Is It Skin Cancer or Acne?
Basal cell carcinoma (BCC) is the most common form of skin cancer, but it can frequently be dismissed as a benign growth such as a scar, wart, or acne.
Skin cancer is one of the most commonly diagnosed cancers worldwide and is the most common form of cancer in the United States. More than 5 million new cases are diagnosed in the US each year. With increases in global temperatures and climate change impacting UV radiation absorption around the world, skin cancers are of increasing concern. As such, it is essential to equip oneself with knowledge about skin cancer: what it is, how to spot it, and the importance of regular skin checks by yourself and with your doctor.
BCC — What is it?
Basal cell carcinoma (BCC) is the most common form of skin cancer, but it can frequently be dismissed as a benign growth such as a scar or wart. BCC is a form of skin cancer that originates in the basal cells. Basal cells are located at the bottom layer of the epidermis, the outer layer of skin.
These skin cells are responsible for producing new skin cells. Left unchecked, basal cell carcinoma can become invasive and spread beyond the original site of the cancerous lesion. Early detection is one of the best things you can do to be proactive about your skin health. Conduct regular skin checks, and be on the lookout for anything new, changing, or unusual. BCC typically grows slowly, meaning there are often several treatment options, and most cases are treatable.
How to Spot Basal Cell Carcinoma
There is no ‘one-size-fits-all’ description of basal cell carcinoma; however, there are some visible patterns that many cases of BCC have in common. This is not meant to be a comprehensive list, but rather a guideline for what to look out for when examining for potentially problematic skin lesions.
· Waxy, white, yellow, or skin-colored spots
BCC can present itself in many forms and can be easily overlooked as a wart, scar, mole, or other benign skin issues. However, areas that are waxy, white, yellow, or contain skin-colored spots can be an indicator of BCC.
· Shiny bumps
Some incidences of BCC present as shiny nodules on the skin. They can be mistaken as a scar, acne, or mole depending on the coloration. Coloration can vary, so be sure to monitor for changes, and speak to your doctor as you notice unusual areas.
· Sore(s) that bleed and do not heal
When sores persist and do not heal over several weeks, or reappear, this could be a sign to watch for potential BCC.
· New, changing, unusual skin
Be on the lookout for spots that are new, changing in size, shape, or color, and for areas which appear unusual compared to the surrounding skin.
· Irregularly-bordered and/or shaped skin lesion
Areas of the skin which have irregular borders or unusual shapes can be indicative of harmful skin lesions.
· Raised, itchy red patches or scaly skin
These areas of skin may be easily mistaken for other issues such as dermatitis or eczema. Monitor the areas regularly to spot changes in the skin, and speak to your doctor about any concerns you may have
· Pink growths that dip in the center
As with other potential warning signs, the irregularity of the skin lesion can be an indicator of BCC. Areas of skin with an irregular border, as well as areas with dips in the center with a rolled border, are important to note.
Mole, acne, scar, or BCC? Monitor.
BCC can present itself in a myriad of ways on the skin. From variance in color to differences in shape and size, the spots may not always be easy to spot from harmless moles, acne, scars, or warts. One of your best defenses is to conduct regular skin checks.
At least once a month, take out your full-length and hand mirrors and be on the lookout for the above characteristics. Check your whole body, including under the arms, front, back, buttocks, neck, and scalp. Monitor any changes over time, as they can help differentiate benign from malignant. In times of uncertainty, taking your health into your hands is one of the few things we can, and should, check off the to-do list.
About James Goydos, M.D.
James Goydos is an expert in melanoma research and specialist in surgical oncology with an M.D. from Rutgers University. With over 20 years of experience as a Professor, Surgeon, and Clinical Trial Lead, he is a leading expert in his field.
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