What is superficial basal cell carcinoma mentioned in my histopathology reports?

Question

Hello doctor,

I am 67 years old male and weigh 110 pounds. Below is a report about a small piece of skin that was examined.

The following observation was found: The skin sample was taken from the left side of the chest. When looked at with the naked eye (gross examination), it was a small piece of soft tissue measuring 0.24×0.08×0.08 inches. Under the microscope (microscopic examination), the top layer of the skin (epidermis) showed irregular changes. Some parts of the epidermis were thicker and had unusual basaloid cells with a high nucleus-to-cytoplasm ratio and frequently dividing. There is no sign of this condition spreading more profoundly into the skin layers (dermis). In the dermis, some inflammation around blood vessels and some melanin pigment scattered around. The diagnosis suggests it is a superficial type of basal cell carcinoma. This report indicates I may have a superficial type of basal cell carcinoma. I would like to inquire about the report and the disease mentioned. Please help.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

I have read your query and can understand your concern.

Your histopathology report indicates a superficial type of basal cell carcinoma. This is a common form of skin cancer, often seen in older individuals, potentially due to chronic sun exposure or previous injuries, although not exclusively. It does not spread to other organs and may sometimes result in bleeding or ulceration. The recommended treatment is excision with a margin of 0.12 to 0.2 inches (three to five mm) of surrounding healthy skin. Long-term follow-up is essential to monitor for any potential recurrence. Alternative treatment options may include cryotherapy, topical Imiquimod, or shave excision.

I hope this helps.

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Thank you.