Basal Cell Carcinoma (BCC) - Health Tips

Get practical tips regarding Basal Cell Carcinoma (BCC) to help you prepare for your appointments and manage your care from home.

Thoughts on Basal Cell Carcinoma (BCC) by Dr. Jeffrey Poole, MD, FAAD
January 2006

Topical therapies, such as imiquimod and 5-fluorouracil (5-FU), may be prescribed for the treatment of certain types of basal cell carcinomas (BCCs).

Ingenol mebutate (Picato® Gel), another topical medication, may also be prescribed for the treatment of BCC. Although this use is "off-label" (meaning the medication was first approved by the FDA for a different medical condition) it may become a leading topical agent in BCC treatment.

Some recent studies have shown very good efficacy using both the pulsed-dye laser and the long-pulsed Alexandrite laser.

Most recently, vismodegib (Erivedge®) became the first systemic agent approved for metastatic or advanced cases of basal cell carcinoma. The approval of this new medication marks a truly exciting time in the field of skin cancer therapy.

The goal of these BCC treatment options is to provide a simpler treatment course, produce less scarring, or provide an effective treatment option for those patients that cannot tolerate or do not desire surgery.

Referral to a Mohs surgeon is generally reserved for high-risk locations (such as the eye, mouth, ears or nose), cosmetically sensitive areas, or for high-risk lesions.

Recurrent skin cancers, especially large lesions, or certain more aggressive sub-types, such as morpheaphorm or sclerosing BCC, are often candidates for Mohs surgery as well.