Which skin cancer is characterized by a waxy, pearly appearance?

Basal cell carcinoma is characterized by a waxy, pearly appearance, which is one of its distinguishing features. This type of skin cancer typically arises in areas often exposed to the sun, such as the face, ears, neck, and scalp. The pearly appearance is due to the proliferation of basal cells in the epidermis, leading to a smooth, shiny surface that can resemble a dome-shaped nodule.

Additionally, basal cell carcinoma may also present with other features, such as visible blood vessels or a central ulceration, but the waxy quality is particularly noted and can help differentiate it from other skin lesions. This characteristic appearance is a key aspect that healthcare providers utilize when assessing potential skin cancers.

In contrast, squamous cell carcinoma usually appears as a firm, red nodule or a flat lesion with a scaly crust. Melanomas often present as irregularly colored moles with asymmetry, while actinic keratosis appears as rough, scaly patches that may be red or brown in color, lacking the distinct pearly quality of basal cell carcinoma. Understanding these variations is essential for proper diagnosis and management of skin lesions.