Superficial BCC

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Hello,

I wanted to know if a primary superficial BCC on the lower back that otherwise has no high risk criteria, is regarded as low risk no matter of it's diameter?

I have seen conflicting information regarding size as a solitary risk criteria ?

Thanks

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  • Posted

    The definition of low risk versus high risk BCCs in the NICE guidance is generally applied to nodular BCCs, as superficial BCCs are felt to be low risk. The diameter that is discussed (over 1cm) refers to nodular BCCs. It does however say that a superficial BCC should be treated by someone who is able to offer the full range of treatments. For superficial BCC this may include aldara, PDT, curettage or excision.

    The discrimination between high risk and low risk, does not mean that a high risk lesion is more likely to cause problems (ie spread) . The separation of the two is mainly to make sure the patient has the right level of care - ie nodular BCCs of the central face should be treated by a specialist, usually a Dermatologist.

    I hope this helps.

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    • Posted

      Thanks so much for the prompt reply.

      I just downloaded the NICE guideline.

      So the histological subtyping comes before the consideration of margins, location and size, and thus SBCC is always considered low risk?

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    • Posted

      No, I read an article about sBCC and wondered why even large lesions were considered low risk.

      Only the facial T area was considered high risk.

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