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Related Concept Videos

Case Studies01:22

Case Studies

There are many research methods available to psychologists in their efforts to understand, describe, and explain behavior and the cognitive and biological processes that underlie it.

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Management of the disappearing skin cancer.

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Wound closure involving fragile skin.

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The 'ultra slow' BCC - two case studies.

Steven Tomas1

  • 1stomas101@australiaonline.net.au

Australian Family Physician
|April 8, 2010
PubMed
Summary

Most basal cell carcinomas (BCCs) typically change, but two cases show BCCs unchanged for over 20 years. General practitioners need vigilance to diagnose atypical BCCs that lack this key malignancy indicator.

Area of Science:

  • Dermatology
  • Oncology
  • Pathology

Background:

  • Basal cell carcinoma (BCC) is the most common type of skin cancer.
  • Diagnosis often relies on clinical examination and identifying 'red flags', with change being a key indicator of malignancy.

Observation:

  • Presents two cases of BCC that remained clinically unchanged for over two decades.
  • These atypical presentations challenge the typical diagnostic criteria for BCC, specifically the absence of change.

Findings:

  • BCCs can exhibit atypical behavior by remaining static for extended periods.
  • The lack of change can mask malignancy, potentially delaying diagnosis.

Implications:

  • Highlights the need for heightened clinical vigilance among general practitioners when diagnosing skin lesions.

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  • Emphasizes that the absence of change does not rule out BCC and requires careful evaluation.
  • Suggests re-evaluating diagnostic criteria for BCC to include atypical presentations.