Diagnosing Basal Cell Carcinoma: What to Expect
Published: Oct 02, 2024
Understanding the diagnostic process for BCC can prepare you for what to expect and ensure timely treatment.
Contents
Initial Examination
Doctors usually start with a visual examination of the skin. They look for signs like shiny bumps or reddish patches, particularly on sun-exposed areas. Dermoscopy, a tool that magnifies the skin, helps in identifying specific features of BCC, such as a lack of pigment network and specific vascular patterns.
The Role of Biopsy
A skin biopsy is often needed to confirm a BCC diagnosis. This involves taking a small sample of the suspicious skin area to be examined under a microscope. Different types of biopsies, like shave or punch biopsies, can be used depending on the case.

What Happens After Diagnosis
Once BCC is confirmed, the doctor will discuss treatment options with you. The choice of treatment depends on the BCC's size, depth, and location. Early diagnosis usually means a higher chance of successful treatment with minimal scarring.
Frequently Asked Questions
BCC is examined visually and with dermoscopy.
A biopsy confirms the BCC diagnosis.
A dermoscope is a tool that magnifies the skin.
Shave and punch biopsies are common types.
The Bottom Line
Timely diagnosis is crucial for effective BCC treatment.
References
- Reiter O, et al. The diagnostic accuracy of dermoscopy for basal cell carcinoma.
- Wolberink EA, et al. High discordance between punch biopsy and excision in establishing BCC subtype.
- Roozeboom MH, et al. Agreement between histological subtype on punch biopsy and surgical excision in primary BCC.
This article has been reviewed for accuracy by one of the licensed medical doctors working for Doctronic. Always discuss health information with your healthcare provider.
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