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FAQs

People of all skin types can develop BCC, but factors like UV light exposure, having light-colored skin, being older, being male, being exposed to certain chemical chemicals, radiation exposure, having had previous skin cancer, having long-term or severe skin inflammation injury, psoriasis treatment, xeroderma pigmentosum, basal cell nevus syndrome, and other genetic syndromes increase the risk.1

Not all BCCs look the same. BCCs may appear as a flesh-colored, pearl-like bump, or a pinkish patch of skin. Cutaneous squamous cell carcinomas present as scaly red patches, open sores, rough, thickened or wart-like skin, or raised growths with a central depression. Melanoma often develops within an existing mole or suddenly emerges as a new dark spot on the skin.2

Basal Cell Carcinoma2

Squamous Cell Carcinoma2

Melanoma2

BCC may develop from a precancerous growth called actinic keratoses, which manifest as dry, scaly patches or spots.2

Actinic keratoses2

The best way to prevent BCC is by minimizing exposure to UV rays. When you’re outdoors, seek shade and use sun protection like clothing, sunglasses, and sunscreen. Avoid tanning beds, sun lamps, and harmful chemicals. Regularly check your skin for any new growths or abnormal areas, and steer clear of tobacco. Whenever feasible, avoid weakening your immune system.3

As a first step, your doctor will conduct a physical exam and inquire about your symptoms, medical history, and any unusual skin marks. The doctor will carefully observe the shape, size, color, and texture of any questionable spots. If the doctor suspects the spot to be cancerous, a portion of it will be removed and sent to a lab for analysis, which is known as a biopsy. Additionally, imaging tests like MRI or CT scans may be used to stage lesions that are higher risk.4

Early-stage BCCs can be successfully treated with local treatments such as surgery or radiation therapy, leading to a potential cure. Larger BCCs and fast-growing cancers are more challenging to treat and have a higher risk of recurrence.5

No, basal cell carcinoma (BCC) is not contagious6

Basal cell carcinoma (BCC) is a slow-growing skin cancer that is usually not life-threatening and rarely spreads to other parts of the body. However, treatment is important as BCC can grow deeper over time, potentially affecting nerves, blood vessels, muscles, and bones, which can lead to disfigurement. When detected early, BCC is highly treatable, often being removed in a simple dermatologist appointment. Common signs include a slowly growing spot that doesn’t heal and sometimes bleeds, though BCC can appear in various forms on the skin. If you notice any new or unusual spots, consult your dermatologist promptly.6

  • Can my cancer be cured with surgery alone, or do I need systemic therapy?
  • What are my treatment options?
  • Is a clinical trial an option for me?
  • Do you follow the NCCN recommendations for treatment?
  • What if I am pregnant, or planning to become pregnant?
  • Does any option offer a cure or long-term cancer control?
  • How long do I have to decide about treatment?
  • How long will treatment last?
  • What supportive care and services are available to me and my caregivers?
  • What are the chances of the cancer worsening or returning?

References

  1. American Cancer Society. Basal and Squamous Cell Skin Cancer Risk Factors. Last Revised: October 31, 2023. (https://www.cancer.org/cancer/types/basal-and-squamous-cell-skin-cancer/causes-risks-prevention/risk-factors.html).
  2. American Academy of Dermatology Association. Skin Cancer Types: Basal Cell Carcinoma Causes. (https://www.aad.org/public/diseases/skin-cancer/types/common/bcc/causes).
  3. American Cancer Society. Can Basal and Squamous Cell Skin Cancers Be Prevented? Last Revised: October 31, 2023. (https://www.cancer.org/cancer/types/basal-and-squamous-cell-skin-cancer/causes-risks-prevention/prevention.html).
  4. NCCN Guidelines For Patients. Basal Cell Skin Cancer. 2022.(https://www.nccn.org/patients/guidelines/content/PDF/basal-cell-patient-guideline.pdf).
  5. American Cancer Society. Treating Basal Cell Carcinoma. Last Revised: October 31, 2023. (https://www.cancer.org/cancer/types/basal-and-squamous-cell-skin-cancer/treating/basal-cell-carcinoma.html).
  6. American Academy of Dermatology Association. Skin Cancer Types: Basal Cell Carcinoma Overview. Last updated April 28, 2023. (https://www.aad.org/public/diseases/skin-cancer/types/common/bcc).

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