The 7 diagnostic features of a BCC lesion are:
1- Arborizing vessels
2- Spoke wheel structures
3- Leaf-like structures
4- Blue-Grey Ovoid nest
5- Multiple blue-gray Dots & Globules
6- Blotches & Strands which are Shiny White
All – Sweet – Little – Oreos – Do – Bad – Ulcers

What is a large, discrete, and well-circumscribed, pigmented areas, larger than globules. When a network is absent, “these” are highly suggestive of basal cell carcinoma.
Blue-Grey Ovoid Nest
What is this?
What does it suggest?

Blue Grey Ovoid Nest
BCC
What does this suggest?
What are the defining characteristics?

What do all of these correspond to?

BCC

Arborizing blood vessels
BCC
Name this Structure
What does it suggest?

Spoke wheel-like structures
BCC
name this structure
what does it correspond to?

Leaf-like areas
BCC
Name this structure
what does it suggest?

Blue-gray ovoid nests
BCC
Name this structure
what does it suggest?

Dots and Globules (Multiple blue-gray)
BCC
Name this structure
what does it correspond to?

Shiny white blotches and strands
BCC
Name the structure
what does it correspond to?

Ulcerations
BCC
As it pertains to basal cell carcinoma, what does the acronym “Oreos Do Bad” correspond to?
Oreos = Ovoid Nests (Blue-Grey)
Do = Dots & Globules (Multiple Blue - Grey)
Bad = Blotches & Strands (which are Shiny & White)