Low risk BCC


I wanted to know if a primary superficial BCC on the lower back that otherwise has no high risk criteria, is regarded as low risk no matter of it's diameter?

I have seen conflicting information regarding size as a solitary risk criteria 


Doctor Answers 1

Superficial basal cell carcinoma

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Great question.  In general, a superficial basal cell carcinoma is less risk than a deeper or more aggressive variant.  The problem arises in sampling of the tumor.  Think of the lesion (especially a larger one) as a grid...if the dermatologist biopsies one portion of the lesion, then the biopsy is really only accounting and representative of that focal area.  Point being, the assumption of diagnosis of a larger area based on a smaller biopsy may or may not be as representative.  My main point here is that I would not just ignore it.  There are certainly multiple less invasive treatments for superficial BCCs such as topical therapy or C&D (curettage & dessication).  I would of course discuss your results with the diagnosing dermatologist and determine the most appropriate therapy for you.  Hope this helps.

Columbus Dermatologic Surgeon

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.