Basal Cell Carcinoma

90

a. Supercial Basal Cell Carcinoma

Superficial basal cell carcinoma

A. Well-circumscribed thin plaque with a thin rolled border
B. Commonly seen on the trunk and extremities
C. May closely resemble eczema, psoriasis, or tinea; may be differenti-
ated from these entities by the rolled border

Superficial basal cell carcinoma

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H.M. Gloster, Jr. et al., Absolute Dermatology Review: Mastering Clinical Conditions on the Dermatology Recertification Exam, 391
DOI 10.1007/978-3-319-03218-4_90, Springer International Publishing Switzerland 2016
392 90 Basal Cell Carcinoma

b. Nodular Basal Cell Carcinoma

Nodular basal cell carcinoma

A. Papule or nodule with elevated pearly rolled borders and telangiecta-
sias which may ulcerate
B. Usually occurs on sun-exposed skin, especially the head and neck

Nodular basal cell carcinoma

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Nodular basal cell carcinoma

A. Pearly, telangiectatic papule with a rolled border

Nodular basal cell carcinoma

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i. Dermoscopy of Nodular Basal Cell Carcinoma

Dermoscopy of nodular basal cell carcinoma

A. Arborizing tree-like telangiectasias with foci of microulceration

Dermoscopy of nodular basal cell carcinoma

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c. Morpheaform Basal Cell Carcinoma

Morpheaform basal cell carcinoma

A. Indurated plaque resembling a scar, a plaque of morphea, or lichen
sclerosus et atrophicus
B. The typical telangiectatic, pearly features of nodular basal cell
carcinoma are not present
C. May be subtle in appearance and have subclinical extensions that
may not be apparent on physical examination Morpheaform basal cell carcinoma
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d. Pigmented Basal Cell Carcinoma 393

Morpheaform basal cell carcinoma

A. Flat, pale, waxy, poorly demarcated indurated plaque on the lower
eyelid

Morpheaform basal cell carcinoma

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d. Pigmented Basal Cell Carcinoma

Pigmented basal cell carcinoma

A. More common in people of color
B. Pearly plaques with rolled borders and telangiectases that vary in
color from blue to brown to black

Pigmented basal cell carcinoma

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394 90 Basal Cell Carcinoma

i. Dermoscopy of Pigmented Basal Cell Carcinoma

Dermoscopy of pigmented basal cell carcinoma

A. Arborizing telangiectasias
B. Blue gray ovoid nests and globules
C. Spokewheel areas

Dermoscopy of pigmented basal cell carcinoma

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