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Basal cell carcinoma is the most common skin malignancy. It is a slow-growing tumour that is invasive but rarely metastasises. It usually occurs on sun-exposed skin, especially of the head and neck.
Suggested approach to basal cell carcinoma osce station
- ‘There is a skin-coloured papule/nodule present on the left cheek. It has a pearly rolled edge and there is surface telangiectasia.’
- ‘It is approximately 13mm in diameter.’
- ‘There is no ulceration, necrosis or secondary features (such as crusting, scaling or erosion).’
- ‘On palpation, it is firm and not hot or tender.’
- ‘This lesion is characteristic of a basal cell carcinoma.’
- First line
- Conventional surgery
- Mohs surgery
- Other treatment options
- Curettage and electrodessication
- Topical therapies (e.g. imiquimod, fluorouracil)
Here are some viva questions!
What is the differential diagnosis for a BCC?
What is Mohs surgery?
What is the biggest risk factor for development of BCC?