Basal cell carcinoma
Editor: Ralph P. Braun
|Description||Below are dermoscopic features commonly associated with the diagnosis "Basal cell carcinoma". The example images have been approved by a panel of experts as representative of each given feature.
|Responsible author||Ralph Braun → send e-mail|
|Status update||July 27, 2020|
|Status by||Ralph P. Braun|
Dermoscopy, Basal cell carcinoma, BCC, Leaf-like structures, Spokewheel, Spokewheels, Blue-gray ovoid nests, Buckshot scatter, Concentric structures, Ulceration, Erosion, White shiny blotches and strands, White shiny lines, Arborizing blood vessels, Arborizing telangiectasia, Short fine telangiectasias Basal cell carcinoma – cite! Basal cell carcinoma (message) Basal cell carcinoma – participate!
Below are dermoscopic features commonly associated with the diagnosis "Basal cell carcinoma". The example images have been approved by a panel of experts as representative of each given feature.
For a more in-depth discussion of associated dermoscopic features, please see the Dermoscopedia page for "Basal cell carcinoma".
Discrete, linear to bulbous extensions connected at an off-center base area, forming a leaf-like pattern.
Blue-gray ovoid nests
Confluent or nearly confluent, well-circumscribed, pigmented ovoid areas encompassing at least 10% of the lesion area.
Multiple blue-gray dots and globules (buckshot scatter)
Blue-gray dots are pinpoint blue-gray structures that are often distributed in a buckshot scatter like pattern; Blue-gray globules are well-defined round or oval structures, larger than dots, but smaller than large ovoid nests.
Spoke wheel-like structures / concentric structures
Radial projections that surround a central darker point.
Ulceration / erosion
Shallow erosions that may be covered with congealed blood.
White shiny blotches and strands
White patches or blotches, and linear white areas called strands; can only be seen on polarized dermoscopy.
Arborizing blood vessels
Multiple branching blood vessels in a tree-like pattern. The vessels tend to be bright red and sharply in focus.
Short fine telangiectasias (superficial BCC)
- ↑ Fried LJ, Tan A, Berry EG, et al. Dermoscopy Proficiency Expectations for US Dermatology Resident Physicians: Results of a Modified Delphi Survey of Pigmented Lesion Experts. JAMA Dermatol. Published online January 06, 2021. doi:10.1001/jamadermatol.2020.5213