Difference between revisions of "Basal cell carcinoma"

(Clinical Features)
 
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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, rolled border
+
*Pearly nodule with telangiectatic vessels, rolled border and central ulceration
*Central ulceration
 
[[File:basal cell carcinoma.JPG|thumbnail]]
 
  
 
==Differential Diagnosis==
 
==Differential Diagnosis==
 +
{{Generalized rash DDX}}
  
==Diagnosis==
+
==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==
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==References==
 
==References==
 
<references/>
 
<references/>
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 +
[[Category:Dermatology]]
 +
[[Category:Heme/Onc]]

Latest revision as of 19:54, 8 September 2020

Background

  • Most common skin malignancy
  • Rarely a metastatic process

Risk Factors

  • UV radiation
  • Chronic arsenic exposure
  • Ionizing radiation
  • Immunosuppression

Clinical Features

Ulcerated basal-cell carcinoma affecting the skin of the nose in an elderly patient.
Basal cell carcinoma.JPG
  • Slow growing
  • Usually head and neck
  • Only where hair follicles exist
  • Pearly nodule with telangiectatic vessels, rolled border and central ulceration

Differential Diagnosis

Rash

Evaluation

  • Clinical examination by trained clinician (dermatology referral)
  • Skin biopsy

Management

  • Not typically managed within ED

Disposition

  • Discharge with derm follow up

See Also

External Links

References