Understanding Basal Cell Skin Cancer (BCC)

At 360 Dermatology, we prioritize your skin’s health and well-being. Basal Cell Carcinoma (BCC), while typically less aggressive than other forms of skin cancer, demands attention and expert care. For early detection of BCC, it is important to know the causes and symptoms. Below, we’ll discuss this along with the treatment options, stages, statistics and why choosing 360 Dermatology is the best decision for your skin’s health.

Causes and Risk Factors

Basal Cell Skin Cancer often develops as a result of cumulative sun exposure and damage to the skin cells’ DNA. Other risk factors include:

• Fair Skin: Individuals with fair skin, light hair and light-colored eyes are at higher risk.
• History of Sunburns: Repeated sunburns increase the risk of developing this type of skin cancer.
• Family History: A family history of skin cancer can elevate your susceptibility.
• Weakened Immune System: Immunosuppression, whether due to medical conditions or medications can increase risk.
• Previous Skin Cancer: A history of Basal Cell Skin Cancer raises the risk of developing additional lesions.

Basal Cell Carcinoma Skin Cancer Symptoms

Early detection is vital. Basal Cell Skin Cancer often presents as a pearly bump or a flesh-colored lesion. It may bleed or develop a scab, only to repeatedly heal and return. Any persistent skin changes or suspicious growths should be promptly evaluated by a dermatologist.

Types of Basal Cell Skin Cancer

Different subtypes of Basal Cell Skin Cancer exist, including nodular, superficial and infiltrative. Each has distinct characteristics and may require different approaches to treatment. Our experienced dermatologists will accurately diagnose the specific subtype to plan the most effective course of action, including Basal Cell Carcinoma surgery.

BCC encompasses several distinct subtypes, each with its unique characteristics and appearance. Accurate diagnosis of the specific subtype is essential for tailoring the most effective treatment approach. Here are the main subtypes:

• Nodular: Typically appears as a raised, pearly bump on the skin. It may have visible blood vessels and a central depression or ulceration. Often found on sun-exposed areas of the skin.
• Superficial: Tends to be flat and scaly, resembling a red, scaly patch or a slightly elevated, pink growth. It remains confined to the upper layer of the skin, often found on the trunk, arms or legs.
• Infiltrative: Often lacks the typical shiny, pearly appearance. It can look like a scar or a non-healing wound. Tends to grow deeply into the skin, making complete removal more challenging.
• Morpheaform or Sclerosing: Has a waxy, scar-like appearance. It may be firm to the touch. Can be particularly challenging to diagnose and treat due to its subtle presentation and tissue infiltration.
• Pigmented: May contain dark areas or patches, resembling melanoma or other pigmented lesions. While rare, pigmented BCC can be challenging to differentiate from other skin conditions.
• Cystic: Appears as a fluid-filled sac or cyst under the skin. It may be mistaken for a benign cyst. It’s relatively rare and can grow slowly, leading to a noticeable lump beneath the skin.

Treatment Options

Treatment for Basal Cell Skin Cancer is tailored to the individual and depends on factors such as the cancer’s subtype, location and stage. Common treatment options include surgical excision, Mohs Micrographic Surgery, radiation therapy and topical treatments. The choice of treatment is made in collaboration with our experts, ensuring the most appropriate and effective option for your unique case.

Understanding the Basal Cell Skin Cancer Stages

Staging is crucial to determine its extent and guide treatment decisions. Stages range from 0 to IV, with subcategories for precise classification. Our dermatologists excel in accurate staging, ensuring that your treatment plan is tailored to your specific stage.

Stage 0

• BCC is confined to the top layer of the skin (epidermis).
• At this stage, cancer cells are limited to the epidermis and have not spread beyond this layer.
• Treatment often involves BCC skin cancer removal surgery or topical therapies to eliminate the cancerous cells.

Stage I

• Cancer has invaded the dermis but is still relatively small and localized.
• The tumor may be less than 2 centimeters or between 2 and 5 centimeters in size.
• Surgical excision is a common treatment option, often resulting in a complete cure. Other approaches, such as Basal Cell Carcinoma surgery (Mohs), may be considered depending on the tumor’s location and characteristics.

Stage II

• This stage indicates larger or more invasive tumors.
• The tumor may be larger than 5 centimeters (T3) or may have invaded nearby structures like cartilage, bone or nerves (T4).
• Treatment options may include surgical procedures, Mohs Micrographic Surgery or radiation therapy, depending on the tumor’s size and invasiveness.

Stage III

• At this stage the cancer has spread to nearby lymph nodes.
• Lymph nodes may be affected by cancer cells, indicating potential spread beyond the primary tumor site.
• BCC skin cancer removal of the primary tumor and affected lymph nodes, combined with radiation therapy or other treatments, may be recommended. The goal is to control the spread of cancer.

Stage IV

• Stage 4 Basal Cell Carcinoma is the most advanced stage, indicating that cancer has metastasized or spread to distant organs or tissues.
• Cancer cells have traveled through the bloodstream or lymphatic system to establish secondary tumors in other parts of the body.
• Treatment for stage 4 Basal Cell Carcinoma typically involves a combination of therapies, including surgery, radiation, systemic therapies and palliative care. The aim is to manage symptoms and improve the patient’s quality of life.

Statistics and Survival Rates

While Basal Cell Skin Cancer is highly treatable, and with an estimated 3.6 million diagnosed in the States each year, early detection remains the key to achieving the best outcomes. The prognosis is generally excellent, with high survival rates. However, untreated or advanced cases can lead to more complex treatments. Regular screenings and prompt attention to skin changes are essential.

Why Choose 360 Dermatology

360 Dermatology is one of the few practices in Tampa that offers Mohs surgery. Dr. Aparna Ambay is an exceptionally qualified dermatologist who has been trained by some of the most esteemed Mohs surgeons in the country. Our team of board-certified medical professionals uses state-of-the-art technology and techniques to provide accurate assessments and personalized treatment plans for various skin cancers.

By choosing 360 Dermatology, you’re choosing peace of mind. Basal Cell Skin Cancer, like all skin cancers, is best tackled with a proactive approach. Whether you have a suspicious growth or want to ensure your skin’s well-being, our expert team is here for you. Early detection saves lives. Book your appointment at Wesley Chapel, Trinity, Clearwater, Spring Hill, or Land O’Lakes today!