Dermoscopy of different subtypes of Basal Cell Carcinoma. Showing value of its use for diagnosis and follow-up of BCC

1. The Different
Faces of BCC
SharmDerma
DERMOSCOPY
Precongress Course
Manal Bosseila
Professor of Dermatology
Cairo University, EGYPT

2. Items to be
covered
Basic features of BCC
Pigmented vs Non-pigmented BCC
Site: H&N vs other sites
Multiple scalp BCC
Blue white veil; don’t be fooled
Patients Not even noticing their BCC
Role of dermoscopy in Follow-up after surgery

3. Basic features of BCC

5. Pigmented BCC:
Most cases in Skin of Color
Clinically: A
pigmented
nodule

6. Clinically: A
light brown
papule

7. Clinically:
An Ulcer

8. 30 yrs old
female.
Clinically:
Complaining of
recurrent Nevus

9. Non-
pigmented
BCC
In Fair-Skinned Individuals

10. The dermatoscopic criteria of non-pigmented BCC: (a) arborizing vessels, (b) superficial fine
telangiectasia, (c) ulceration, (d) multiple small erosions, (e) shiny white-red structureless areas
and (f) short white streaks. [Copyright: ©2014 Lallas et al.]

16. Non-
pigmented
BCC
From Dermoscopedia

17. Sites other than
Head & Neck

18. Male, 42 years, skin type III, back

19. Regular brown pigment network. The right half
shows darker, more superficial pigmentation.

22. Blue white veil:
Don’t be fooled

25. Squamous Cell
Carcinoma

26. Blue-white veil
– It is correlated histologically with
compact orthokeratosis and
hypergranulosis, with confluent
nests of heavily pigmented cells
in the dermis. A blue-white veil is
indicates malignancy.

27. Not even noticing
their BCC

30. Generalized
itching of 2 weeks
duration, male,
65 yrs, Skin type
III

31. Multiple
Basal Cell
Carcinomas

34. Female, 67
years, scalp,
recurrent
lesions

36. Role of
Dermoscopy
for follow-up
after surgery

39. 3 months
after
surgical
excision

40. Recurrence

41. Male, 78 yrs,
on ala of nose
Note: Telangiectasia
outside the lesion is
not in focus, not
bright red

42. 6 Months after
surgical excision
Same telangiectatic
Bl vessels present,
but not in focus; and
present on both ala
nasi

43. Lallas et al 2014

44. Follow-up
after
surgery,
Nov 2016

45. March 2018, left
ear rim

46. In Conclusion

47. Thank
You
Manal Bosseila, Cairo
University