Neglected Giant Scalp Basal Cell Carcinoma

Larsen, Axel; El-Charnoubi, Waseem-Asim Ghulam; Gehl, Julie; Krag, Christen

doi:10.1097/gox.0000000000000066

Cited by 8 publications

(3 citation statements)

References 13 publications

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“…The latissimus dorsi is one of the most frequently used free muscle flaps for this type of reconstruction given its size and it long and reliable pedicle. 21 , 22 If even larger surface area is needed, a chimeric flap of combined latissimus dorsi and serratus can be harvested.…”

Section: Discussionmentioning

confidence: 99%

Denying the Obvious

Block¹,

Jee²,

Başkaya

et al. 2015

Plastic and Reconstructive Surgery - Global Open

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Background:Little is known about the relatively common phenomenon of patients neglecting tumors as part of a denial mechanism to presumably cope with the obvious, outward and clearly visible signs of cancer. As a result of this tumor neglect, disease progression continues unchecked, resulting in excessive tumor growth, invasion of nearby structures, (often) metastatic spread, and significant disfigurement.Methods:In this case series, we present 4 extreme cases of neglected tumors that posed significant reconstructive challenges and explore the biopsychosocial components of tumor neglect.Results:In this series, we present 4 cases representing various cases of extreme tumor neglect. These 4 cases required multidisciplinary efforts involved in tumor resection, adjuvant treatments and the complex reconstructive efforts after tumor extirpation.Conclusions:The tumor neglect phenomenon is of broad interest to the field of plastic and reconstructive surgery. Given the complex patient factors that contribute to the extreme state of disease progress upon presentation, all cases required extensive extirpative efforts with complex and challenging reconstructive solutions. Cases of extreme tumor neglect provide insight into the biopsychosocial underpinnings of this specific patient population and have implications for a further understanding of the potential immunoprotective effect of these large, longstanding, and often nonmetastatic tumors.

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Section: Discussionmentioning

confidence: 99%

Denying the Obvious

Block¹,

Jee²,

Başkaya

et al. 2015

Plastic and Reconstructive Surgery - Global Open

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“…Das Basalzellkarzinom (BCC)istderhäufigste Hauttumor beim Menschen mit steigender Inzidenz. Im Gegensatz dazu handelt es sich bei dem im angloamerikanischen Sprachraum verwendeten Begriff des "Riesenbasalzellkarzinoms" ("giant basal cell carcinoma" [GBCC]) um eine seltene onkologische Entität mit einer Häufigkeit von 0,5-1 % aller BCC [1, 9,13]. Gemäß den Richtlinien des American Joint Committee on Cancer (AJCC) wird es definiert als ein Basalzellkarzinom mit einem Größendurchmesser ab 5 cm [1].…”

Section: Photodynamische Therapie Eines Riesenbasalzellkarzinoms Bei unclassified

Photodynamische Therapie eines Riesenbasalzellkarzinoms bei einer 71-jährigen Frau

2020

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“…GBCCs are rare cases, comprising 0.5% of all BCC cases. It is more aggressive and capable of invading underlying deep tissues or extradermal structures with infiltration to the dermis [5]. Although visible and easily identified by health professionals, neglected BCC cases may still be discovered due to patients being afraid of diagnoses and treatments or becoming accustomed to the slow-growing and painless tumor.…”

Section: Introductionmentioning

confidence: 99%

Lateral Forehead Flap in Neglected Giant Basal Cell Carcinoma of the Nose: A Case Report

Kevin

Marsaulina

Gunardi

et al. 2019

Indonesian Journal of Cancer

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Introduction: Neglected basal cell carcinoma (BCC) of the nose can grow into giant BCCs, rare cases with extensive nasal defects. Such large defects would require complex reconstruction such as free flaps or multiple local flaps. Lateral forehead flap may provide a simpler alternative with good functional and cosmetic results.Case Presentation: We present a case of a 76-year-old man with neglected giant BCC of nose extending to right lower eyelid and upper lip. Wide excision of the tumor leaves a 12cm x 10cm defect. Reconstruction was performed using lateral forehead flap and donor site was covered with split-thickness skin graft from thigh. The second surgery was done after four months to create nostrils and wider eye-opening. Six months later, flap was viable and there was no sign of recurrence. Nasal reconstruction is planned to further improve cosmetics. In this case, neglect is due to low social-economic status and adaptation to painless tumors. The use of lateral forehead flap allows for simpler and faster surgery suitable for elderly. Delayed reconstruction was needed to ensure optimal tissue healing. Conclusions: Neglected BCC causes disfigurement with remarkable morbidity, requiring complex reconstruction. The lateral forehead flap is a simple and reliable reconstruction method for extensive nasal defects with good functional and cosmetic outcomes.

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Neglected Giant Scalp Basal Cell Carcinoma

Cited by 8 publications

References 13 publications

Denying the Obvious

Denying the Obvious

Photodynamische Therapie eines Riesenbasalzellkarzinoms bei einer 71-jährigen Frau

Lateral Forehead Flap in Neglected Giant Basal Cell Carcinoma of the Nose: A Case Report

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