Basal cell carcinoma physical examination: Difference between revisions

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{{Basal cell carcinoma}}
{{Basal cell carcinoma}}


{{CMG}}; {{AE}} {{JH}}
{{CMG}}; {{AE}}{{M.N}}


==Overview==
==Overview==
The physical examination of basal cell carcinoma is based on a clinical exam.
[[Patients]] with basal cell carcinoma usually have normal general appearance. [[Skin]] [[examination]] usually show [[papules]], [[plaques]], [[central]] [[ulceration]] with rolled borders, [[telangiectasias]].


==Physical Examination==
==Physical Examination==
The physical examination of basal cell carcinoma is based on a clinical exam.
*[[Physical examination]] of [[patients]] with basal cell carcinoma is usually normal except some [[skin]] findings:
 
====Face====
 
<gallery>
 
Image:Basal_cell_carcinoma _01.jpeg|Basal cell carcinoma. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=12  With permission from Dermatology Atlas.]''<ref name="www.atlasdermatologico.com.br">{{Cite web | title = Dermatology Atlas | url = http://atlasdermatologico.com.br/disease.jsf?diseaseId=52>
 
Image:Basal_cell_carcinoma _02.jpeg|Basal cell carcinoma. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=12  With permission from Dermatology Atlas.]''<ref name="www.atlasdermatologico.com.br">{{Cite web | title = Dermatology Atlas | url = http://atlasdermatologico.com.br/disease.jsf?diseaseId=52>
 
Image:Basal_cell_carcinoma _03.png|Basal cell carcinoma. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=12  With permission from Dermatology Atlas.]''<ref name="www.atlasdermatologico.com.br">{{Cite web | title = Dermatology Atlas | url = http://atlasdermatologico.com.br/disease.jsf?diseaseId=52>
 
Image:Basal_cell_carcinoma _04.jpeg|Basal cell carcinoma. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=12  With permission from Dermatology Atlas.]''<ref name="www.atlasdermatologico.com.br">{{Cite web | title = Dermatology Atlas | url = http://atlasdermatologico.com.br/disease.jsf?diseaseId=52>
 
Image:Basal_cell_carcinoma _05.png|Basal cell carcinoma.
 
<SMALL><SMALL>''[http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=12  With permission from Dermatology Atlas.]''<ref name="www.atlasdermatologico.com.br">{{Cite web | title = Dermatology Atlas | url = http://atlasdermatologico.com.br/disease.jsf?diseaseId=52>
 
Image:Basal_cell_carcinoma _09.png|Basal cell carcinoma.
 
<SMALL><SMALL>''[http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=12  With permission from Dermatology Atlas.]''<ref name="www.atlasdermatologico.com.br">{{Cite web | title = Dermatology Atlas | url = http://atlasdermatologico.com.br/disease.jsf?diseaseId=52>
 
Image:Basal_cell_carcinoma_10.png|Basal cell carcinoma. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=12  With permission from Dermatology Atlas.]''<ref name="www.atlasdermatologico.com.br">{{Cite web | title = Dermatology Atlas | url = http://atlasdermatologico.com.br/disease.jsf?diseaseId=52>
 
Image:Basal_cell_carcinoma_11.jpeg|Basal cell carcinoma.
 
<SMALL><SMALL>''[http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=12  With permission from Dermatology Atlas.]''<ref name="www.atlasdermatologico.com.br">{{Cite web | title = Dermatology Atlas | url = http://atlasdermatologico.com.br/disease.jsf?diseaseId=52>
 
Image:Basal_cell_carcinoma_12.jpeg|Basal cell carcinoma. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=12  With permission from Dermatology Atlas.]''<ref name="www.atlasdermatologico.com.br">{{Cite web | title = Dermatology Atlas | url = http://atlasdermatologico.com.br/disease.jsf?diseaseId=52>
 
Image:Basal_cell_carcinoma_13.jpeg|Basal cell carcinoma.
 
<SMALL><SMALL>''[http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=12  With permission from Dermatology Atlas.]''<ref name="www.atlasdermatologico.com.br">{{Cite web | title = Dermatology Atlas | url = http://atlasdermatologico.com.br/disease.jsf?diseaseId=52>
 
Image:Basal_cell_carcinoma_14.jpeg|Basal cell carcinoma. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=12  With permission from Dermatology Atlas.]''<ref name="www.atlasdermatologico.com.br">{{Cite web | title = Dermatology Atlas | url = http://atlasdermatologico.com.br/disease.jsf?diseaseId=52>
 
Image:Basal_cell_carcinoma_15.jpeg|Basal cell carcinoma.
 
<SMALL><SMALL>''[http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=12  With permission from Dermatology Atlas.]''<ref name="www.atlasdermatologico.com.br">{{Cite web | title = Dermatology Atlas | url = http://atlasdermatologico.com.br/disease.jsf?diseaseId=52>
 
Image:Basal_cell_carcinoma_19.jpeg|Basal cell carcinoma.
 
<SMALL><SMALL>''[http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=12  With permission from Dermatology Atlas.]''<ref name="www.atlasdermatologico.com.br">{{Cite web | title = Dermatology Atlas | url = http://atlasdermatologico.com.br/disease.jsf?diseaseId=52>
 
Image:Basal_cell_carcinoma _20.jpeg|Basal cell carcinoma. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=12  With permission from Dermatology Atlas.]''<ref name="www.atlasdermatologico.com.br">{{Cite web | title = Dermatology Atlas | url = http://atlasdermatologico.com.br/disease.jsf?diseaseId=52>
 
Image:Basal_cell_carcinoma_21.jpeg|Basal cell carcinoma.
 
<SMALL><SMALL>''[http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=12  With permission from Dermatology Atlas.]''<ref name="www.atlasdermatologico.com.br">{{Cite web | title = Dermatology Atlas | url = http://atlasdermatologico.com.br/disease.jsf?diseaseId=52>
 
Image:Basal_cell_carcinoma_22.jpeg|Basal cell carcinoma. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=12  With permission from Dermatology Atlas.]''<ref name="www.atlasdermatologico.com.br">{{Cite web | title = Dermatology Atlas | url = http://atlasdermatologico.com.br/disease.jsf?diseaseId=52>
 
Image:Basal_cell_carcinoma_24.jpeg|Basal cell carcinoma. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=12  With permission from Dermatology Atlas.]''<ref name="www.atlasdermatologico.com.br">{{Cite web | title = Dermatology Atlas | url = http://atlasdermatologico.com.br/disease.jsf?diseaseId=52>
 
Image:Basal_cell_carcinoma_29.jpeg|Basal cell carcinoma.
 
<SMALL><SMALL>''[http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=12  With permission from Dermatology Atlas.]''<ref name="www.atlasdermatologico.com.br">{{Cite web | title = Dermatology Atlas | url = http://atlasdermatologico.com.br/disease.jsf?diseaseId=52>
 
Image:Basal_cell_carcinoma_34.jpeg|Basal cell carcinoma.
 
<SMALL><SMALL>''[http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=12  With permission from Dermatology Atlas.]''<ref name="www.atlasdermatologico.com.br">{{Cite web | title = Dermatology Atlas | url = http://atlasdermatologico.com.br/disease.jsf?diseaseId=52>
 
Image:Basal_cell_carcinoma_37.jpeg|Basal cell carcinoma.
 
<SMALL><SMALL>''[http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=12  With permission from Dermatology Atlas.]''<ref name="www.atlasdermatologico.com.br">{{Cite web | title = Dermatology Atlas | url = http://atlasdermatologico.com.br/disease.jsf?diseaseId=52>
 
Image:Basal_cell_carcinoma_38.jpeg|Basal cell carcinoma.
 
<SMALL><SMALL>''[http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=12  With permission from Dermatology Atlas.]''<ref name="www.atlasdermatologico.com.br">{{Cite web | title = Dermatology Atlas | url = http://atlasdermatologico.com.br/disease.jsf?diseaseId=52>
 
Image:Basal_cell_carcinoma_41.jpeg|Basal cell carcinoma.
 
<SMALL><SMALL>''[http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=12  With permission from Dermatology Atlas.]''<ref name="www.atlasdermatologico.com.br">{{Cite web | title = Dermatology Atlas | url = http://atlasdermatologico.com.br/disease.jsf?diseaseId=52>
 
Image:Basal_cell_carcinoma_42.jpeg|Basal cell carcinoma.
 
<SMALL><SMALL>''[http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=12  With permission from Dermatology Atlas.]''<ref name="www.atlasdermatologico.com.br">{{Cite web | title = Dermatology Atlas | url = http://atlasdermatologico.com.br/disease.jsf?diseaseId=52>
 
 
</gallery>
 
====Neck====
 
<gallery>
 
Image:Basal_cell_carcinoma _16.jpeg|Basal cell carcinoma. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=12  With permission from Dermatology Atlas.]''<ref name="www.atlasdermatologico.com.br">{{Cite web | title = Dermatology Atlas | url = http://atlasdermatologico.com.br/disease.jsf?diseaseId=52>
 
</gallery>
 
====Extremities====
 
 
<gallery>
 
Image:Basal_cell_carcinoma_31.jpeg|Basal cell carcinoma.
 
<SMALL><SMALL>''[http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=12  With permission from Dermatology Atlas.]''<ref name="www.atlasdermatologico.com.br">{{Cite web | title = Dermatology Atlas | url = http://atlasdermatologico.com.br/disease.jsf?diseaseId=52>
 
</gallery>
 
====Perineal area====
 
 
<gallery>
 
Image:Basal_cell_carcinoma_36.jpeg|Basal cell carcinoma.
 
<SMALL><SMALL>''[http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=12  With permission from Dermatology Atlas.]''<ref name="www.atlasdermatologico.com.br">{{Cite web | title = Dermatology Atlas | url = http://atlasdermatologico.com.br/disease.jsf?diseaseId=52>
 
</gallery>
 
====Skin====
 
 
<gallery>
 
Image:Basal_cell_carcinoma _06.jpeg|Basal cell carcinoma. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=12  With permission from Dermatology Atlas.]''<ref name="www.atlasdermatologico.com.br">{{Cite web | title = Dermatology Atlas | url = http://atlasdermatologico.com.br/disease.jsf?diseaseId=52>
 
Image:Basal_cell_carcinoma _07.jpeg|Basal cell carcinoma.
 
<SMALL><SMALL>''[http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=12  With permission from Dermatology Atlas.]''<ref name="www.atlasdermatologico.com.br">{{Cite web | title = Dermatology Atlas | url = http://atlasdermatologico.com.br/disease.jsf?diseaseId=52>
 
Image:Basal_cell_carcinoma _08.jpeg|Basal cell carcinoma. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=12  With permission from Dermatology Atlas.]''<ref name="www.atlasdermatologico.com.br">{{Cite web | title = Dermatology Atlas | url = http://atlasdermatologico.com.br/disease.jsf?diseaseId=52>
 
Image:Basal_cell_carcinoma _17.jpeg|Basal cell carcinoma.
 
<SMALL><SMALL>''[http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=12  With permission from Dermatology Atlas.]''<ref name="www.atlasdermatologico.com.br">{{Cite web | title = Dermatology Atlas | url = http://atlasdermatologico.com.br/disease.jsf?diseaseId=52>
 
Image:Basal_cell_carcinoma _18.jpeg|Basal cell carcinoma. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=12  With permission from Dermatology Atlas.]''<ref name="www.atlasdermatologico.com.br">{{Cite web | title = Dermatology Atlas | url = http://atlasdermatologico.com.br/disease.jsf?diseaseId=52>
 
Image:Basal_cell_carcinoma_23.jpeg|Basal cell carcinoma.
 
<SMALL><SMALL>''[http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=12  With permission from Dermatology Atlas.]''<ref name="www.atlasdermatologico.com.br">{{Cite web | title = Dermatology Atlas | url = http://atlasdermatologico.com.br/disease.jsf?diseaseId=52>
 
Image:Basal_cell_carcinoma_25.jpeg|Basal cell carcinoma.
 
<SMALL><SMALL>''[http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=12  With permission from Dermatology Atlas.]''<ref name="www.atlasdermatologico.com.br">{{Cite web | title = Dermatology Atlas | url = http://atlasdermatologico.com.br/disease.jsf?diseaseId=52>
 
Image:Basal_cell_carcinoma_26.jpeg|Basal cell carcinoma. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=12  With permission from Dermatology Atlas.]''<ref name="www.atlasdermatologico.com.br">{{Cite web | title = Dermatology Atlas | url = http://atlasdermatologico.com.br/disease.jsf?diseaseId=52>
 
Image:Basal_cell_carcinoma_27.jpeg|Basal cell carcinoma.
 
<SMALL><SMALL>''[http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=12  With permission from Dermatology Atlas.]''<ref name="www.atlasdermatologico.com.br">{{Cite web | title = Dermatology Atlas | url = http://atlasdermatologico.com.br/disease.jsf?diseaseId=52>
 
Image:Basal_cell_carcinoma_28.jpeg|Basal cell carcinoma. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=12  With permission from Dermatology Atlas.]''<ref name="www.atlasdermatologico.com.br">{{Cite web | title = Dermatology Atlas | url = http://atlasdermatologico.com.br/disease.jsf?diseaseId=52>
 
Image:Basal_cell_carcinoma_30.jpeg|Basal cell carcinoma. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=12  With permission from Dermatology Atlas.]''<ref name="www.atlasdermatologico.com.br">{{Cite web | title = Dermatology Atlas | url = http://atlasdermatologico.com.br/disease.jsf?diseaseId=52>
 
Image:Basal_cell_carcinoma_39.jpeg|Basal cell carcinoma.
 
<SMALL><SMALL>''[http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=12  With permission from Dermatology Atlas.]''<ref name="www.atlasdermatologico.com.br">{{Cite web | title = Dermatology Atlas | url = http://atlasdermatologico.com.br/disease.jsf?diseaseId=52>
 
Image:Basal_cell_carcinoma_40.jpeg|Basal cell carcinoma.
 
<SMALL><SMALL>''[http://www.atlasdermatologico.com.br/disease.jsf?diseaseId=12  With permission from Dermatology Atlas.]''<ref name="www.atlasdermatologico.com.br">{{Cite web | title = Dermatology Atlas | url = http://atlasdermatologico.com.br/disease.jsf?diseaseId=52>
 
</gallery>
 
 
 
==Overview==
Patients with basal cell carcinoma usually have normal general appearance.
 
==Physical Examination==
Physical examination of patients with basal cell carcinoma is usually normal except some skin findings


===Appearance of the Patient===
===Appearance of the Patient===
*Patients with basal cell carcinoma are usually normal
*[[Patients]] with basal cell carcinoma are usually normal


===Vital Signs===
===Vital Signs===
*Vital signs of patients with basal cell carcinoma are usually within normal limits
*[[Vital signs]] of [[patients]] with basal cell carcinoma are usually within normal limits


===Skin===
===Skin===
* Skin examination of patients with basal cell carcinoma usually varies like
* [[Skin]] [[examination]] of [[patients]] with basal cell carcinoma usually varies like<ref name="CameronLee2019">{{cite journal|last1=Cameron|first1=Michael C.|last2=Lee|first2=Erica|last3=Hibler|first3=Brian P.|last4=Barker|first4=Christopher A.|last5=Mori|first5=Shoko|last6=Cordova|first6=Miguel|last7=Nehal|first7=Kishwer S.|last8=Rossi|first8=Anthony M.|title=Basal cell carcinoma|journal=Journal of the American Academy of Dermatology|volume=80|issue=2|year=2019|pages=303–317|issn=01909622|doi=10.1016/j.jaad.2018.03.060}}</ref><ref name="pmid25134314">{{cite journal |vauthors=Sehgal VN, Chatterjee K, Pandhi D, Khurana A |title=Basal cell carcinoma: pathophysiology |journal=Skinmed |volume=12 |issue=3 |pages=176–81 |date=2014 |pmid=25134314 |doi= |url=}}</ref>
**Waxy papules or plaques  
**Waxy [[papules]] or [[plaques]]
**Crusting
**Crusting
**Rolled borders
**Rolled borders
**Central ulceration
**Central [[ulceration]]
**Telangiectaces over the surface
**[[Telangiectasias]] over the surface
**Shiny and pearly
**Shiny and pearly


===HEENT===
===HEENT===
*HEENT examination of patients with basal cell carcinoma is usually normal.
*HEENT [[examination]] of [[patients]] with basal cell carcinoma is usually normal.


===Neck===
===Neck===
*Neck examination of patients with basal cell carcinoma is usually normal
*[[Neck]] [[examination]] of [[patients]] with basal cell carcinoma is usually normal


===Lungs===
===Lungs===
*Pulmonary examination of patients with basal cell carcinoma is usually normal.
*[[Pulmonary examination]] of [[patients]] with basal cell carcinoma is usually normal.


===Heart===
===Heart===
*Cardiovascular examination of patients with basal cell carcinoma is usually normal.
*[[Cardiovascular]] [[examination]] of [[patients]] with basal cell carcinoma is usually normal.


===Abdomen===
===Abdomen===
*Abdominal examination of patients with basal cell carcinoma is usually normal.
*[[Abdominal examination]] of [[patients]] with basal cell carcinoma is usually normal.


===Back===
===Back===
*Back examination of patients with basal cell carcinoma is usually normal.
*[[Back]] [[examination]] of [[patients]] with basal cell carcinoma is usually normal.


===Genitourinary===
===Genitourinary===
*Genitourinary examination of patients with basal cell carcinoma is usually normal.
*[[Genitourinary]] [[examination]] of [[patients]] with basal cell carcinoma is usually normal.


===Neuromuscular===
===Neuromuscular===
* Neuromuscular examination of patients with basal cell carcinoma is usually normal.
* [[Neuromuscular]] [[examination]] of [[patients]] with basal cell carcinoma is usually normal.


===Extremities===
===Extremities===
*Extremities examination of patients with basal cell carcinoma is usually normal.
*[[Extremities]] [[examination]] of [[patients]] with basal cell carcinoma is usually normal.


===Image gallery===
===Image gallery===
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{{Reflist|2}}


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Latest revision as of 14:57, 11 March 2019


Basal cell carcinoma Microchapters

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Maneesha Nandimandalam, M.B.B.S.[2]

Overview

Patients with basal cell carcinoma usually have normal general appearance. Skin examination usually show papules, plaques, central ulceration with rolled borders, telangiectasias.

Physical Examination

Appearance of the Patient

  • Patients with basal cell carcinoma are usually normal

Vital Signs

Skin

HEENT

Neck

Lungs

Heart

Abdomen

Back

Genitourinary

Neuromuscular

Extremities

Image gallery

References

  1. ↑ Cameron, Michael C.; Lee, Erica; Hibler, Brian P.; Barker, Christopher A.; Mori, Shoko; Cordova, Miguel; Nehal, Kishwer S.; Rossi, Anthony M. (2019). "Basal cell carcinoma". Journal of the American Academy of Dermatology. 80 (2): 303–317. doi:10.1016/j.jaad.2018.03.060. ISSN 0190-9622.
  2. ↑ Sehgal VN, Chatterjee K, Pandhi D, Khurana A (2014). "Basal cell carcinoma: pathophysiology". Skinmed. 12 (3): 176–81. PMID 25134314.

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