Basal Cell Carcinoma

Basal Cell Carcinoma
SYMPTOMS Usually asymptomatic | Occasional irritation
SIGNS Firm, nodular mass with telangiectasias. Sometimes flat or ulcerated
WORK-UP Thorough history. Slit lamp examination
TREATMENT UV protection | Biopsy | Surgical excision (Mohs technique) is the gold standard
FOLLOW-UP 6-12 months
ADDITIONAL LAB | TESTS None
ETIOLOGY UV damage (most common) | Radiation
DIFFERENTIAL DX Seborrheic keratosis | Actinic keratosis | Squamous cell carcinoma | Sebaceous gland carcinoma | Malignant melanoma
NOTES Tumor usually located in the lower lid or medial canthus. Most common malignant eyelid tumor. Sometimes referred to as a “rodent ulcer.”

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