DOI QR코드

DOI QR Code

Giant basal cell carcinoma of the left lateral neck

  • Baik, Bongsoo (Department of Plastic and Reconstructive Surgery, Dongkang Medical Center) ;
  • Park, Sulki (Department of Plastic and Reconstructive Surgery, Dongkang Medical Center) ;
  • Ji, Soyoung (Department of Plastic and Reconstructive Surgery, Dongkang Medical Center) ;
  • Kim, Sunyoung (Department of Pathology, Dongkang Medical Center)
  • Received : 2021.05.08
  • Accepted : 2021.06.20
  • Published : 2021.06.20

Abstract

Basal cell carcinoma is a malignant epithelial neoplasm of the skin and the most common human skin cancer. It is generally associated with a good prognosis. In this case report, a giant basal cell carcinoma of the nodulo-ulcerative type showing wide ulceration with marginal multiple small nodules, is presented. It was trapezoidal in shape, having dimensions of 7 cm at the greatest basal width, 6 cm vertically with different anterior and posterior margin dimensions, and 5 cm horizontally at the top margin. After wide excision of the lesion including 5-10 mm safety margins, the wound was reconstructed with a local skin flap and split-thickness skin graft. The reconstructed wound healed well without recurrence for 1 year.

Keywords

References

  1. Park YJ, Kwon GH, Kim JO, Kim NK, Ryu WS, Lee KS. A retrospective study of changes in skin cancer characteristics over 11 years. Arch Craniofac Surg 2020;21:87-91. https://doi.org/10.7181/acfs.2020.00024
  2. Arslan H, Guzel MZ, Cnar C. Treatment of giant basal cell carcinomas of the head and neck with aggressive resection and complex reconstruction. J Craniofac Surg 2012;23:1634-7. https://doi.org/10.1097/SCS.0b013e31825da652
  3. Mott SE, Hunter WJ, Silva E, Huerter CJ. Approach to management of giant basal cell carcinomas. Cutis 2017;99:356-62.
  4. Manstein CH, Gottlieb N, Manstein ME, Manstein G. Giant basal cell carcinoma: a series of seven T3 tumors without metastasis. Plast Reconstr Surg 2000;106:653-6. https://doi.org/10.1097/00006534-200009010-00021
  5. Amin MB, Greene FL, Edge SB, Compton CC, Gershenwald JE, Brookland RK, et al. The eighth edition AJCC Cancer Staging Manual: continuing to build a bridge from a population-based to a more "personalized" approach to cancer staging. CA Cancer J Clin 2017;67:93-9. https://doi.org/10.3322/caac.21388
  6. Maimaiti A, Mijiti A, Yarbag A, Moming A. Giant basal cell carcinoma of the face: surgical management and challenges for reconstruction. J Laryngol Otol 2016;130:176-82. https://doi.org/10.1017/S0022215115003333
  7. Archontaki M, Stavrianos SD, Korkolis DP, Arnogiannaki N, Vassiliadis V, Liapakis IE, et al. Giant basal cell carcinoma: clinicopathological analysis of 51 cases and review of the literature. Anticancer Res 2009;29:2655-63.
  8. Heo YS, Yoon JH, Choi JE, Ahn HH, Kye YC, Seo SH. A case of superficial giant basal cell carcinoma with satellite lesions on scalp. Ann Dermatol 2011;23 Suppl 1:S111-5. https://doi.org/10.5021/ad.2011.23.S1.S111
  9. Wee SJ, Park MC, Chung CM. Basal cell carcinoma misdiagnosed as trichoepithelioma. Arch Craniofac Surg 2020;21:202-5. https://doi.org/10.7181/acfs.2020.00157
  10. Skulsky SL, O'Sullivan B, McArdle O, Leader M, Roche M, Conlon PJ, et al. Review of high-risk features of cutaneous squamous cell carcinoma and discrepancies between the American Joint Committee on Cancer and NCCN clinical practice guidelines in oncology. Head Neck 2017;39:578-94. https://doi.org/10.1002/hed.24580
  11. Wolf DJ, Zitelli JA. Surgical margins for basal cell carcinoma. Arch Dermatol 1987;123:340-4. https://doi.org/10.1001/archderm.1987.01660270078019
  12. Kiiski V, de Vries E, Flohil SC, Bijl MJ, Hofman A, Stricker BH, et al. Risk factors for single and multiple basal cell carcinomas. Arch Dermatol 2010;146:848-55. https://doi.org/10.1001/archdermatol.2010.155