Let’s talk about something important – Basal cell carcinoma, or BCC for short. It is one of the most common types of skin cancer, making up approximately 77% of all non-melanoma skin cancers diagnosed. In Canada, around 1 in 8 people will be diagnosed with BCC in their lifetime.

While BCC is typically less aggressive compared to melanoma, seeking timely treatment is still important. BCC tends to grow slowly and if left untreated, it can invade deeper layers of the skin and potentially spread to other parts of the body.

Now, you are probably wondering how to spot BCC? BCC is very treatable when found early, so knowing the warning signs and distinguishing it from other benign skin conditions is important.

What does BCC look like and what is it often mistaken for?

A pearly white, skin-coloured or pink bump – These bumps are typically translucent (meaning you can slightly see through the surface), and tiny blood vessels are often visible. They are firm, often with a pearly raised border. These lesions often appear on the face, top of the head, or ears. Is often mistaken for a mole or (if it’s skin coloured) a wart

A flat, scaly, reddish patch – These lesions often have a raised edge and can appear like a rash. They are most commonly found on the back or chest. Over time these patches can grow quite large. Is often mistaken for a rash or patch of dry skin.

A white, waxy, scar-like lesion – These lesions are often without a clearly defined border. They can be white, yellow, or waxy, with poorly defined borders. This form of basal cell carcinoma is the least common. Is often mistaken for a scar.

A growth or sore that doesn’t heal – A growth of either a pimple or sore that ruptures, bleeds or crusts over, and reappears or doesn’t heal within four weeks.

Is often mistaken for a sore or pimple. Cystic Acne is often large sores or pimples that can bleed and crust over. Is often mistaken for a sore or pimple. Cystic Acne is often large sores or pimples that can bleed and crust over.

 

Where does BCC typically form?

BCC commonly develops on sun-exposed areas, especially the face, head and neck. So, if you already have “age” spots, discoloured skin, or wrinkles, be extra careful!

Remember, early detection is key! Give yourself a regular skin self-exam and familiarize yourself with the signs and characteristics of BCC. As we’ve seen, BCC can present itself in various ways, making it challenging to detect. The best recommendation is if you notice a new growth or sore, keep an eye on it. If it starts changing in appearance or never heals, it’s time to see your dermatologist or family doctor.

For an accurate assessment, it is crucial to consult with a healthcare professional, preferably a dermatologist, for a thorough evaluation and proper diagnosis.

Skin Cancer Detection and Prevention:

While the ABCDE rule is a valuable tool, there are additional methods and practices that can aid in the detection and prevention of skin cancer. Here are some important aspects to consider:

  • Regular Skin Examination: Perform regular self-examinations of your skin at home to identify any new or changing moles, lesions, or suspicious spots. Follow along with our skin exam guided video to perform your monthly skin exams.
  • Full-Body Skin Examinations by a Dermatologist: Schedule routine skin checks with a dermatologist, who can conduct a thorough examination and address any concerns.
  • Risk Factors: Understand the risk factors for melanoma to better understand if you, or a loved one, are at higher risk.
  • Sun Protection: Protect your skin from harmful UV radiation by seeking shade, wearing protective clothing (including wide-brimmed hats and UV-protective sunglasses), and applying broad-spectrum sunscreen regularly.
  • Avoiding Tanning Beds: Minimize or eliminate the use of tanning beds, as they emit very high levels of harmful UV radiation and increase the risk of developing melanoma greatly.

For more information on BCC, watch our Helping you Understand Basal Cell Carcinoma video