What are the USPSTF guidelines for screening and early detection of basal cell carcinoma (BCC)?

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

In 2016, the U.S. Preventive Services Task Force (USPSTF) renewed its conclusion that there is not enough evidence to recommend for or against routine screening (total body examination by a primary care doctor or patient self-examination) for early detection of skin cancers in the adult general population. [100]

The USPSTF did note the following clinical considerations:

  • Skin cancer of any type occurs more commonly in men than in women and among persons with a fair complexion, persons who use indoor tanning beds, and persons with a history of sunburns or previous skin cancer. 
  • Specific risk factors for melanoma include having an atypical mole, multiple (ie, ≥100) moles, and having a family history of melanoma.
  • The risk of melanoma increases with age; the median age at diagnosis is 63 years, and the median age at death is 69 years.
  • Clinical visual skin examination should assess skin lesions for asymmetry, border irregularity, color variability, diameter greater than 6 mm or evolution over time (ABCDE criteria)

Did this answer your question?
Additional feedback? (Optional)
Thank you for your feedback!