Basal cell carcinoma growth rate difficult to generalize

Nobuyoshi Kageyama, MD answers: How fast does basal cell carcinoma grow?

From what I have read, basal cell carcinoma (BCC) tends to be slow growing. What exactly does that mean? I am 43 years old and have a BCC located just below my nose and scheduled for Mohs surgery on Tuesday. I have had the BCC for at least 5 years, probably longer.

My surgeon tells me that there is no way to know how much tissue will be removed until surgery. Immediately following the Mohs surgery, I will see a plastic surgeon to repair the wound. My bcc is pink slightly elevated with a rolled border and a crusted indentation in the center. When i went to the dermatologist, he knew right away just from looking at it that it was a BCC, biopsy confirmed. Do they grow at a certain rate? I just want to be prepared. Any information will be helpful.


Nobuyoshi Kageyama, MD
8 months ago

Well, typically BCCs grow very slowly, but there are occasions when they grow fast. 

If a person's immune system is compromised (i.e. from medications or generic disorders), BCC can grow faster.  If the cancer has been there for 5 years, typically it's bigger than a dime, but again it's hard to say. 

Each person's BCC grow as different rates.  I'm a Mohs surgeon and have seen thousands of BCCs.

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