Recurrent Deeply Invasive Basal Cell Carcinoma

Abstract

Introduction: Basal cell carcinoma (BCC) is the most frequent skin malignancy worldwide. The majority of BCCs grow slowly and have a low metastatic potential. However, they can be destructive to surrounding tissues since they are locally invasive. Methods: This case report was conducted on a 78-year-old woman complaining of a solid lump on the left side of the neck and nonhealing lesion. Three years earlier, she had BCC on the same site. Clinical and radiographic examinations were made. The biopsy specimens revealed that it is a recurrent BCC. In operating room, during blunt tissue dissection, the arterial wall was damaged. Tumor was overgrown left internal carotid artery near the bifurcation. Infiltrated part of arteria wall was resected, and a synthetic arterial prosthesis was placed. Results: Follow-up after 4 months showed that the wound was healing well. No complications regarding cardiovascular and other organ systems were seen.

Topical and Intralesional Immunotherapy for the Management of Basal Cell Carcinoma

“…It is important not to universally label BCC as “indolent cancer”; such a reputation is warranted only when they are promptly and effectively treated. Although rarely leading to metastatic disease, it can cause significant morbidity related to invasion and destruction of neighboring anatomical structures [ 4 ].…”