Basal Cell Carcinoma

What is basal cell carcinoma?

Basal cell carcinoma (BCC) is a form of skin cancer that develops from the basal cells within your epidermis. These basal cells are located at the base of your skin’s outermost layer. BCC appears as a small, occasionally shiny bump or a scaly, flat patch on the skin that gradually increases in size.

What are basal cells?

Basal cells are tiny cells found in the outermost layer of your skin (epidermis), which is the layer you can observe and feel on your body. These cells are in charge of generating new skin cells through replication and division. As basal cells produce new cells, the older skin cells move upward towards the epidermis’s surface, where they perish and are excreted from your body.

What are the types of basal cell carcinoma?

There are four main types of basal cell carcinoma (BCC), including:

  • Nodular: This is the most common type of BCC. Nodular BCC looks like a round pimple with visible blood vessels surrounding it (telangiectasias).
  • Superficial spreading: This type causes lesions that appear as small, shallow marks on your skin that are slightly lighter in colour than the surrounding skin. These lesions form on your trunk (torso), arms and legs.
  • Sclerosing (morpheaform): These cancerous lesions look like scars that slowly expand over time. This type is most common on your face. This type can also take the form of a small red dot on your skin.
  • Pigmented: This is a rare type of BCC that causes hyperpigmentation, where an area of your skin becomes darker than the skin surrounding it.

Who does basal cell carcinoma affect?

Basal cell carcinoma (BCC) can impact anyone, though it tends to be slightly more prevalent in males and individuals who were assigned male at birth. It’s more frequent in individuals aged over 50 years. Those with fair skin and light-coloured eyes are more susceptible to BCC. Individuals who have had BCC in the past are at an increased risk of developing another type of non-melanoma skin cancer later on.

What are the signs of basal cell carcinoma?

Signs of basal cell carcinoma include:

  • Lumps, bumps, pimples, scabs or scaly lesions on your skin.
  • The lump may be slightly see-through (translucent) and close to your normal skin colour or white to pink, brown to black or black to blue.
  • The lump may appear shinier than the skin around it with tiny visible blood vessels.
  • The lump may grow slowly over time.
  • The lump may be itchy or painful.
  • The lump may form an ulcer, which can ooze clear fluid or bleed with contact.

Where will I find symptoms of basal cell carcinoma?

Basal cell carcinomas are typically found on parts of your body that are frequently exposed to sunlight.

The areas where basal cell carcinomas are most often seen are:

  • Face
  • Scalp
  • Nose
  • Eyelids
  • Legs
  • Ears
  • Arms

What causes basal cell carcinoma?

A modification in your genetic code leads to basal cell carcinoma. This alteration typically occurs following your skin has been overexposed to ultraviolet (UV) rays from the sun or tanning beds.

Your genetic material provides your body’s DNA with the blueprint to generate new cells to replace those that have reached the end of their life cycle through replication. Should a mutation occur in one of your genes, your DNA will lack the necessary instructions for cell generation.

Basal cells replicate new cells in a manner similar to flipping a light switch upon entering a room. When you need to enter a room, you flip the switch on. Upon leaving, you flip it off. Basal cells replicate new cells when their switch is on. If a genetic mutation affects your DNA, your basal cells are unable to switch off the light, leading to an overproduction of cells, which results in the formation of lumps (tumours) or lesions on the outer skin layer (epidermis).

A very uncommon genetic disorder known as basal cell nevus syndrome is responsible for the development of basal cell carcinoma in children.

BCCs arise from abnormal, uncontrolled growth of basal cells

BCC is highly treatable