BACKGROUNDBasal Cell Carcinomas (BCC) are the most common amongst the non-melanoma skin cancers. The existing literatures on BCC are scant in India. BCC are rare in dark skin, because of the inherent photoprotection of melanin and melanosomal dispersion. Risk factors include UV light exposure, ionising radiation, exposure to arsenic, mutations. Although, BCCs have excellent prognosis, if left untreated it causes significant disfigurement and invasion of surrounding tissues. The present study was aimed to evaluate the risk factors, clinical and histopathological spectrum of BCC in Eastern Andhra Pradesh. The objectives were to analyse clinical data with respect to age, sex, occupation, sunlight exposure, anatomical location, size of the lesion, morphological and histopathological subtypes. RESULTSOut of 40 cases, 65% were females. History of exposure to the sunlight was observed in all the cases. One case of 18-year-old female with xeroderma pigmentosum with BCC was seen. Sites noted were forehead (22.5%), ear, nose and infraorbital region (each 15%). Clinically, pigmentation was evident in 19 cases. Morphological types seen were ulcerative (55%), nodular (37.5%), swelling/cyst (5%) and morpheaform (2.5%). Histological types are nodular (57.5%), pigmented (25%), adenoid (7.5%), keratotic (2.5%) and with sebaceous differentiation (2.5%). Recurrent BCCs were seen in two cases. CONCLUSIONThis study highlights the role of sunlight and farming as aetiological risk factors of BCC and female preponderance. Forehead is the common site of presentation. Nodular and pigmented types (subtype of nodular variant) were common. Early detection of BCC lesions, particularly of small size (< 2 cm) helps in preventing further recurrences.