Nodular Basal Cell Carcinoma

From dermoscopedia

Main PageSkin of colorBasal cell carcinomaNodular Basal Cell Carcinoma
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Description This chapter describes the dermoscopy of nodular basal cell carcinoma
Author(s) Ashfaq A. Marghoob · Ofer Reiter
Responsible author Ash Marghoob→ send e-mail
Status unknown
Status update September 11, 2019
Status by Ralph P. Braun

Nodular basal cell carcinoma (nBCC) is the most common sub-type and accounts for approximately 50-80% of BCCs. Clinically is manifests as an elevated tumor (papule or nodule) with a pearly and translucent margin and telangiectasia [1].

General dermoscopic features

As nodular BCC is the "classic" BCC type, all of the dermoscopic features mentioned in the general BCC sub-chapter can be found in nodular BCC:

Created by Natalia Jaimes
File created by Natalia Jaimes.

Specific dermoscopic features

However, some features are more common in nodular BCC compared to other BCC sub-types [2][3][4]. These include:

  • Arborizing vessels
  • Blue-gray ovoid nests
  • Ulceration

Features that are less likely to be seen in nodular BCC compared to other BCC subtypes include:

  • Leaf-like structures
  • Spoke wheel-like structures
  • Multiple small erosions


  1. Chung: Basal cell carcinoma. Arch Plast Surg 2012;39:166-70. PMID: 22783519. DOI.
  2. Lallas et al.: Accuracy of dermoscopic criteria for discriminating superficial from other subtypes of basal cell carcinoma. J. Am. Acad. Dermatol. 2014;70:303-11. PMID: 24268311. DOI.
  3. Longo et al.: Classifying distinct basal cell carcinoma subtype by means of dermatoscopy and reflectance confocal microscopy. J. Am. Acad. Dermatol. 2014;71:716-724.e1. PMID: 24928707. DOI.
  4. Popadić: Dermoscopic features in different morphologic types of basal cell carcinoma. Dermatol Surg 2014;40:725-32. PMID: 25111343. DOI.