Basal Cell Carcinoma of the Skin: A Clinical Study View PDF

*Ussama Malallah Makki Altaiema
Department Of Dermatology, Al-Sayyab Teaching Hospital, Basrah Health Directorate, Ministry Of Health, Basrah, Iraq
Uday Shakir Radhi Al-Edani
Department Of Dermatology, Al-Sayyab Teaching Hospital, Basrah Health Directorate, Ministry Of Health, Basrah, Iraq
Muataz Abdullah Abdulrahman Alrahmani
Department Of Dermatology, Basrah Teaching Hospital, Basrah Health Directorate, Ministry Of Health, Basrah, Iraq

*Corresponding Author:
Ussama Malallah Makki Altaiema
Department Of Dermatology, Al-Sayyab Teaching Hospital, Basrah Health Directorate, Ministry Of Health, Basrah, Iraq

Published on: 2024-12-04

Abstract

Skin cancer is a major public health due to raise incidence over the world. Basal cell carcinoma (BCC) is the most common form of human skin cancer. The study aims to detect the association between demographic, clinical and pathological characters of BCC. A cross-sectional study was conducted from August 2019 to June 2023. Totally, 105 lesions on the head and neck belonging to 99 cases who were suspected to have BCC by clinical examination. Each excisional biopsies were sent for histopathological study to confirm the diagnosis. Concerning the socio-demographic characters, 68(69.3%) were males and 30(30.7%) females, their ages ranged between 38 - 70 years (59.8 ± 12.9 years). Seventy-eight (79.6%) were lived in rural areas, while 21(20.4%) cases were lived in urban regions and 59(60.2%) of them previously worked as farmers. Smoking was predominant habit in 68(69.3%). The family history of skin cancers was positive in 36(35.7%). A significant differences were noted concerning the job and positive family history of skin cancer among cases in the two study settings (P = 0.05) and (P = 0.04), respectively. Sun exposure is an important risk factor for developing skin cancer, especially in those living in rural areas. In the future, a histopathological investigation of BCC lesions could be provided only to the control of the treatment. The better diagnoses improve an early removal of lesions with much better prognosis.

Keywords

Basal cell carcinoma, Skin cancer, Skin-photo-type, Fitzpatrick's classification, Morphea form

Introduction

According to the latest published cancer registry in Iraq, skin cancer is the 9th most common diagnosed malignancy [1, 2]. Ultraviolet radiation from sun exposure is an etiological factor [3], in addition to fair skin, sun burn, smoking and subjection to ionizing radiation [4]. BCC does not metastasize, but sometimes it can distract the skin and invade underlying organs [4, 5]. BCC is defined by WHO Committee of the skin tumors as “a locally invasive, slowly spreading rarely metastasizing tumor and arising in the epidermis” [5, 6]. The skin type is another important factor in etiology which could influence signal intensity. In general, skin types are classified into six categories according to the Fitzpatrick scale as follows [7, 8]. The BCC clinical variants include nodular, ulcerated, superficial spreading, infiltrative and morphea forms [5]

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