Abstract
Basal cell carcinomas (BCCs) represent the most common skin tumors in humans, with an increasing incidence worldwide. They occur preferentially in chronically UV-exposed areas in elderly fair-skinned individuals/Caucasians. Basal cell carcinomas originate from stem cell-like cells of the follicular epidermis. As they tend to be locally infiltrative and are known to have low metastatic potential they are referred to as semi-malignant tumors. There are various clinicopathologic subtypes, but all of them share the same genetic alterations within the aberrantly activated Hedgehog signaling pathway. With the exception of superficial BCCs, treatment consists of surgery or radiotherapy. A more recent treatment concept for patients with metastastic or unresectable BCCs consists of the use of hedgehog pathway inhibitors
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References
Aigner BA, Darsow U, Grosber M et al (2010) Multiple basal cell carcinomas after long-term exposure to hydrazine: case report and review of the literature. Dermatology 221:300–302
Betti R, Menni S, Radaelli G et al (2010) Micronodular basal cell carcinoma: a distinct subtype? Relationship with nodular and infiltrative basal cell carcinoma. J Dermatol 37:611–616
Engel E, Ulrich H, Vasold R et al (2008) Azo pigments and a basal cell carcinoma at the thumb. Dermatology 216:76–80
Goldschmidt H, Breneman JC, Breneman DL (1994) Ionizing radiation therapy in dermatology. J Am Acad Dermatol 30:157–182
Hauschild A, Breuninger H, Kaufmann R et al (2013) Kurzleitlinie – Basalzellkarzinom der Haut (Update 2012). J Dtsch Dermatol Ges 11(Supp. 3):11–16
Heppt M, von Braunmühl T, Berking C (2016) Was gibt es Neues zum Basalzellkarzinom? Hautarzt 67:876–883
Jaju PD, Ransohoff KJ, Tang JY et al (2016) Familial skin cancer syndromes. Increased risk of nonmelanotic skin cancers and extracutaneous tumors. J Am Acad Dermatol 74:437–451
Karagas MR, Stannard VA, Mott LA et al (2002) Use of tanning devices and risk of basal cell and squamous cell skin cancers. J Natl Cancer Inst 94:224–226
Kim DJ, Spaunhurst K, Montoya J et al (2014) Open-label, exploratory phase II trial of oral itraconazole for treatment of basal cell carcinoma. J Clin Oncol 32:745–715
Kimonis VE, Mehta SG, Digiovanna JJ et al (1997) Clinical manifestations in 105 persons with nevoid basal cell carcinoma syndrome. Am J Med Genet 69:299–308
Kyrgidis A, Tzellos TG, Vahtsevanos K et al (2010) New concepts for basal cell carcinoma. Demographic, clinical, histological risk factors, and biomarkers. A systematic review of evidence regarding risk for tumor development, susceptibility for second primary and recurrence. J Surg Res 159:545–556
LeBoit PE, Burg G, Weedon et al (2006) World Health Organisation classification of tumours. Pathology and genetics of skin tumours. IARC Press, Lyon
Lichter MD, Karagas MR, Mott LA et al (2000) Therapeutic ionizing radiation and the incidence of basal cell carcinoma and squamous cell carcinoma. The New Hampshire skin cancer study group. Arch Dermatol 136:1007–1011
Lonsdorf AS, Becker MR, Stockfleth E et al (2010) Primär- und Sekundärprophylaxe von Hauttumoren nach Organtransplantation. Hautarzt 61:195–206
Nijsten TE, Stern RS (2003) The increased risk of skin cancer is persistent after discontinuation of psoralen and ultraviolet A: a cohort study. J Investig Dermatol 121:252–258
Reifenberger J (2007) Basalzellkarzinom. Molekulare Genetik und ungewöhnliche klinische Manifestationen. Hautarzt 58:406–411
Sage AP, Minatel BC, Ng KW et al (2017) Oncogenomic disruptions in arsenic-induced carcinogenesis. Oncotarget 8:25736–25755
Scrivener Y, Grosshans E, Cribier B (2002) Variations of basal cell carcinomas according to gender, age, location and histopathological subtype. Br J Dermatol 147:41–47
Sellheyer K (2011) Basalzellkarzinom und Stammzellmarker. Beitrag zur möglichen Histiogenese? Hautarzt 62:119–127
Sellheyer K, Nelson P, Kutzner H (2012) Fibroepithelioma of Pinkus is a true basal cell carcinoma developing in association with a newly identfied tumour-specific type of epidermal hyperplasia. Br J Dermatol 166:88–97
Verkouteren JAC, Ramdas KHR, Wakkee M et al (2017) Epidemiology of basal cell carcinoma: scholarly review. Br J Dermatol. https://doi.org/10.1111/bjg.15321
Weissferdt A, Kalhor N, Moran CA (2017) Cutaneous basal cell carcinoma with distant metastasis to thorax and bone. Virchows Arch. https://doi.org/10.1007/s00428-017-2121-3
Wu F, Zhang Y, Sun B et al (2017) Hedgehog signaling: from basic biology to cancer therapy. Cell Chem Biol. https://doi.org/10.1016/j.chembiol.2017.02.010
Youssef KK, Lapouge G, Bouvrée K et al (2012) Adult interfollicular tumour initiating cells are reprogrammed into embryonic hair follicle progenitor-like fate during basal cell carcinoma initiation. Nat Cell Biol 14:1282–1294
First Describer
Bazex A, Dupré A, Christol B (1966) Atrophodermia folliculaire proliférations baso-celluaires et hypotrichose. Ann Dermatol Syphiligr 93:241–254
Brownstein MH (1992) Basaloid follicular hamartoma: solitary and multiple types. J Am Acad Dermatol 27:237–240
Darier J, Ferrand M (1922) L’épithéliome pavimenreux mixte et intermédiaire. Forme métatypique du cancer malpighien de la peau et des orifices muqueux. Ann Dermatol Syphiligr 4:385–406
Gorlin RJ, Goltz RW (1960) Multiple nevoid basal cell epithelioma, jaw cysts and bifid rib. A syndrome. N Engl J Med 262:908–912
Howell JB, Caro MR (1959) The basal-cell nevus: its relationship to multiple cutaneous cancers and associated anomalies of development. Arch Dermatol 79:67–77
Krompecher E (1900) Der drüsenartige Oberflächenepithelkrebs. Carcinoma epitheliale adenoides. Hierzu Tafel I und II und 1 Figur im Text. In: Zieler E (Hrsg) Beiträge Path Anat 28:1–41. Fischer, Jena
Michaelsson G, Olsson E, Westermark P (1981) The Rombo syndrome: a familial disorder with vermiculate atrophoderma, milia, hypotrichosis, trichoepitheliomas, basal cell carcinomas and peripheral vasodilation with cyanosis. Acta Derm Venereol (Stockh) 61:497–503
Pinkus H (1953) Premalignant fibroepithelial tumors of skin. Arch Dermatol Syphilol 67:598–615
Requena L, Martin L, Farina MC et al (1996) Keloidal basal cell carcinoma. A new clinicopathological variant of basal cell carcinoma. Br J Dermatol 134:953–957
Requena L, Farina MC, Robledo M et al (1999) Multiple hereditary infundibulocystic basal cell carcinomas: a genodermatosis different from nevoid basal cell carcinoma syndrome. Arch Dermatol 135:1227–1235
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Reifenberger, J. (2022). Basal Cell Carcinoma. In: Plewig, G., French, L., Ruzicka, T., Kaufmann, R., Hertl, M. (eds) Braun-Falco´s Dermatology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-63709-8_101
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DOI: https://doi.org/10.1007/978-3-662-63709-8_101
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