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Basal Cell Carcinoma Case Study

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Basal Cell carcinoma
- Epidemiology o Basal cell carcinoma is a non-melanoma skin cancer that is most common in the Caucasian ethnicity. BCC is relatively uncommon in people with darker complexions (American Cancer Society, 2001). o Women are more likely to be effected by BCC then men (American Cancer Society, 2001). o People who live closer to the equator are more likely to have a BCC compared to those who live in a more northern climate. o BCC is also more common in people older than the age of 55, but recently more people younger than 40 years old are being diagnosed with BCC (Christenson, 2005). o 40% of people who have had one basal cell carcinoma treated will have another BCC treated in the next 5 years (Karagas, 1992). o 70% of BCC …show more content…
• Increased risk of BCC is associated with UV exposure whether from sun exposure, tanning beds, or phototherapy.
• Photosensitizing drugs such as tetracycline can increase risk of developing BCC.
• Other risk factors include but are not limited to chronic arsenic exposure, ionizing radiation, and immunosuppression.
- Anatomy o Basal cell carcinoma primarily affecting the skin of patients that originates from the stratum basale of the epidermis and can be locally invasive and destructive to surrounding areas. o Epidermis: There are 5 layers of the epidermis which are listed from superficial to deep.
• Stratum corneum
• Stratum lucidum
• Stratum granulosum
• Stratum …show more content…
(2008). Dermatoscopy in the diagnosis of pigmented skin lesions: A new semiology for the dermatologist. Journal of the European Academy of Dermatology and Venereology J Eur Acad Dermatol Venerol, 353-369.
Lallas, A., Giacomel, J., Argenziano, G., García-García, B., González-Fernández, D., Zalaudek, I., & Vázquez-López, F. (2011). Dermoscopy in general dermatology: Practical tips for the clinician. Br J Dermatol British Journal of Dermatology, 514-526.

PANCE Question #2

A 42 yo Caucasian female presents to your clinic for her annual skin check. Pt has no history of skin cancer. Pt has noticed a lesion pop up on her right upper arm right arm 6 months ago that has been getting larger since. Pt denies any pain or bleeding from the lesion, but it bothers her because of the way it looks. You note a pearly pink papule on her right upper arm with a sharply demarcated erythematous boarder. Who is most likely to have a basal cell carcinoma?
a. A 30 yo African American male that grew up in Georgia
b. A 35 yo Indian female who just moved to Oregon
c. A 60 yo Caucasian female who grew up in Texas
d. A 44 yo Caucasian male who grew up in

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