BASAL CELL CARCINOMA: IMAGES

 

As you go through these images, you will see that each image has a thumbnail description. When you click on the image, it will enlarge and show expanded, descriptive text.

BASAL CELL CARCINOMA (BCC)

Basal cell carcinoma (BAY-zuhl-sel karr-suh-NO-muh) has a variable look, and the subtler forms can be tricky to distinguish from other non-cancerous spots you might see on your skin. BCC commonly presents as:

  • An open sore that bleeds, oozes, or crusts and remains open for at least two weeks
  • A red, raised patch or irritated area that may crust or itch but generally doesn’t hurt
  • A shiny pink, red, pearly white, or translucent bump
  • A pink growth with a raised border and crusted central indentation
  • A scar-like, white, yellow, or waxy area, often with a poorly defined edge
  • A darker colored (pigmented), pearly, translucent skin growth. These pigmented basal cell carcinomas are more common in skin of color than they are in light skin
  • Ulcerated, which means a portion of the skin that covers the growth is not intact

Below are images that reflect the variation in appearance of BCCs.

SUPERFICIAL BASAL CELL CARCINOMA

Below are images of superficial BCCs, which tend to be flat. It might be easy to miss some forms of BCCs, as they tend to be somewhat subtle and nondescript looking.

BCC with red-brown coloration
BCC with red-brown coloration
BCC showing pearly surface
BCC showing pearly surface
BCC as a red patch
BCC as a red patch
Small BCC that looks like a small scratch
Small BCC that looks like a small scratch
BCC with raised border and central indentation
BCC with raised border and central indentation

NODULAR BASAL CELL CARCINOMA

Nodular BCCs have dome-like parts. Some of these dome-like segments are large, while others are smaller (micronodular). More than half of BCCs will have a nodular appearance.

BCC on the eyelid
BCC on the eyelid
BCC showing blood vessel growth
BCC showing blood vessel growth
BCC that is pigmented and ulcerated
BCC that is pigmented and ulcerated
BCC with multiple segments
BCC with multiple segments
BCC with a pink, shiny appearance
BCC with a pink, shiny appearance

ULCERATED OR BLEEDING BASAL CELL CARCINOMA

As we have mentioned, BCCs can be ulcerated (meaning the top of the skin is not intact) or actively bleeding. The following images highlight this characteristic.

Nodular BCC showing ulceration
Nodular BCC showing ulceration
BCC that is ulcerated and shows pearly appearance
BCC that is ulcerated and shows pearly appearance
BCC appearing as an open sore
BCC appearing as an open sore

BASAL CELL CARCINOMA: SPECIAL CASES

Some forms of BCC are less common. Others arise under specific circumstances that are worth noting. Here are a few special cases.

Morpheaform BCC
Morpheaform BCC
BCC with a waxy appearance and ulceration
BCC with a waxy appearance and ulceration
BCC arising in a scar
BCC arising in a scar
Fibroepithelioma of Pinkus, a rare variant of BCC
Fibroepithelioma of Pinkus, a rare variant of BCC

PIGMENTED BASAL CELL CARCINOMA

Pigmented BCCs have a darker color than the typical BCC. The coloration can vary. While they can occur in light-skinned individuals, pigmented BCCs are common in people of color.

BCC with pigmentation in light skin
BCC with pigmentation in light skin
Pigmented BCC in skin of color showing varied colors
Pigmented BCC in skin of color showing varied colors
Pigmented BCC with overlying crust
Pigmented BCC with overlying crust
BCC with pigmentation and ulceration
BCC with pigmentation and ulceration
Various forms of pigmented BCC in skin of color
Various forms of pigmented BCC in skin of color
Pigmented linear BCC
Pigmented linear BCC
Pigmented BCC showing multiple colors
Pigmented BCC showing multiple colors

These images are meant to help you recognize the kind of spots that might be concerning. No image bank is comprehensive, and you may have a spot that is concerning to you that doesn’t look like any of these. If that is the case, you should make an appointment to show your area of concern to a health care provider.

Watermarked images show the source of the image. The sources for specific non-watermarked images are listed below.
These non-watermarked images are from the following sources: The BCC image that resembles a small scratch is reprinted with courtesy of Saturn Stills/Science Photo Library. The morpheaform BCC image has been obtained courtesy of Creative Commons. This image gallery was reviewed by Dr. Silvina Pugliese, MD, Stanford University.

*The remaining images without a watermark are from various professionals who made their images available to the public as a service via Wikimedia Commons.