Abstract

Basal cell carcinoma is the most common skin cancer mainly caused by prolonged exposure to ultraviolet rays. It is also known as rodent ulcer or basal cell epithelioma. The main mechanism suggested is prolonged exposure to high intensity ultraviolet rays, which causes DNA damage. Pigmented basal cell carcinoma is a rare variety of basal cell carcinoma. Usually, it presents as pigmented nodular mass over the nose or malar region. Other differential diagnoses of this mass, are malignant melanoma and seborrheic keratosis. Treatment of choice is surgical excision with 2 mm of margins.

Highlights

  • Basal cell carcinoma (BCC) is the most common cancer of the skin in western world in fair skin people

  • pigmented basal cell carcinoma (PBCC) is relatively rare variety, we present this case

  • Bart RS et al [11] noted that pigmented basal cell carcinoma is more common in dark eyed people and very rare in blue eyed people

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Summary

Introduction

Basal cell carcinoma (BCC) is the most common cancer of the skin in western world in fair skin people. Jacob Arthur in 1827 coined a term “rodent ulcer” for this [2] Sometimes it is called as basal cell epithelioma [3]. The most common cause can be chronic exposure to ultraviolet radiation. It is a slow growing malignant tumor, locally aggressive but rarely metastasize [4]. About 80% are found in the skin of head and neck. Among all variants of BCC, pigmented basal cell carcinoma (PBCC) variety is about 6% and histopathologically similar to nodular BCC with increased melanization. (2016) Pigmented Basal Cell Carcinoma: A Rare Case Report.

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