Case Report: Synchronous adenoid cystic variant of basal cell carcinoma in the right lumbar region: case report of an incidental finding in a patient with breast carcinoma

Abstract

Skin cancer has emerged as a major problem for light-skinned people globally. Basal cell carcinoma (BCC) is one of the most common forms of skin cancer. BCC is associated with significant morbidity. There are multiple histological patterns of BCC, wherein the adenoid cystic variant is a rare form. A 75-year-old female with a history of breast carcinoma visited our centre for a routine follow-up. The patient was diagnosed with invasive breast carcinoma and underwent left breast conservation surgery in August 2018. At follow-up, the patient complained of itchiness, redness, and ulceration over a long-standing mole located at the right lumbar region. The lesion was excised and histopathologically diagnosed as the adenoid cystic variant of BCC. Adenoid cystic variant of BCC is an uncommon presentation. Identifying the mole in the lumbar region with clinical signs and symptoms was an incidental finding. In most cases, skin moles are benign. However, this case is of considerable interest as the patient presented with two primary cancers of different pathological characteristics within 3 months. The patient is currently doing well and is due for follow-up.