ABSTRACT
This chapter presents the case study of a 36-year-old man. A 36-year-old man presents with multiple skin lesions, which have gradually developed. He had been diagnosed with a basal cell carcinoma (BCC) over his left cheek 10 years previously, and this had been removed. He is otherwise well but has undergone numerous dental procedures in the past. His father also had multiple BCCs. BCCs can occur from early adolescence and continue throughout life. They are more common on sun-exposed sites, but also occur in unexposed areas and are usually multiple. Management of superficial BCCs, which are the main type in these patients, includes topical therapy with the immunomodulator imiquimod 5% cream. The most common cutaneous lesions are superficial and nodular BCCs, although morphoeic BCCs can also occur. Small indentations on the palmar surfaces which are pinpoint to several millimeters across are present in 50 per cent of patients.
