Invasive giant basal cell carcinoma of the head: case report, reconstruction choice and literature review

Sakalauskaite, M.; Vitkus, Kestutis; Balciunas, Darius; Sirsinaitis, S.; Ročka, Saulius

doi:10.2478/s11536-009-0069-7

Cited by 6 publications

(25 citation statements)

References 47 publications

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“…In the literature, tumor neglect of up to 20 years has been described. 7 BCC is a slowly growing and painless tumor, which may cause a delay in the treatment. 7 Patient neglect may also often dominate the postoperative recovery period and may also limit the long-term follow-up.…”

Section: Discussionmentioning

confidence: 99%

“… 7 BCC is a slowly growing and painless tumor, which may cause a delay in the treatment. 7 Patient neglect may also often dominate the postoperative recovery period and may also limit the long-term follow-up. 2 Other risk factors associated with giant BCCs are an aggressive histologic type or previous radiotherapy ( Table 1 ).…”

Section: Discussionmentioning

confidence: 99%

“… 2 Other risk factors associated with giant BCCs are an aggressive histologic type or previous radiotherapy ( Table 1 ). 1 , 7 …”

Section: Discussionmentioning

confidence: 99%

“… 6 When neglect is the responsible cause, medical attention is sought because of insistent family members or friends. 7 …”

mentioning

confidence: 99%

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Neglected Giant Scalp Basal Cell Carcinoma

Larsen¹,

El-Charnoubi²,

Gehl³

et al. 2014

Plastic and Reconstructive Surgery Global Open

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Summary:Rarely, basal cell carcinoma grows to a giant size, invading the underlying deep tissue and complicating the treatment and reconstruction modalities. A giant basal cell carcinoma on the scalp is in some cases treated with a combination of surgery and radiation therapy, resulting in local control, a satisfactory long-term cosmetic and functional result. We present a case with a neglected basal cell scalp carcinoma, treated with wide excision and postoperative radiotherapy, reconstructed with a free latissimus dorsi flap. The cosmetic result is acceptable and there is no sign of recurrence 1 year postoperatively.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Neglected Giant Scalp Basal Cell Carcinoma

Larsen¹,

El-Charnoubi²,

Gehl³

et al. 2014

Plastic and Reconstructive Surgery Global Open

View full text Add to dashboard Cite

show abstract

“…2 Therefore, deep invasion is usually associated with neglect or delayed treatment. [3][4][5] Despite bone destruction, subdural empyema is uncommon, likely due to the protective dura.…”

mentioning

confidence: 99%

Rodent under the hat

Richmond

George

et al. 2011

British Journal of Neurosurgery

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This report describes a case of neglected scalp basal cell carcinoma (BCC) resulting in total destruction of soft tissue and underlying cranium, with remarkably preserved dura and no parenchymal involvement. A 57-year-old woman presented with a 2-week history of lethargy. On removal of her hat, a large round ulcer was revealed. It transpired that the patient noticed a pruritic scalp lesion 9 months ago. As the lesion and wound enlarged, she was too embarrassed to inform her family and hid it under a hat at all time. She never experienced meningitic symptoms. Biopsy confirmed BCC. Subsequently, she underwent two free latissimus dorsi flap reconstructions to cover the wound and palliative radiotherapy. She responded well to treatment. This case provides a rare opportunity to observe the natural history of scalp BCC. The reasons for the rarity of this mode of presentation and the low incidence of intracranial infection are discussed.

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A Case of Super-giant Basal Cell Carcinoma Initially Diagnosed as Multiple Traumas

Okano

Arata

Arakawa

et al. 2023

Plastic and Reconstructive Surgery - Global Open

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Summary: Basal cell carcinoma (BCC), which is relatively easy to diagnose in a clinical setting, is the most common malignant tumor in the skin. Conversely, a giant BCC, a tumor beyond 5 cm in diameter, is a rare disease. In particular, a giant BCC beyond 20 cm in diameter is called a super-giant BCC, which frequently invades into deeper tissues, including the dermis, bones, or muscles. Here, we present a case of a 71-year-old patient who was initially diagnosed with multiple traumas with a large periosteal defect of the head. The ulcer was surrounded by malodorous necrotic tissue and slough, and several bacteria that caused necrotizing fasciitis were detected. Mapping biopsies after extensive debridement yielded BCC, and therefore, he was finally diagnosed with a super-giant BCC. A careful consultation revealed a history of ulcer on the head after a head injury approximately 10 years ago. He underwent radical dissection including the external table of the skull, followed by a free latissimus dorsi muscle flap with a meshed split-thickness skin graft. Because of the slow and chronic development of a super-giant BCC, accurate diagnosis is often difficult. Careful attention should be paid in patients with long-sustained ulcers.

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Invasive giant basal cell carcinoma of the head: case report, reconstruction choice and literature review

Cited by 6 publications

References 47 publications

Neglected Giant Scalp Basal Cell Carcinoma

Neglected Giant Scalp Basal Cell Carcinoma

Rodent under the hat

A Case of Super-giant Basal Cell Carcinoma Initially Diagnosed as Multiple Traumas

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