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Friday, March 11, 2016

A Case Of Basal Cell Carcinoma


This 50 Year old lady presents to her doctor with a slowly growing painless lesion on her face. The lesion is shown in the picture above. What is the most probable diagnosis?

Diagnosis: Basal Cell Carcinoma.

Discussion:
Basal cell carcinoma

Clinical signs


  • Usually on face/trunk: sun-exposed areas
  • Pearly nodule with rolled edge
  • Superficial telangiectasia
  • Ulceration in advanced lesions
  • Local invasion and distant metastasis (lymph nodes or hepatomegaly)

Natural history
  •  Slowly grow over a few months
  •  Local invasion only, rarely metastasize
Treatment
  • Curettage/cryotherapy if superficial
  •  Surgical excision +/− radiotherapy

2 comments:

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