Basal cell carcinoma (BCC) is the most common skin cancer and frequent
ly affects older adults. Most BCCs are seen on the sun-exposed skin of
light-skinned individuals. Because early diagnosis reduces morbidity
and the expense of treatment, it is essential that you are able to rec
ognize these lesions. Their various clinical presentations determine t
he proper treatments, some of which may be carried, out in your office
and others which require referral. Several effective surgical and non
surgical modalities are available. Selecting the best method is based
on such factors as the type, size, and anatomic location of the lesion
; cost of treatment; and your familiarity with the treatment.