Basal cell carcinoma
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This document summarizes a case of basal cell carcinoma in a 65-year-old male patient who has a history of smoking for 30 years and works outdoors on a farm. The patient presents with a non-painful lesion on his nose for 4 months. Based on the clinical features of an erythematous, indurated papule with telangiectatic vessels, a diagnosis of basal cell carcinoma is made. Basal cell carcinoma is the most common type of skin cancer and is caused by prolonged sun exposure, especially in areas like the face that are frequently exposed. Treatment options include surgical excision, Mohs micrographic surgery, photodynamic therapy, and curettage and desiccation.
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Basal cell carcinoma
- 1. ORAL PATHOLOGY Basal Cell Carcinoma Case-Presentation
- 2. Case 65-year-old male patient. Smoker for 30 years (7 cigarettes/day). Diabetic and hypertensive on medications. Works in the farm from 6 am to 4 pm since he was 18 years old. Non-painful lesion of 4 months duration.
- 4. “
- 5. History Analysis ▸Age : 65 years old ▸Gender : male ▸Chief complaint: Non-painful lesion of 4 months duration. ▸Medical status: Diabetic and hypertensive on medications. ▸Smoker for 30 years (7 cigarettes/day).
- 6. Clinical Interpretation Colored clinical photograph showing lateral side of the patient’s nose. There is round, pearly, flesh-colored papule with Rolled (raised) border and blood vessels over the surface
- 7. Differential diagnosis based on the clinical features Basal cell carcinoma Actinic keratosis Squamous cell carcinoma Bowen disease Fibrous papule
- 8. Basal cell carcinoma Lorem Ipsum ▸Inclusion criteria: ▸Erythematous lesion flush in skin surface ▸Indurated pearly papule or nodule with telangiectatic vessels over its surface. ▸It is usually painless ▸Older patient ▸Male ▸long-term exposure to the sun Works in the farm from 6 am to 4 pm since he was 18 years old
- 9. - Inclusion criteria: - Result from prolonged sun exposure. The common areas where these patches are found are face, ears, lips, back of the hands, forearms, neck or scalp. - Dry, rough scaly patch - Flat to slightly elevated
- 11. ▸(SCC) is commonly a well- defined, red, scaling, thickened bump . ▸It may ulcerate and bleed Inclusion criteria: It can occur on any part of the body, but are most common on areas that are exposed to the sun such as the ears, lips, nose, face and tops of the hands. Builders, farmers, sailors and people who often use sun-beds can develop SCC. Most SCC are not painful. Older people.
- 12. Inclusion criteria: It is a rare skin disorder. The biggest risk factor for Bowen’s disease is exposure to the sun over a long time. Lesions are usually not painful or may not be associated with any symptoms (asymptomatic). The disorder usually affects older adults. Reddish scaly flat patch on the skin that has clear edges
- 13. Inclusion criteria: ▸It is a common benign lesion usually in the nose. ▸Often less than 5 mm in diameter A dome-shaped, shiny papule. Skin color. Arises mainly in young adults.
- 14. Definitive Diagnosis: Basal Cell Carcinoma
- 15. BCC is most common malignancy of skin, constitutes ~80% of all skin cancers. Usually in patients >40 years of age. More often in men than in women (male : female = 1.6:1) BCC is locally invasive, slowely spreading, primary epithelial malignancy thst arises from basal cell layer Types of BCC Nodular basal-cell carcinoma Pigmented basal- cell carcinoma Rodent ulcer Superficial basal- cell carcinoma Basal Cell Carcinoma
- 17. Nests of basal cells Squamous epithelium
- 19. -They found there were 79 of total 193 patients cases of basal cell carcinoma (BCC) (41%). - The male to female ratio for all cancer was 1.6:1. The peak age distribution was in the 70- 80-years group. CONCLUSIONS The most common skin cancers seen are BCC and SCC followed by Kaposi's sarcoma.
- 20. In a US population-based study, indoor tanning was associated with an elevated risk of basal cell carcinomas occurring at or before the age of 50 years, with an increasing trend in risk with younger age at exposure among adolescents and young adults.
- 21. References ▸Neville, Brad W et al. Oral And Maxillofacial Pathology. 3rd ed. Print. ▸Regezi, Joseph A. Oral Pathology. 6th ed. Elsevier Health Sciences, 2012. Print. ▸Al-Maghrabi, Jaudah, Abdulhameed Al-Ghamdi, and Howaida Elhakeem. "Pattern Of Skin Cancer In Southwestern Saudi Arabia.". Smj.org.sa. N.p., 2017. Web. 18 Feb. 2017. ▸Karagas, Margaret R., et al. "Early-onset basal cell carcinoma and indoor tanning: a population-based study." Pediatrics 134.1 (2014): e4-e12. "Basal Cell Carcinoma (BCC)". Pathologyoutlines.com. N.p., 2017. Web. 18 Feb. 2017. "Actinic Keratosis (AK) - Skincancer.Org". Skincancer.org. N.p., 2017. Web. 18 Feb. 2017. Matei, C., et al. "Photodynamic therapy in the treatment of basal cell carcinoma." Journal of medicine and life 6.1 (2013): 50.