCC) often begins as persistent wounds or sores.
  • BCC can appear as reddish areas on sun-exposed parts of the body such as the face, neck, arms, and legs.
  • BCC might resemble scars, pink growths, or shiny bumps.
  • In some cases, they bear a resemblance to moles, contributing to misidentification.

Causes of Basal Cell Carcinoma

  • Basal cell carcinoma is caused by spending too much time in the sun. 
  • Getting sunburnt, especially as a child, increases the risk of BCC.
  • Family history of skin cancer.
  • A weakened immune system, and exposure to certain environmental toxins can also contribute.

How to Prevent Basal Cell Carcinoma

Preventing basal cell carcinoma (BCC)  involves adopting sun-safe habits to shield your skin from harmful ultraviolet (UV) rays. These habits include:
  • Sunscreen is Your Shield: Regularly apply a broad-spectrum sunscreen with at least SPF 30 on all exposed skin, even on cloudy days. Reapply every two hours or more frequently if swimming or sweating.
  • Cover Up: Wear protective clothing such as long-sleeved shirts, wide-brimmed hats, and sunglasses to minimize direct sun exposure.
  • Avoid Peak Sun Hours: Limit outdoor activities during the sun's strongest hours, usually from 10 a.m. to 4 p.m. If possible, seek shade under trees or use an umbrella.
  • Protective Gear for Outdoor Activities: If you're engaging in outdoor sports or activities, consider using sun-protective clothing and gear to create an extra barrier against UV rays.
  • Regular Skin Checks: It's essential to schedule annual skin checks with your dermatologist. Early detection is critical to effective treatment plans.
By incorporating these practices into your routine, you can significantly reduce the risk of developing Basal Cell Carcinoma and maintain healthy skin.

Basal Cell Carcinoma (BCC) FAQs

People with fair skin, a history of frequent sun exposure, or a family history of skin cancer are at an increased risk, though anyone can develop BCC.

Dermatologists diagnose BCC by carefully examining the skin lesion and may perform a biopsy to confirm their findings. This process involves removing a small sample of the affected tissue for laboratory analysis, which helps ensure an accurate diagnosis and guides the appropriate treatment plan. 

Yes, Mohs surgery is an effective treatment for Basal Cell Carcinoma (BCC). This specialized technique is primarily used to remove skin cancers in areas where preserving healthy tissue is crucial, such as the face, ears, and nose.

During Mohs surgery, the surgeon removes thin layers of cancerous tissue, examining each layer under a microscope until no cancer cells are detected. This method ensures precise removal of cancer cells while minimizing damage to surrounding healthy tissue, leading to better cosmetic outcomes in sensitive areas.

Mohs surgery is often recommended for larger BCCs, those with unclear borders, or cases with a higher risk of recurrence.

BCC can recur in the same area. Regular skin checks are important.

Maintaining sun protection, performing regular self-examinations, and scheduling routine skin checks with a dermatologist are essential steps in preventing recurrence.

A Total Body Skin Examination (TBSE) is a thorough evaluation of the skin, conducted by a dermatologist or healthcare professional, from head to toe. During the exam, the provider systematically inspects all areas of the skin, including those not typically exposed to sunlight, to check for signs of skin cancer, abnormal moles, or other skin conditions.

Patients are usually asked to remove all clothing and wear a gown or drape provided by the healthcare professional. The dermatologist examines the entire body, including the scalp, face, neck, trunk, arms, legs, hands, feet, and nails, looking for any suspicious lesions, moles, discolorations, or changes in existing spots.

The primary goal of a TBSE is the early detection of skin cancers like melanoma, basal cell carcinoma, and squamous cell carcinoma, as well as other skin conditions. It enables healthcare providers to identify areas of concern that may require further evaluation, biopsy, or treatment.

Regular TBSEs are especially recommended for individuals with a history of skin cancer, numerous moles, a family history of skin cancer, or significant sun exposure.

From Our QualDerm Family of Brands: Non-Melanoma Skin Cancers

How to Treat Basal Cell Carcinoma

If Basal Cell Carcinoma is suspected, a biopsy is typically performed by a dermatologist to confirm the diagnosis. Once confirmed, several treatment options are available:
  • Mohs Micrographic Surgery: This specialized surgery is commonly used for skin cancers like Basal Cell Carcinoma, particularly in sensitive areas. Mohs surgery excels in preserving healthy tissue, boasting a high cure rate of around 98% for primary, non-recurrent cases.
  • Excisional Surgery: In this procedure, a small margin of surrounding healthy tissue is removed to prevent the cancer from spreading.
  • Electrodesiccation and Curettage: After numbing the area, the growth is scraped off and cauterized (burned) to eliminate remaining tumor cells and control bleeding. This method is not ideal for advanced cases or growths in sensitive areas.
  • Topical Therapeutic Options: Certain creams or ointments can be considered for specific lesions. Your dermatologist will discuss these options based on the characteristics of the Basal Cell Carcinoma.
Each treatment approach aims to effectively remove or destroy cancerous cells while minimizing damage to healthy tissue. The choice of method depends on factors such as the tumor's location, size, and overall health considerations. Your dermatologist will guide you through the options, helping choose the most suitable treatment for your individual case. Regular follow-ups and ongoing skin checks are essential to monitor for any signs of recurrence or new skin abnormalities.