ADVANCED STAGE OF FACIAL BASAL CELL CARCINOMA

2019 ◽  
Vol 16 (4) ◽  
Author(s):  
Muhammad Sharjeel

An eighty years old man presented with a slowly progressing, ulcerative mass near the left eye diagnosed as the advanced stage of facial basal cell carcinoma (rodent ulcer) which has involved his left eye and orbit, left nostril and left cheek area. According to the patient, it was a very slow growing tumor and has reached this stage over a span of more than ten years. He has been advised removal of his left eye and adjacent structure along with plastic reconstruction of the damaged half of the nose and face. It will be important to excise the tumor along with healthy margins to prevent recurrences. Take home message is that basal cell carcinoma should be excised early to prevent damage to the eye and nearby structures.

2007 ◽  
Vol 41 (2) ◽  
pp. 63
Author(s):  
Boris Jančar

Basal cell carcinoma on the left cheek


Author(s):  
Thankamma Ajithkumar ◽  
Ann Barrett ◽  
Helen Hatcher ◽  
Natalie Cook

Basal cell carcinoma (BCC) is a slow growing, locally invasive (hence called rodent ulcer) malignant epidermal skin tumour. The exact incidence is difficult to obtain although there is a worldwide trend in increasing incidence. Approximately 1 million new cases are diagnosed per year in the USA....


2010 ◽  
Vol 35 (1) ◽  
pp. 95-100 ◽  
Author(s):  
Sathesh Balasundram ◽  
Ferdinand Jesudian Kovilpillai ◽  
Colin Hopper

Background: A 10- year-old patient presented with a slow growing jaw swelling. The initial general examination did not reveal any significant findings. Method: Conservative enucleation of the cyst confirmed it to be an odontogenic keratocyst. The patient remained asymptomatic for the following 2 years and subsequently presented cystic lesions in jaws with displaced teeth. These cysts were enucleated and were confirmed to be odontogenic keratocysts. The patient has been on regular follow up since then and subsequent scans have shown further occurrence of cysts in the jaws with displacement of the third molars. Results:Clinical examination also revealed macrocephaly, fronto-parietal bossing, pitting on palmar and plantar surfaces, calcification of falx cerebri and splayed ribs, confirming the diagnosis of Nevoid Basal Cell Carcinoma Syndrome. He also presented with a café au lait patch and skin pits on the neck. The family history was negative for features of nevoid basal cell carcinoma syndrome. Conclusion: Nevoid basal cell carcinoma syndrome is a condition that can cause significant morbidity if not detected early. Over the years this syndrome has presented with many other non specific phenotype presentation, of which the current finding may be one of. This calls for meticulous assessment and examination of patients and a standardized protocol in screening and managing these patients that may facilitate a more beneficial outcome for the patient.


2018 ◽  
Vol 10 (2) ◽  
pp. 208-215 ◽  
Author(s):  
Hiromi Suzuki ◽  
Akira Hashimoto ◽  
Ryoko Saito ◽  
Miki Izumi ◽  
Setsuya Aiba

A 94-year-old man consulted our hospital due to a rapidly growing tumor on the left cheek. The histological diagnosis of the tumor was basal cell carcinosarcoma, which was composed of intermingled epithelial and mesenchymal components. The former was basal cell carcinoma, while the latter was spindle cell sarcoma. The tumor was completely resected with a 3-mm margin and the patient remained free of local recurrence or distinct metastasis for 2 years. We report here a case of cutaneous basal cell carcinosarcoma and a review of the literature.


2013 ◽  
Vol 2013 ◽  
pp. 1-3 ◽  
Author(s):  
Daniele De Seta ◽  
Francesca Yoshie Russo ◽  
Elio De Seta ◽  
Roberto Filipo

Rhinophyma, the advanced stage of rosacea, is a lesion characterized by progressive hypertrophy and hyperplasia of sebaceous glandular tissue, connective tissue, and blood vessels. Rhinophyma can lead to a significant facial disfigurement and severe emotional distress, but it is not only an aesthetic problem, since rare cases of simultaneous presence of malignant tissue are described in the literature. The case of an 84-year-old farmer affected by basal cell carcinoma (BCC) and diagnosed in the context of rhinophyma is presented. The anatomical distortion produced by the chronic inflammation and fibrous scarring makes the BCC diagnosis difficult and uncertain. The histological examination of the entire mass and its margins is fundamental. A partial biopsy can lead to a false negative result, and the histological examination must be repeated intra- or postoperatively.


2017 ◽  
Vol 17 (1) ◽  
pp. 21-27
Author(s):  
M. Smolarova ◽  
E. Minarikova

Abstract Nodular amelanotic melanoma has been always a great challenge in dermatology. Because of lack of melanin pigment, tumors are diagnosed usually in advanced stage. Amelanotic melanoma can mimic basal cell carcinoma. Knowledge of typical dermoscopic structures helps to establish diagnosis and to plan surgery with appropriate safety margins. In amelanotic melanoma we can see typical vessels, white streaks or milky red globules on pink-reddish background. Vessels are typically thin and polymorphous in thick amelanotic melanoma. We had a case when vessels were polymorphous but thick. It can be confusing with nodular basal cell carcinoma where vessels are typically thick and arborizing. Nodular basal cell carcinoma is the most common form of basal cell carcinoma. Dermoscopy is a valuable tool for the diagnosis of basal cell carcinoma. Typical dermoscopic structures are arborizing vessels, possible sites of ulceration and/or pigmentation. We describe a case report of patient with typical dermoscopic structures seen in nodular basal cell carcinoma.


2015 ◽  
Vol 5 (1) ◽  
pp. 35-37
Author(s):  
Shaheen Ahamed ◽  
Sadia Tun Marzia ◽  
Mausumi Iqbal

Basal cell carcinoma (BCC) is the most common form of skin cancer. BCC in the head and neck usually presents as a slow growing well defined papule or nodule located above the line connecting the angle of the mouth and ear lobe. It is locally destructive lesion and cause serious disfigurement but metastasizes rarely. Various treatment are available out of which surgical excision is the most standard option. Surgical excision of tumors from the face may create a defect that is difficult to restore. Skin grafts can only cover superficial defects and has a natural tendency to contract and may not take properly. Also, because of the color mismatch, it is not cosmetically identical to the face. The use of regional flaps such as rotational cheek flap can be a very good option for the reconstruction of a moderate to large cheek defect. Herein, we report a case of large BCC over the face for which rotational cheek flap reconstruction was carried out at Modernized Sadar Hospital, Chapainawabganj.Update Dent. Coll. j: 2015; 5 (1): 35-37


Author(s):  
Duttala Indira Reddy ◽  
Sivaramakrishnan Sangaiah ◽  
Vignesh N. R. ◽  
Sukanya G.

Basal cell carcinoma (BCC), also known as basal cell epithelioma is the most common cutaneous malignancy affecting fair skinned individuals arising from sun exposed skin especially head and neck area. It is a slow growing tumor which rarely metastasizes. UV radiation is the most important predisposing factor. It includes mainly four variants: (a) nodular, (b) pigmented, (c) superficial BCC, (d) sclerosing or morphea form of which most common is nodular variant. Dermoscopy of pigmented BCC shows well focussed arborizing vessels which is the hallmark. The best modality of treatment is surgical excison of tumour, electrodesiccation and curettage, cryosurgery, and Mohs micrographic surgery.


2019 ◽  
Vol 1 (3) ◽  
pp. 7-12
Author(s):  
Surej Kumar L.K ◽  
Varun Menon P

Basal cell carcinoma (BCC) is the most common type of skin cancer, which arises from the basal layer of the epithelium. It is a slow growing tumor and has a low metastatic potential, it accounts for 70–80% of all cutaneous malignancies in the head face and neck region .Defects near nasal tip and ala of the nose are one of the most difficult site to cover in a single stage, bilobed flap is reported to be used very effectively to close the defect in these areas. This article reports a case of basal cell carcinoma involving the ala of the nose which was excised and the reconstruction was done using bilobed flap.


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