Understanding Basal Cell Carcinoma

Basal cell carcinoma develops in the basal cells, which are found in the deepest layer of the epidermis (outer skin layer). These cancers typically grow slowly and rarely metastasize, but they can grow deep into the skin and affect surrounding tissues if left untreated.

BCCs most frequently appear on sun-exposed areas, particularly the face, neck, and hands. Unlike some other skin cancers, BCC can also develop in younger adults, especially those with significant sun exposure or other risk factors.

Identifying Basal Cell Carcinoma

BCC has several distinct appearances, making it important to know the various ways it can present:

• A pearly, waxy bump that may be flesh-colored, brown, or black
• A flat, flesh-colored or brown lesion that resembles a scar
• A bleeding or scabbing sore that heals and returns
• A small pink growth with a slightly raised rolled border and crusted indentation in the center
• A red, irritated patch of skin, especially on the face, chest, shoulders, or back

Any suspicious growth should be evaluated by a dermatologist, particularly if it changes in appearance or bleeds easily.  

What Causes Basal Cell Carcinoma?

The primary risk factors for developing basal cell carcinoma include:

• Cumulative UV exposure: Both natural sunlight and tanning beds contribute to risk
• Fair complexion: Light skin, blue or green eyes, and blonde or red hair increase susceptibility
• Geographic location: Living in sunny or high-altitude areas
• Age: Risk increases with age, though younger adults can also develop BCC
• Personal history: Previous skin cancers increase risk of developing new ones
• Radiation therapy: Past radiation treatment can increase skin cancer risk
• Chronic sun exposure: Outdoor occupations or activities
• Immune suppression: Medications or conditions that weaken the immune system
• Inherited syndromes: Certain genetic conditions like Gorlin syndrome

Treatment Options for Basal Cell Carcinoma

We specialize in surgical treatment of basal cell carcinoma, offering the most effective approach for complete cancer removal while maintaining excellent cosmetic results. Our board-certified surgeons are experts in treating BCCs of all sizes and locations. We customize our approach based on your tumor’s size and depth, its location, your overall skin condition, and any cosmetic considerations.

Excisional Surgery
Excisional surgery is our primary treatment method for basal cell carcinoma. We prioritize precision in excision, ensuring all cancerous tissue is removed while preserving as much healthy skin as possible. To keep you comfortable, we use local anesthesia during the procedure. Our carefully designed closure techniques focus on minimizing scarring and achieving the best possible cosmetic results.

The procedure provides several key advantages:

• Complete tumor removal with clear margins
• Immediate confirmation of cancer clearance
• Excellent cosmetic results
• High cure rates
• Single-visit treatment in most cases

Alternative Treatments
While surgery is the gold standard for BCC treatment, we may recommend other approaches in specific cases:

• Topical medications for very superficial tumors
• Radiation therapy for patients who cannot undergo surgery
• Cryotherapy for small, superficial lesions
• Photodynamic therapy in select cases