Treating Nodular Basal Cell Carcinoma with ED&C: A 68-Year-Old Female Case Study
Basal cell carcinoma (BCC) is the most common type of skin cancer, particularly in individuals with fair skin and a history of sun exposure. At Village Dermatology in Katy and Houston, Texas, we frequently evaluate and treat BCC with methods tailored to the size, depth, and location of the tumor. This case highlights the successful management of nodular basal cell carcinoma in a 68-year-old woman using electrodesiccation and curettage (ED&C).
Patient Overview
A 68-year-old woman returned for a follow-up evaluation after a shave biopsy was performed on July 3, 2025, for a pigmented lesion on the right mid-upper back. Biopsy results revealed nodular basal cell carcinoma, a slow-growing but locally invasive form of skin cancer.
What Is Nodular Basal Cell Carcinoma?
Nodular BCC is a subtype of basal cell carcinoma that typically presents as a pearly, dome-shaped papule with visible blood vessels (telangiectasias). Though rarely metastatic, BCC can cause significant tissue damage if left untreated.
Clinical Findings
Location: Right mid-upper back
Appearance: Pearly, telangiectatic papule
Size: 0.9 cm
Tools Used: Dermatoscope for lesion visualization
Treatment: Curettage and Destruction (ED&C)
ED&C is a non-surgical treatment for superficial and nodular BCCs, especially in low-risk locations. It involves scraping away the tumor with a curette, followed by cauterization to destroy remaining cancer cells.
Procedure Details:
Anesthesia: Local lidocaine with epinephrine
Cycles: 2 rounds of curettage and electrodesiccation
Final Lesion Size Post-Curettage: 0.9 cm
Post-Treatment Care: Wound was cleaned and dressed with a pressure bandage
Post-Op Instructions: The patient was given detailed guidance on wound care, activity restrictions, and signs of complications
Informed Consent:
All risks, benefits, and alternatives were reviewed, including:
Risks: Infection, scarring, bleeding, recurrence, nerve injury
Alternatives: Surgical excision, radiation therapy (XRT)
Why ED&C Is a Trusted Option for Certain Skin Cancers
Electrodesiccation and curettage is often chosen for:
Small to moderately sized BCCs
Non-aggressive tumor types
Patients who may not be ideal candidates for surgery
This technique is effective, relatively quick, and performed in-office with minimal downtime.
Outcome and Follow-Up
The patient tolerated the procedure well and left the clinic with a clear post-op plan. At Village Dermatology, we will monitor the area for healing and recurrence, with the goal of complete resolution and excellent cosmetic outcome.
Protecting Against Skin Cancer
While basal cell carcinoma is common, it is also highly preventable and treatable when caught early. Key prevention strategies include:
Avoiding tanning beds and minimizing UV exposure
Concerned About a Skin Lesion?
If you’ve noticed a new, growing, or changing spot on your skin, especially one that looks shiny or pearly, don’t wait. Our board-certified dermatologists in Katy and Houston, Texas are here to help with timely diagnosis and treatment.
📍 Now accepting new patients in Katy & Houston
📞 Call today to schedule a full skin evaluation
