Basal cell carcinoma (BCC) is a slow-growing yet
potentially disfiguring form of skin cancer that arises from the basal cells
in the deepest layer of the epidermis. It accounts for the vast majority of
skin cancer diagnoses in the United States.
The condition is caused primarily by cumulative
ultraviolet (UV) exposure from the sun, tanning beds, or sun lamps, and
typically appears on sun-exposed areas such as the face, ears, neck, and
scalp.
Although BCC rarely spreads to other parts of the
body, it can penetrate deep into surrounding tissues, bones, and nerves if
not treated early. Clinically, BCC may present as a translucent or pearly
bump, a flat scar-like lesion, or a sore that bleeds, crusts, or refuses to
heal. Some lesions may be pigmented, particularly in patients with darker
skin tones.
Because of its subtle early appearance, BCC is often
overlooked until it has caused visible damage. Risk factors include fair
skin, frequent sunburns, a history of tanning bed use, immunosuppression, and
family history of skin cancer.
At Charlotte Dermatology, all suspicious lesions are
thoroughly examined by board-certified dermatologists using dermoscopy and,
when necessary, confirmed by skin biopsy. For BCC, the treatment strategy
depends on the lesion’s subtype, location, and aggressiveness. For cosmetically
sensitive or high-risk areas—like the nose, eyelids, lips, and ears, Mohs
micrographic surgery is often the preferred option due to its high cure rate
and precision in removing only cancerous tissue.
Other treatment modalities include standard surgical
excision, topical therapies (such as imiquimod or 5-fluorouracil),
electrodessication and curettage (ED&C), cryosurgery, or photodynamic
therapy. For locally advanced or metastatic BCC, targeted oral medications may
be prescribed.
Recovery time and wound care vary by treatment
method, and post-treatment follow-up is essential to monitor for recurrence.
Patients are encouraged to schedule annual full-body skin exams and practice
diligent sun protection to prevent future skin cancers. Our providers see
patients at multiple Charlotte-area locations, including SouthPark, University,
Matthews, and Steele Creek.
THE TREATMENTS BELOW CAN HELP WITH BASAL CELL CARCINOMA:
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