Aggressive progression of a facial super giant basal cell carcinoma

2021 ◽  
Vol 14 (4) ◽  
pp. e240617
Author(s):  
Athina Lidia Yoham ◽  
Hadeer Sinawe ◽  
Jack Schnur ◽  
Damian Casadesus

Super giant basal cell carcinoma (BCC) is a rare oncological entity. A 52-year-old man with a history of a left upper facial lesion for 11 years was transferred to our facility seeking an evaluation. He frequented multiple hospitals where he was treated with antibiotics for this condition. He reported having the Mohs procedure 8 months prior to this hospital visit but he did not follow-up with the other institution. The physical examination revealed an ulcer involving the upper left orbito-fronto-parieto-temporal area with bone exposure. Both CT and MRI of the face and the brain demonstrated dehiscence of the left lateral orbital roof and left frontal bone. The biopsy confirmed advanced BCC. He was discharged against medical advice and lost to follow-up. He returned 1 month later with left eye discharge and vision loss. He was diagnosed with cerebral abscess, treated with antibiotics and discharged to hospice.

Author(s):  
Siswanto Wahab ◽  
Khairuddin Djawad

Basal cell carcinoma (BCC) is the most common type of nonmelanoma skin cancer (NMSC). It grows slowly and very rarely metastasizes but can cause substantial morbidity due to its tendency to relapse and locally invasive nature, especially when located on the face. Excision surgery is still the gold standard treatment for primary BCC and is usually followed by reconstruction procedure. Skin flap techniques vary widely, one of which is flap advancement technique. The main benefit of flap advancement technique is the ability to hide the excision line, thus resulting in an aesthetically sound outcome. We report a case of 72-year-old female with hyperpigmented plaque brownish lump on the left lateral cheek. A diagnosis of igmented basal cell carcinoma had been confirmed through histopathological examination. The patient was treated with wide excision surgery and the defect was closed by multiple advancement flaps. Follow-up after three months showed excellent cosmetic and functional outcome.


2015 ◽  
Vol 41 (7) ◽  
pp. 761-767 ◽  
Author(s):  
Aykut Bozan ◽  
Sercan Gode ◽  
Isa Kaya ◽  
Banu Yaman ◽  
Mustafa Uslu ◽  
...  

2008 ◽  
Vol 61 (10) ◽  
pp. 1248-1249 ◽  
Author(s):  
G.I. Nambi ◽  
Ashish Kumar Gupta ◽  
Santosh Koshy ◽  
S. Kumaran

2012 ◽  
Vol 87 (4) ◽  
pp. 640-642 ◽  
Author(s):  
Maria Leonor Enei ◽  
Francisco Macedo Paschoal ◽  
Gustavo Valdés ◽  
Rodrigo Valdés

The nevus sebaceous of Jadassohn usually affects the face or scalp. It tends to evolve in three stages, and the final stage is characterized by the appearance of tumours. We present the case of a facial nevus sebaceous of Jadasshon in which a basal cell carcinoma developed. We also explore the diagnosis of this disease, which was established through dermoscopy, and propose using this technique in the clinical follow-up of this type of hamartoma, thereby allowing the early detection of cancer development.


2014 ◽  
Vol 50 (17) ◽  
pp. 3011-3020 ◽  
Author(s):  
Eva van Loo ◽  
Klara Mosterd ◽  
Gertruud A.M. Krekels ◽  
Marieke H. Roozeboom ◽  
Judith U. Ostertag ◽  
...  

2012 ◽  
Vol 87 (3) ◽  
pp. 469-471 ◽  
Author(s):  
Nilton Nasser ◽  
Nilton Nasser Filho ◽  
Bruno Trauczynski Neto ◽  
Lissandra Melati da Silva

The basal cell carcinoma is the most common skin cancer but the giant vegetating basal cell carcinoma reaches less than 0.5 % of all basal cell carcinoma types. The Giant BCC, defined as a lesion with more than 5 cm at its largest diameter, is a rare form of BCC and commonly occurs on the trunk. This patient, male, 42 years old presents a Giant Basal Cell Carcinoma which reaches 180 cm2 on the right shoulder and was negligent in looking for treatment. Surgical treatment was performed and no signs of dissemination or local recurrence have been detected after follow up of five years.


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