A 67-year-old business executive and tennis player has a basal cell carcinoma removed from the right cheek. What is TRUE of basal cell carcinoma?Basal cell carcinoma with rolled, pearly borders: (A) It may show a flat ulcer., (B) It may metastasize to lymph nodes., (C) It may metastasize to remote skin areas., (D) It is found exclusively in the head and neck.
Answer is A. The surface of a basal cell carcinoma has a shiny appearance with telangiectasia. Ulcer formation may occur; hence, are named rodent ulcer. Although treatments with 5 FU, cryosurgery, or electrodessication are effective in treatment, surgical excision offers the best results and ensures an accurate diagnosis.