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Case Reports in Dermatological Medicine
Volume 2012 (2012), Article ID 693041, 3 pages
Case Report

Chronicle of a Pigmented Superficial Basal Cell Carcinoma

1Department of Dermatology, Regional Hospital of Huy, Huy, Belgium
2Department of Dermatopathology, University Hospital of Liège, 4000 Liège, Belgium
3University of Liège, Liège, Belgium

Received 17 April 2012; Accepted 19 June 2012

Academic Editors: M. Curzio, X.-H. Gao, M. Hide, K. Jimbow, and T. Salopek

Copyright © 2012 Marie Caucanas et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Dermoscopic patterns of basal cell carcinoma (BCC) are well defined, but the dynamics of dermoscopic changes in time were apparently never described so far. In this paper, prominent changes were observed over a 8-week period, allowing to establish a close connection between spoke wheel areas and maple leaf-like aspects, through progressive thickening of the former ones. A chronobiological phenomenon ruling synchronous apoptosis in some of the most superficial BCC nests is suggested, leading to a wax and wane process of millimetric crusts, taking part in the spontaneous BCC regression/progression process.