Basal cell carcinoma pigmented C44.L

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 29.10.2020

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Synonym(s)

Basal cell carcinoma pigmented; Pigmented basal cell carcinoma

Definition
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Basal cell carcinoma, mainly of the nodular type, with brown-black pigmented areas due to high melanin content

Clinical features
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Irregularly coloured, sharply defined papules or nodules with brown and/or blue-black parts (depending on the localisation of the pigment accumulations) and typically shiny (atrophic) surface. Incident light microscopy reveals marginal atypical "tumor vessels", which have a high diagnostic value.

Histology
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Basal cell carcinoma with numerous pigment-loaded melanocytes located between the tumor cells (immunohistologically detectable) and melanophages in the surrounding tumor stroma. Apart from that, pigmented BCC is not based on any histological features.

Differential diagnosis
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Therapy
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Corresponding to the basal cell carcinoma. The special feature of the surgical procedure is the good lateral differentiation possibility. Thus a narrow excision margin of 0.1-0.2 cm is acceptable.

Literature
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  1. Ito T et al (2014) Narrow-margin excision is a safe, reliable treatment for well-defined, primary pigmented basal cell carcinoma: an analysis of 288 lesions in Japan. J Eur Acad Dermatol Venereol doi: 10.1111/jdv.12689
  2. Popadić M (2014) Dermoscopic features in different morphologic types of basal cell carcinoma. Dermatol Surgery 40:725-732

Disclaimer

Please ask your physician for a reliable diagnosis. This website is only meant as a reference.

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Last updated on: 29.10.2020