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REVIEW ARTICLE
Year : 2013  |  Volume : 4  |  Issue : 1  |  Page : 12-17

Clinical variants, stages, and management of basal cell carcinoma


1 Department of Dermatology and Venerology, Medical University, Sofia, Bulgaria
2 Municipal Hospital "Dr. Tota Venkova", Gabrovo, Bulgaria

Correspondence Address:
Lyubomir A Dourmishev
Department of Dermatology and Venerology, Medical University of Sofia, 1st St. Georgi Sofiiski Str, 1431 Sofia
Bulgaria
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2229-5178.105456

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Basal cell carcinoma (BCC) is the most common paraneoplastic disease among human neoplasms. The tumor affects mainly photoexposed areas, most often in the head and seldom appears on genitalia and perigenital region. BCC progresses slowly and metastases are found in less than 0.5% of the cases; however, a considerable local destruction and mutilation could be observed when treatment is neglected or inadequate. Different variants as nodular, cystic, micronodular, superficial, pigment BCC are described in literature and the differential diagnosis in some cases could be difficult. The staging of BCC is made according to Tumor, Node, Metastasis (TNM) classification and is essential for performing the adequate treatment. Numerous therapeutic methods established for treatment of BCC, having their advantages or disadvantages, do not absolutely dissolve the risk of relapses. The early diagnostics based on the good knowledge and timely organized and adequate treatment is a precondition for better prognosis. Despite the slow progress and numerous therapeutic methods, the basal cell carcinoma should not be underestimated.


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