Which specialist treats basal cell carcinoma?

Basal cell carcinoma is a skin cancer that may look like a sore that does not heal, a shiny or scaly spot, a bleeding area, or a changing lump. A dermatologist examines the lesion and nearby skin, then may remove a small sample or the whole lesion for laboratory diagnosis. The result helps determine the type, depth, and edges that need treatment.

Treatment may include surgical excision or Mohs surgery. Selected superficial lesions may be managed with imiquimod or photodynamic therapy. Radiotherapy may be discussed when surgery is unsuitable or when the location and clinical situation call for it.

Arrange a dermatology appointment for a new, changing, bleeding, or non-healing spot, especially on sun-exposed skin. Do not repeatedly pick it or cover it with unreviewed creams. Take a clear photograph, note when it appeared, and list medicines that affect bleeding or healing. Ask whether a biopsy is needed and how the proposed treatment will protect function and appearance.

Seek prompt assessment for a sore that repeatedly crusts or bleeds, a lump that enlarges, or an ulcer that persists. Ask for urgent advice if the lesion is near an eye, nose, ear, or mouth, or if there is severe pain, spreading redness, fever, or uncontrolled bleeding. A suspicious lesion deserves review even when it causes little discomfort.

Ask: Is a biopsy required? What does the pathology result show? Which treatment fits the location and margins? Would Mohs surgery be useful? How will the wound be closed and monitored? What changes should prompt a follow-up visit?