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Lesions may appear as: An open sore that doesnt heal A shiny bump or nodule A reddish or irritated patch A flat white, yellow, or waxy scar-like area A small, slightly raised pink growth with a rolled edge and crusty center The good news is that basal cell carcinoma rarely spreads beyond the original tumor site, but the lesions can grow wider and go deeper into the skin, potentially destroying skin, tissue, and bone and causing disfigurement