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The Dermoscopy of Basal Cell Cancers [BCC's]

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Primary Care Dermoscopy Academy

This Course in Primary Care Dermoscope continues with this video introducing you to the dermoscopy of Basal Cell Cancers [BCC's]. Please Subscribe to join this free Course.
00:45 BCCs what are they and how common?
01:36 Types of BCC
03:10 How to diagnose a BCC
03:41 The First rule of diagnosis is a NEGATIVE
03:58 6 structures see on Dermoscopy
04:15 1 Vessels
05:05 2 Ulceration & Erosions
05:21 3 Shiny White Structures
06:00 4 MAY globules
06:40 Pigmented structures explained
07:05 5 Leaflike
08:25 6 Blue/Gray
08:49 Structures and their associations with BCC types
10:50 What to do when diagnosed
11:40 What to tell your patient
12:10 High risk areas
12:48 Can a GP treat BCCs?
13:14 Quiz time 8 patients

Thanks to mypathreport.ca for letting me use their image of the histology of BCCs in this video [at 2 mins 50 secs]

This is my longest video yet, and I wrestled with breaking it down in 2 or 3 videos. However, I feel you will benefit from this longer version and can see how the pieces of the jigsaw can be put together to make a good diagnosis.
I welcome comments and suggestions on my videos, and thumbs up if you found it helpful. At the end of the day that's what this Channel is about.

Thanks as always to my patients who are so willing for me to photograph and share their stories with you. They are keen for you to learn and help your patients the way I help mine. Please respect their permission and don't copy their images without consent.

Some useful links are below for you to explore further should you so wish.

1. PCDS website link to BCCs information
https://www.pcds.org.uk/clinicalguid...
2. British Association of Dermatologists patient leaflet you could download and use with your patients
https://www.bad.org.uk/pils/basalcel...
3. A super free access article on 'MAY' globules worth a read, courtesy of JAMA Dermatology
https://www.ncbi.nlm.nih.gov/pmc/arti...
4. 2021 British Association of Dermatologist guidelines on the management of BCCs
https://onlinelibrary.wiley.com/doi/e... bjd.20524
5. I found this article useful [partial access] as I wrestled with what causes the pigment in BCC's
https://onlinelibrary.wiley.com/doi/1...
6. An article exploring Shiny White Structure in BCC's that is helpful
https://www.ncbi.nlm.nih.gov/pmc/arti...

Medical Practice is called 'practice' for a reason. I continue to learn, therefore welcome comments and suggestion regarding this video, course and any ideas you may have for this Channel.

My patients are very keen to help future doctors learn dermoscopy. They have been happy to givec written consent for their images to be displayed on this Channel. Please respect their images, and don't reuse them without their consent. Contact me if you wish to reuse any images/videos.

posted by freerootsxe