Snapshot A 42-year-old fair-skinned woman is concerned about a “pink pearly mole” on her cheek. She has no significant past medical history, but reveals that she regularly goes to tanning salons and beaches. She admits that she occasionally forgets to apply sunscreen and does not re-apply when she is outside all day. Introduction Most common skin malignancy that rarely, if ever, metastasizes Commonly affects upper lip (squamous cell carcinoma typically affects lower lip ) Epidemiology Risk factors login to view 3 more bullets Common in fair-skinned individuals Presentation Symptoms login to view 2 more bullets Physical exam login to view 5 more bullets studies Diagnosis by skin biopsy login to view 2 more bullets Differential Squamous cell carcinoma Actinic keratosis Treatment Prevention login to view 2 more bullets Determined by login to view 4 more bullets Options login to view 6 more bullets Prognosis If treated, typically very good Risk of developing another basal cell carcinoma is 5-8% per year