What Causes Basal Cell Carcinoma? | Forefront Dermatology

Skin cancer is by far the most common type of cancer and each year there are more new cases of skin cancer than the combined cases of breast, prostate, lung and colon cancer. This translates to one in five Americans developing skin cancer over their lifetime. Of all skin cancer types, basal cell carcinoma is the most common type. According to the American Cancer Society, about 5.4 million basal and squamous cell skin cancers are diagnosed each year in America and basal cell carcinoma accounts for 80% of these cases.

We asked Dr. Rhett Kent, board-certified dermatologist and internal medicine physician with Forefront Dermatology, three of the most common questions surrounding basal cell carcinoma.

What does basal cell carcinoma look like?
“Basal cell carcinomas are classically described as slowly growing, pearly papules. This reflects their smooth, shiny appearance.” noted Dr. Kent. “Although they are usually skin-colored or pink, there are pigmented forms. Dilated blood vessels, ulceration, and a scar-like appearance are other clues to the diagnosis. Patients may find it difficult to distinguish these from benign skin growths. However, any new, growing and/or changing skin lesion is always concerning for skin cancer. When any of these features are present, it is important to bring them to the attention of your dermatologist urgently to avoid delays in diagnosis and treatment.”

Where does basal cell carcinoma occur?
“Basal cell carcinoma can develop anywhere on the body however risk is strongly linked to ultraviolet light exposure. Thus, sun-exposed areas are at highest risk.” stated Dr. Kent. “When performing self-examinations for skin cancer, it’s important not to forget places you might not see very well on your own, like your ears, back, the bottoms of your feet and posterior legs.”

What causes basal cell carcinoma?
Skin cancer occurs at every age in persons of every ethnicity and gender. Risk for basal cell carcinoma increases with the following factors:

• Ultraviolet light exposure from the sun and indoor tanning
• History of sunburns, especially during childhood
• Lighter skin color equating to increased sensitivity to ultraviolet light
• Incidence increases with age
• Male gender – men are especially at risk after age 60, whereas women account for more skin cancers in those under age 40
• Personal or family history of skin cancer
• Immunosuppression (disease-associated and medication-induced)

Be Proactive
Remember, early detection saves lives and a simple, yearly in-office skin screening with your local board-certified Forefront Dermatologist can truly mean the difference between life and death. Find a dermatologist near you today.