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G. Thomas Jansen, MD

JAMA. 1976;235(11):1152-1154.

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BASAL cell epithelioma is the most common skin carcinoma in the United States. Because these lesions rarely metastasize, their medical importance has been minimized by some, and others have approached treatment with a cavalier attitude. Fortunately, a majority of basal cell epitheliomas can be cured with a simple treatment approach, especially when the lesions are of the common "rodent ulcer" or solid type (Fig 1), containing only a small amount of fibrous stroma. However, the physician must realize that this carcinoma has an unusual number of clinical traits capable of invading cartilage and bone and extending along blood vessels and nerves, leading toward the recurrent, serious, and complicated cases (Fig'2). These variations include the superficial erythematous type (Fig 3), which may resemble psoriasis or eczema. Treatment may be delayed because of clinical misinterpretation. Another form may be deeply pigmented (Fig 4) and mistaken for a nevus, or malignant melanoma.

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Author Affiliations
From the Department of Dermatology, University of Arkansas for Health Sciences, and the Division of Dermatology, Little Rock Veterans Administration Hospital, Little Rock.

Footnotes
Reprints not available.

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