Difference between revisions of "Basal cell carcinoma"
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*Most common skin malignancy | *Most common skin malignancy | ||
*Rarely a metastatic process | *Rarely a metastatic process | ||
| − | * | + | |
| + | ===Risk Factors=== | ||
| + | *UV radiation | ||
| + | *Chronic [[arsenic]] exposure | ||
| + | *Ionizing radiation | ||
| + | *Immunosuppression | ||
==Clinical Features== | ==Clinical Features== | ||
| + | [[File:Basal cell carcinoma2.jpg|thumb|Ulcerated basal-cell carcinoma affecting the skin of the nose in an elderly patient.]] | ||
| + | [[File:basal cell carcinoma.JPG|thumbnail]] | ||
*Slow growing | *Slow growing | ||
*Usually head and neck | *Usually head and neck | ||
*Only where hair follicles exist | *Only where hair follicles exist | ||
*Pearly nodule with telangiectatic vessels, rolled border and central ulceration | *Pearly nodule with telangiectatic vessels, rolled border and central ulceration | ||
| − | |||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
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==Evaluation== | ==Evaluation== | ||
| + | *Clinical examination by trained clinician (dermatology referral) | ||
| + | *Skin biopsy | ||
==Management== | ==Management== | ||
| + | *Not typically managed within ED | ||
==Disposition== | ==Disposition== | ||
| + | *Discharge with derm follow up | ||
==See Also== | ==See Also== | ||
| Line 28: | Line 38: | ||
[[Category:Dermatology]] | [[Category:Dermatology]] | ||
| + | [[Category:Heme/Onc]] | ||
Latest revision as of 19:54, 8 September 2020
Contents
Background
- Most common skin malignancy
- Rarely a metastatic process
Risk Factors
- UV radiation
- Chronic arsenic exposure
- Ionizing radiation
- Immunosuppression
Clinical Features
- Slow growing
- Usually head and neck
- Only where hair follicles exist
- Pearly nodule with telangiectatic vessels, rolled border and central ulceration
Differential Diagnosis
Rash
- Acute generalized exanthematous pustulosis
- Allergic reaction
- Aphthous stomatitis
- Atopic dermatitis
- Chickenpox
- Chikungunya
- Coxsackie
- Dermatitis herpetiformis
- Erysipelas
- Exfoliative erythroderma
- Impetigo
- Measles
- Miliaria (Heat Rash)
- Necrotizing fasciitis
- Pellagra
- Poison Oak, Ivy, Sumac
- Psoriasis
- Pityriasis rosea
- Scabies
- Seborrheic dermatitis
- Serum Sickness
- Smallpox
- Shingles
- Tinea capitus
- Tinea corporis
- Vitiligo
Evaluation
- Clinical examination by trained clinician (dermatology referral)
- Skin biopsy
Management
- Not typically managed within ED
Disposition
- Discharge with derm follow up