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Howard P. Baden, MD

JAMA. 1970;213(2):299.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

To the Editor:—

A useful sign aids in the differentiation of nonulcerating papular and nodular basal cell carcinoma from other common cutaneous growths.

Basal cell carcinoma is a locally invasive, rarely metastasizing tumor of skin. It is usually recognizable by its pearl-like border, central ulceration, and telangiectasia. It may, however, present as a well-marginated papule or plaque and be confused with the elevated melanocytic nevus observed in adults. This latter lesion is common on the face, may be nonpigmented, and shows telangiectatic vessels. Because of its similarity to basal cell carcinoma, this innocuous nevus can be misdiagnosed particularly when present as a single lesion.

The patients reported in this study were personally observed and the diagnosis established by biopsy and pathological examination of the tissue. Only facial lesions were studied.Twenty-five patients thought to have nonpigmented nevi and 25 patients with papular or nodular lesions thought to be basal cell epitheliomas . . . [Full Text PDF of this Article]

Author Affiliations
Boston

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