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Skin Lesions

Basal Cell Carcinoma: Warning Signs

What to Look For

Understanding the signs of basal cell carcinoma (BCC) is crucial for early detection. With timely diagnosis and treatment, most BCCs can be successfully removed with minimal complications.

Be alert for new, changing, or unusual skin growths, including bumps, sores, or patches that do not heal. Early identification of these warning signs makes treatment more effective and increases the chances of a full recovery.

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Basal Cell Carcinoma (BCC) – Warning Signs and What to Look For

Understanding Basal Cell Carcinoma

Basal cell carcinoma (BCC) is the most common type of skin cancer. Early detection is key, as almost all BCCs can be successfully treated when identified promptly. Recognising the warning signs of BCC can help you seek treatment before the cancer progresses.

How to Spot a BCC: Key Warning Signs

BCCs most often develop on areas of the skin frequently exposed to the sun, such as the face, ears, neck, scalp, chest, shoulders, and back. However, they can appear anywhere on the body. Look out for one or more of the following signs:

  1. Persistent Sores – An open sore that does not heal, may bleed, ooze, or crust, and could appear to heal and then return.
  2. Red or Irritated Patches – A reddish, irritated area that may crust, itch, hurt, or feel completely normal.
  3. Shiny Bumps or Nodules – Pearly or translucent bumps in shades of pink, red, or white. These may also appear pigmented (tan, brown, or black), particularly in people with darker skin, and can be mistaken for a mole.
  4. Raised Growths with Central Indentation – Small pink growths with slightly raised, rolled edges and a crusted center, sometimes developing tiny surface blood vessels over time.
  5. Scar-Like Areas – Flat, white, yellow, or waxy patches that appear shiny and taut, often with poorly defined edges. This may indicate a more invasive BCC.

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Why Early Detection Matters

Spotting a BCC early allows for simpler, more effective treatment and reduces the risk of complications. If you notice any new, changing, or unusual growths on your skin, it is important to consult a healthcare professional promptly.

BCCs Can Be Tricky

Basal cell carcinomas do not always look the same. They may resemble benign skin conditions like eczema or psoriasis. In people with darker skin, approximately half of BCCs are pigmented.

When in doubt, trust your instincts and consult a dermatologist if you notice anything new, changing, or unusual on your skin.

Steps to Take if You Have Had a BCC

Individuals who have previously had a BCC are at higher risk of developing another, especially in sun-damaged areas. Even after treatment, some BCCs may recur due to residual cancer cells or roots that extend beyond visible margins. Areas such as the nose, ears, and lips have higher recurrence rates, often within the first two years after surgery.

To monitor for recurrence and reduce further risk:

  • Be Vigilant: Check previously treated areas regularly and consult your dermatologist if changes occur. Additional treatments, like Mohs surgery, may be recommended for recurrent BCCs.
  • Perform Full Skin Checks: Examine your skin from head to toe for new or changing lesions that grow, bleed, or fail to heal.
  • Schedule Annual Dermatology Exams: Professional assessments complement self-checks and help detect abnormalities early.
  • Follow Up on Previous Conditions: If you have had BCC, squamous cell carcinoma (SCC), or precancerous lesions such as actinic keratosis, attend follow-up appointments as recommended.
  • Practice Sun Safety: Minimise UV exposure by seeking shade, wearing broad-spectrum sunscreen, wide-brimmed hats, and UV-protective sunglasses. Daily sun protection is the most effective way to reduce your risk of skin cancer.

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Take the Next Step in Skin Health

If you’ve noticed a suspicious lesion or have been diagnosed with basal cell carcinoma (BCC), timely treatment is essential. Surgical removal is a highly effective way to eliminate the cancer, prevent further tissue damage, and reduce the risk of recurrence.

With BCC removal surgery, you can expect a safe procedure under local anesthesia, minimal discomfort, and a quick return to normal activities. Following surgery, proper aftercare, sun protection, and regular skin checks help maintain long-term skin health and reduce the risk of future skin cancers.

Don’t wait—early intervention makes all the difference. Book your consultation today to discuss your treatment options, understand the process, and receive expert guidance on managing and protecting your skin.