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Updated: May 1, 2026

Cell Population Analyses During Skin Carcinogenesis
Published on: August 21, 2013
Basal cell carcinoma: an evidence-based treatment update
Charlotte M Clark1, Megan Furniss, Julian M Mackay-Wiggan
1Department of Dermatology, Columbia University Medical Center, New York, NY, 10032, USA.
Surgical excision is the standard for basal cell carcinoma (BCC), but treatments like photodynamic therapy, cryotherapy, imiquimod, and 5-FU are effective for low-risk lesions. Radiotherapy is an option for older patients, while new inhibitors show promise for advanced BCC.
Area of Science:
- Dermatology
- Oncology
- Surgical Oncology
Background:
- Basal cell carcinoma (BCC) is the most prevalent form of skin cancer.
- Surgical excision is the current standard treatment for BCC.
- Alternative treatment modalities are available for BCC management.
Purpose of the Study:
- To analyze current evidence on BCC treatments.
- Identify treatments with the lowest recurrence rates.
- Determine treatments offering the best cosmetic outcomes.
Main Methods:
- Searched major databases (PubMed, MEDLINE, Cochrane) from 1946 to August 2013.
- Included randomized controlled trials, systematic reviews, and comparative studies.
- Reviewed 40 selected studies out of 615 potential articles.
Main Results:
- Surgical methods, including Mohs surgery for high-risk lesions, remain the gold standard.
- Photodynamic therapy (PDT), cryotherapy, topical imiquimod, and 5-FU are suitable alternatives for low-risk BCC.
- Radiotherapy is a viable option for older patients; hedgehog pathway inhibitors show promise for advanced BCC.
Conclusions:
- Surgical treatments are the primary standard for BCC, with Mohs surgery for high-risk cases.
- PDT, cryotherapy, topical imiquimod, and 5-FU are effective alternatives for selected low-risk BCC.
- Further research is needed to establish optimal use and long-term efficacy of various BCC treatments.
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