What describes a basal cell carcinoma lesion's appearance?

Prepare for the ANCC Family Nurse Practitioner Test. Use flashcards and multiple-choice questions with hints and explanations to succeed. Ace your exam!

Basal cell carcinoma (BCC) is characterized by a specific appearance that often helps in differentiating it from other types of skin lesions. The correct description for a basal cell carcinoma lesion is waxy, pearly, dome-shaped.

This appearance is due to the growth of malignant basal cells that develop in the lower part of the epidermis. The lesions typically present as small, raised nodules with a shiny, often translucent surface. They may have blood vessels visible on the surface, and in some cases, they might ulcerate or bleed. This unique appearance is crucial in aiding health care providers in making an accurate diagnosis, as it stands out distinctly from other skin conditions.

In contrast, flat and scaly lesions might indicate other skin conditions such as actinic keratosis, which is not typical of basal cell carcinoma. Red and inflamed lesions can suggest inflammatory skin conditions or infections rather than a specific neoplasm such as BCC. Dark and raised lesions are more typical of melanoma, another type of skin cancer, rather than basal cell carcinoma. Thus, understanding the unique characteristics of BCC lesions is important for proper identification and treatment.

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