What are the National Comprehensive Cancer Network (NCCN) guidelines for the workup 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

The NCCN guidelines recommend the following workup for diagnosis of basal cell skin cancer [7] :

  • Complete skin exam to identify other pre-cancer or cancer lesions, usually located at other sun-exposed skin sites
  • Biopsy of any suspicious lesion, including the deep reticular dermis
  • Imaging studies for extensive disease with involvement of bone, perineural disease, or deep soft tissue
  • MRI is preferred over CT scan if perineural disease is suspected, because of its higher sensitivity

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