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Nodular Basal Cell Carcinoma (or nodular BCC) is a form of skin cancer. It can be caused by many factors, including DNA mutations caused by overexposure to sunlight and radiation (1). Nodular BCC is the most common of BCC (3).

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BCC is identified by a skin tumor. It can vary in sizes between a few millimeters and a few centimeters. BCC is most likely to grow on the face (1).

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Besides the ABCD method of determining a potentially cancerous tumor, Nodular Basal Cell Carcinoma has a few visually identifiable aspects. It may appear pearly or shiny, have raised edges, contain a jelly-like substance (in the cystic variety), and have blood vessels that cross the surface (1).

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Nodular BCC is most likely to affect caucasians (rarely darker-complected people). BCC is the most common form of cancer in the United States, Australia, and Europe (2). It typically affects elderly males but it may effect younger women as well (1).

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https://www.dermnetnz.org/topics/basal-cell-carcinoma

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https://patient.info/doctor/basal-cell-carcinoma

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Besides investigating the appearance of Nodular BCC, some doctors will remove and examine a portion of the tumor for the purpose of proper diagnosis (2).

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https://emedicine.medscape.com/article/276624-overview

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Nodular BCC is most commonly occurring on the face. It features solitary, shiny, red nodule with telangiectatic vessels (commonly called "spider veins") and cystic, pearly telangiectasia. It is sometimes ulcerated. (2)

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Surgery is by far the most common treatment for nodular BCC. An excision biopsy is used to cut out the lesion and can be used for various sizes of tumors. (1)

Superficial skin surgery is used for smaller, well-defined nodular BCC. These lesions are usually found on the trunk or limbs, and the wounds are left open to heal by secondary methods. Scarring is a likely risk. (1)

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Radiotherapy is a method used mainly when surgery is not suitable. It's best avoided by young people and those with genetic conditions that predispose skin cancer. However, it does produce the best cosmetic results, even though it results in an eventual scar. It also carries the risk of radiodermatitis, late recurrence, and new tumors. (1)

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Nodular BCC typically spreads slowly throughout the body. It is also divided into two categories: undifferentiated and differentiated. The differentiated type has differentiation around hair, sebaceous glands, and tubular glands. (3)