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Related Experiment Videos

[Pigmented basocellular epithelioma. Presentation of 7 cases].

M P de Antonio García1, J Borbujo Martínez, A Juez Juez

  • 1Centro de Salud V Centenario, San Sebastián de los Reyes, Madrid.

Atencion Primaria
|May 15, 1992
PubMed
Summary

Basal cell carcinoma, particularly the pigmented subtype, often presents as a slow-growing lesion. Primary care physicians should consider this diagnosis in older adults and perform histological examination for definitive diagnosis.

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Area of Science:

  • Dermatology
  • Oncology
  • Primary Care Medicine

Background:

  • Basal cell carcinoma (BCC) is a common skin cancer, with a pigmented subtype that can mimic melanoma.
  • Primary care settings are crucial for early detection of skin neoplasms.

Observation:

  • A study reviewed seven elderly patients with pigmented lesions initially suspected as melanoma.
  • Lesions presented as asymptomatic, slowly growing papules that evolved into plaques or nodules.
  • Five patients had a history of prolonged sun exposure.

Findings:

  • Histological examination confirmed basal cell carcinoma in all cases, differentiating it from melanoma.
  • The clinical presentation and evolution were consistent across the studied patients.

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Implications:

  • Increased awareness of pigmented basal cell carcinoma in primary care is vital, especially for geriatric and immunosuppressed populations.
  • Differential diagnosis with other pigmented lesions is essential.
  • Histological examination is critical for accurate diagnosis of suspected skin lesions.