Vol 3, No 2 (2017)
Case report
Published online: 2017-08-21
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Case of skin basal cell carcinoma — how to treat, when surgeon no longer can?
Forum Dermatologicum 2017;3(2):58-62.
Abstract
Basal cell carcinoma (BCC) is rarely metastatic skin cancer, that represents 80% of all non-melanoma skin cancers (NMSC). Typically, BCC lesions are mainly located on sun exposed skin areas such as face. Although BCC is very rarely metastasis it could affect and damage neighboring tissues causing significant cosmetic defects. Surgical operation that enables tumor resection with full histological diagnosis should be considered as a first-line treatment. Other therapies include ablation techniques and no surgical procedures such as local pharmacotherapy, photodynamic therapy, radiotherapy and chemiotherapy. It is important to take into account all factors such as tumor features, localization, acceptable aesthetic effect and ability to keep function of affected skin areas. We describe a case of a 70-old year man patient with a diagnosis of locally malignant BCC, in which the use of surgical excision and radiation therapy did not result in a long-term clinical benefit.
Keywords: basal cell carcinomalocally malignantvismodegib
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