Basal cell carcinomas - clinical-evolutional and histopahotologic aspects

Abstract

Basal cell carcinoma (BCC) is the most frequent cutaneous tumour. Having as aim the identification of the clinical-evolutional and histopathologic aspects of the basal cell carcinomas, we have undertaken a retrospective study for a period of 5 years, from 1st January 2004 to 31st December 2008, on 706 patients interned in the Dermatology Clinic of Craiova, whom indicated 738 tumours. A clinical data was drawn for the patients, containing the identification data, environment, profession, cancer localisation and history of the disease, clinical and histopathologic diagnosis. Results. In our lot, the most numerous cases were of pearly BCC (33.6%), nodular BCC (22.2%), respectively scar plane BCC (13.1%).Regarding the histopathologic type, the repartition was as it follows: solid BCC (33.7%), polymorph (19.2%), adenoid (13.1%), keratinised (11.8%), superficial (7.0%), cystic (3.8%), pigmented (3.8%), scleroderma form (2.2%), in situ (1.4%).

Keywords: basal cell carcinoma; evolution; histopathology.

Chart 1

Clinical forms of BCC – percentual values

Figure 1

Solid BCC, col. HE, x100

Figure 2

Adenoid BCC, col. HE, x40

Figure 3

Pigmented BCC, col. HE, x40

Figure 4

Scleroderma form BCC, col. HE, x100

Figure 5

Pearly ulcerated BCC

Figure 6

Pearly ulcerated BCC

Figure 7

Nodular BCC

Chart 2

BCC distribution after the time of evolution