What are signs of recurrence of basal cell carcinoma (BCC)?

Updated: Mar 02, 2020
  • Author: Robert S Bader, MD; Chief Editor: William D James, MD  more...
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Answer

A recurrence of BCC should be suspected when one of the following conditions occurs:

  • Nonhealing ulceration

  • Tissue destruction

  • Scar that becomes red, scaled, or crusted or enlarges with large adjacent telangiectasia

  • Scar that slowly enlarges over time (months)

  • Development of papule/nodule within a scar

Histologic types of BCC at higher risk for recurrence include morpheaform (sclerotic), micronodular, infiltrative, and superficial (multicentric). Other conditions that contribute to a higher recurrence rate include recurrent tumors that have been treated previously, large tumors (>2 cm), and deeply infiltrating tumors.


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