Journal of the American Academy of Dermatology
Case reportBasal cell carcinoma in childhood: Case report and literature review
Section snippets
Case report
A 7-year-old boy was seen for evaluation of a violaceous 4-mm papule with a 1-mm translucent rolled border on the superior nasal bridge (Fig 1). The lesion was initially noted a year earlier when it appeared as a small “water blister.” More recently, the lesion had grown and had changed in color by becoming more violaceous. The clinical impression was either a benign adnexal tumor, a Spitz nevus, or a hemangioma.
There was no history of a precursor lesion. The child had no history of BCC nevus
Discussion
BCC is the most common form of skin cancer.54, 55, 56, 57 It typically presents in adults and has been associated with exposure to ultraviolet radiation.54, 58, 59 BCC occasionally is reported in children. In this setting, there is often an associated condition; however, de novo BCC has been observed in boys and girls 18 years of age and younger.
To our knowledge, childhood onset idiopathic BCC has been observed in a total of 107 children, including our patient (Table I).1, 2, 3, 4, 5, 6, 7, 8, 9
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