Rare presentations of basal cell carcinoma.

J Cutan Med Surg

Department of Dermatology and Cutaneous Surgery, University of Miami, Miami, Florida 33136, USA.

Published: September 2002

AI Article Synopsis

  • Basal cell carcinomas (BCC) are the most common skin cancer but are rarely found in African-American, Hispanic, and Asian populations, typically affecting elderly, light-skinned individuals with high sun exposure.
  • These two case studies highlight instances of BCC in an Asian woman and an African-American woman, both without a history of genetic skin disorders or compromised immune systems.
  • Clinicians should consider BCC in their diagnoses for these populations, as its occurrence, though infrequent, is possible.

Article Abstract

Background: Even though basal cell carcinomas (BCC) are the most common skin cancers in the world, they rarely appear in the African-American, Hispanic, and Asian populations. BCCs most commonly present on the head and neck of elderly, light-skinned individuals who have received an excessive amount of sun exposure. However, it has been hypothesized that the development of BCCs in unusual populations is a result of an alteration in tumor surveillance or an impairment in cellular immunity.

Objective: We present two cases of BCC, one in an Asian woman and one in an African-American woman. Neither of these patients had any history of genodermatoses or were immunocompromised.

Conclusion: BCCs can occur in Asian and African-American patients. Clinicians should include the diagnosis of BCC in their differential for these patients despite their rare presentations.

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Source
http://dx.doi.org/10.1007/s10227-001-0043-8DOI Listing

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