Skin Cancers

Basal Cell Carcinoma

Learn more about basal cell carcinoma from the experts at the OSUCCC – James.

Basal Cell Carcinoma
The content below has been reviewed and approved by basal cell carcinoma experts at The James.

Millions of Americans each year are diagnosed with skin cancer; in fact, it’s the most common cancer diagnosis in the United States. If you’ve been diagnosed with it, know that you’re not in this journey alone.

There are different types of skin cancer, but basal cell carcinoma (BCC) is the most common type. The OSUCCC – James team will provide expert care and treatment for basal cell carcinoma. The James Skin and Melanoma Center is the region’s only comprehensive skin cancer facility, with a team of dedicated specialists who treat BCC. We know you may have questions about your condition and we want to help.

What is basal cell carcinoma (BCC)?

Skin cells help form the layers of our skin. There are two main layers: the epidermis, which is the outer layer, and the dermis, which is the inner layer. Basal cells are found in the deepest layer of the epidermis. Basal cell carcinoma (BCC) is a type of skin cancer that starts in these cells.

Basal cell carcinoma may also be referred to as non-melanoma skin cancer. Cancer registries do not have to report these cancers, but around 80% of all skin cancer diagnoses are basal cell carcinoma. The condition is seldom life-threatening and usually treatable.

What causes basal cell carcinoma?

Basal cell carcinoma occurs when abnormal cells grow out of control and form a cancerous lesion or mass (tumor). Our cells have genetic “instructions” called DNA that tells them how to grow and reproduce. In some people, these instructions can change and cause cells to grow abnormally. Researchers do not know why this happens in some people, but risk factors do play a role.

One of the biggest risk factors for basal cell carcinoma is UV exposure. BCC usually occurs in areas that are most frequently exposed to UV radiation, including the sun and tanning beds. UV radiation is thought to damage the DNA in skin cells, specifically in the basal cells. When this damage occurs, cancerous lesions or tumors result.

Basal cell carcinoma types

Like other cancers, basal cell carcinoma has different subtypes. Each has its own set of unique characteristics.

The main types of basal cell carcinoma include:

  • Nodular: The most common type, appearing as a shiny bump or nodule, usually on the face or neck. Nodular basal cell carcinoma makes up about 60-80% of skin cancer cases found on the head.
  • Superficial (sBCC): Superficial BCC appears as a red scaly patch, often on the chest or back. sBCC accounts for about 20% of basal cell carcinoma diagnoses.
  • Infiltrative: Infiltrative basal cell carcinoma tends to grow more deeply and widely. It often requires more extensive treatment. Infiltrative BCC usually occurs on the face or trunk.

Basal cell carcinoma symptoms

Most basal cell carcinomas don’t have any other symptoms; if there are any, you may notice a slightly raised area of skin that is shiny and looks like a pearl.

Areas where BCC is most likely to occur include the face, neck and arms. However, it’s important to note that skin cancer can occur anywhere on the body.

Possible signs of basal cell carcinoma may include:

  • A sore that does not heal
  • Areas of the skin that are:
    • Raised, smooth, shiny and look pearly
    • Firm and look like a scar and may be white, yellow or waxy
    • Raised and red or reddish-brown
    • Scaly, bleeding or crusty

It’s important to note that other skin conditions may cause the same symptoms as basal cell carcinoma. Just because you may have these symptoms doesn’t necessarily mean you have basal cell carcinoma. If you have symptoms, you should tell your doctor, especially if symptoms don’t go away.

Why choose the OSUCCC – James for basal cell carcinoma care?

If you or a loved one has been diagnosed with basal cell carcinoma, we know you may have questions or concerns. While BCC is very common, early care can help ensure successful treatment outcomes.

Comprehensive skin cancer care

At the OSUCCC – James, our skin cancer specialists use a multidisciplinary approach to treating skin cancer. From early screening and detection to treatment, our team will create a comprehensive cancer care plan for you. Whether you’re at risk of developing BCC or newly diagnosed, your care will be individualized. Our team includes medical oncologists, surgical oncologists, radiation oncologists and more, who will all work together to help you.

Dedicated skin cancer center

At the OSUCCC – James, we’re proud to offer a dedicated skin cancer center that provides comprehensive care for all types of skin cancer, including basal cell carcinoma. The James Skin and Melanoma Center is the only center of its kind in central Ohio. Our center offers several diagnostic testing and care options in one convenient location.

If you have received a basal cell carcinoma diagnosis, or if you want a second opinion, we’re here to help you. Call 800-293-5066 or 614-293-5066 to make an appointment.

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