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[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
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.
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.
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.