Basal Cell Carcinoma
Basal cell carcinoma (BCC) is the most common skin cancer, with over 3 million U.S. cases annually. It rarely metastasizes but can cause significant local tissue destruction.
When to Book
Book a visit if a skin concern is new, spreading, painful, not improving with over-the-counter care, or changing in appearance.
Symptoms
Pearly or translucent bump with visible blood vessels, a non-healing sore that bleeds and crusts, or a flat scar-like waxy area. Most common on the head, neck, and sun-exposed areas.
Causes & Risk Factors
Cumulative UV exposure is the primary cause. Fair skin, sunburn history, older age, immunosuppression, and prior BCCs are major risk factors.
How We Evaluate
Biopsy is required for confirmation. We determine BCC subtype and location to guide treatment. High-risk features include size, facial location, and aggressive histology.
Treatment Options
Small low-risk BCCs: electrodesiccation and curettage or excision. Facial or high-risk BCCs: Mohs surgery for superior cure rates. Topical imiquimod for superficial BCCs. Our North Miami Beach team coordinates biopsy, treatment, and surveillance.
When It Is Urgent
See a provider promptly for any non-healing sore, bleeding growth, or new pearly nodule.
Frequently Asked Questions
Can basal cell carcinoma spread?
Metastasis is extremely rare (<0.1%). But untreated BCC can invade deeply into bone and nerves, causing significant local damage.
Will it come back?
Mohs surgery has about a 1% recurrence rate. Patients with one BCC have a 40-50% chance of developing another within five years — ongoing skin checks are essential.
How can I prevent new skin cancers?
Daily sunscreen, protective clothing, avoiding peak sun hours, and no tanning beds. We recommend annual full-body exams for skin cancer history.
Get a Clear Plan for Basal Cell Carcinoma
Our dermatology team provides accurate diagnosis and effective treatment tailored to your skin.