Culture and diversity

April 2010

The ‘ultra slow’ BCC

Two case studies

Volume 39, No.4, April 2010 Pages 227-228

Steven Tomas

Most basal cell carcinomas (BCCs) can be diagnosed readily on the basis of a medical history and clinical examination, particularly when various ‘red flags’ are taken into account. The purpose of this article is to show two cases in which BCCs have apparently remained unchanged for over 20 years, masking one of the major indicators of malignancy: change. A general practitioner must maintain a high degree of vigilance so as not to miss those BCCs that behave in an atypical manner.

Basal cell carcinoma (BCC) is the most prevalent cancer in humans,1 and is commonly seen in general practice.

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