What Does Advanced Basal Cell Carcinoma Look Like?

1. Raised, pearly borders: Advanced basal cell carcinoma (BCC) often presents with raised, pearly borders. These borders may be rolled or everted and have a translucent or waxy appearance.

2. Ulceration and bleeding: As BCC progresses, it can develop ulceration and bleeding. The ulcerated areas may be covered with a crust or scab, and they may ooze or bleed easily.

3. Nodular growth: Advanced BCC may also have a nodular growth pattern. These nodules can be firm or soft and may be associated with ulceration or bleeding.

4. Satellite lesions: Satellite lesions are small, secondary BCCs that can develop around the primary tumor. These lesions are often located within a few centimeters of the primary tumor and may have a similar appearance.

5. Pigmentation: Advanced BCC may also have areas of pigmentation, ranging from light brown to black. This pigmentation can be patchy or diffuse and may be a sign of more aggressive disease.

6. Telangiectasia: Telangiectasia refers to the presence of dilated blood vessels on the surface of the tumor. These blood vessels can appear as fine, red lines or dots and may be a sign of more aggressive disease.

It's important to note that BCC can have a variety of appearances and may not always present with all of these features. If you have a suspicious skin lesion, it's important to see a dermatologist for proper diagnosis and treatment.