Basal cell carcinoma (BCC)

Basal Cell Carcinoma accounts for about 70% of non-melanoma skin cancers and begin in the lower layer of the epidermis (top, outer layer of the skin).

Commonly affected areas

BCC can appear anywhere on the body but most commonly develops on parts of the body that receive high or intermittent sun exposure (head, face, neck, shoulders and back). These carcinomas typically grow slowly and vary in size and appearance.

Fortunately, basal cell carcinomas rarely spread beyond the skin (metastasise) to other parts of the body. More often these tumours extend locally and destroy the surrounding tissue. Basal cell carcinomas on the face, ears, and scalp can behave more aggressively. Early detection and prompt treatment ensure an optimal outcome for this type of skin cancer.

Examples of Basal Cell Carcinoma

Signs and symptoms

Basal cell carcinomas may appear and grow so slowly that you may not detect them initially.

It is important to see your dermatologist when you notice a change in your skin that might indicate basal cell carcinoma, such as these points.

Dr Aslam offers a full range of treatments for basal cell carcinoma. He will perform a careful evaluation to determine the best treatment plan for each patient’s unique set of circumstances and is an expert in Mohs surgery, which is considered one of the most effective forms of treatment for basal cell carcinoma.

A smooth, pale growth that may have a dent or dimple in the middle
A small, pearly or waxy bump
A red patch or irritated area
A sore that scabs, heals, and regrows
A bleeding or oozing sore
Mohs Surgery indications

Mohs surgery is recommended for high risk basal cell carcinomas and these are listed below:

Location: The H zone on the face. In sensitive locations and those areas that tend to have lots of sun exposure, such as the central face, eyelids, eyebrows, on or around the nose, lips, chin, jaw, temple and ear (the mask or H zone), hands and feet.

Certain tumour subtypes: Those with an aggressive growth pattern, which is specific information that should be noted on the pathology report. These include infiltrative, morphoeic, morpheaform or basiquamous.

A tumour that has come back (recurred) after previous treatment.

About Dr Arif Aslam

Patient care and cutting edge treatments are paramount to my work as a Consultant Dermatologist where I am always striving for the best possible outcomes for my patients.
Dermatological Surgeon & Mohs Micrographic Surgeon, Honorary Senior Lecturer.

MBChB, MRCP (UK), MRCGP, MRCP (Derm), FRACP, FACD, FACMS

An experienced consultant dermatologist, Dr. Aslam is a double fellowship-trained Mohs micrographic surgeon and fellow of the prestigious American College of Mohs Surgery (ACMS).

He is one of only a few dermatologists in the UK and Europe with this accreditation and the only UK dermatologist with membership of both the Australasian College of Dermatologists and American College of Mohs Surgery.

Could not have not asked for a better consultant. He was so professional and the MOHS surgery ended the months of pain I had been living with. The scarring was minimal too.

Dr Aslam was excellent. He explained everything about about the condition and procedure. So pleased with the results of the procedure.

Excellent care throughout with clear information. Surgery went as painlessly as possible with an excellent result. Would certainly recommend Mohs surgery for the treatment of a BCC.

I had a skin cancer on my nose and chose to see Dr Aslam who removed it expertly with Mohs surgery. It was a fantastic experience from start to finish. My mind was put at ease and I delighted with the superb surgery he performed on my nose.

After a previous experience with a post op infection I was nervous about having surgery again. Dr Aslam put me at ease right from the consultation and through the surgery. I had Mohs surgery to my left eyebrow and right nostril. It's healed really well and I've had no problems at all. I am very happy with Dr Aslam.

Dr Aslam did Mohs surgery on a BCC under my right eye. The results are fantastic. I am delighed with the outcome. The scar is almost invisible and it's a huge relief to know the cancer has been treated completely. I would highly recommend Dr Aslam!

I had Mohs surgery on a BCC on my left cheek and the doctor was very informative and put my mind at ease. He did an amazing job on my cheek and now a few weeks later you would not know that I've had surgery.