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Basal cell carcinoma (BCC) causing spinal cord compression.

B Cohen1, G Weiss, H Yin

  • 1Dermatology and Laser Center, Long Branch, NJ, USA.

Dermatology Online Journal
|May 1, 2001
PubMed
Summary
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Basal cell carcinoma (BCC), a common skin cancer, can rarely cause severe spinal cord compression. This case highlights a neglected, ulcerated BCC leading to neurological deficits.

Area of Science:

  • Dermatology
  • Oncology
  • Neurology

Background:

  • Basal cell carcinoma (BCC) is the most frequent skin cancer in fair-skinned individuals.
  • BCCs typically have low morbidity and mortality rates.
  • Rarely, advanced BCC can lead to significant complications.

Observation:

  • A case of an adult male with a 15-year history of a neglected, ulcerated lower back tumor is presented.
  • The patient experienced symptoms of back pain and leg weakness.
  • The tumor was clinically suspected to be a BCC causing spinal cord compression.

Findings:

  • Microscopy confirmed the diagnosis of basal cell carcinoma.
  • Magnetic resonance imaging (MRI) verified spinal cord compression secondary to the BCC.
  • This demonstrates an unusual presentation of advanced cutaneous malignancy.

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Implications:

  • This case underscores the importance of early detection and treatment of skin cancers.
  • It highlights the potential for neglected BCCs to cause severe, invasive complications.
  • Awareness among clinicians regarding rare metastatic or invasive BCC presentations is crucial.