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Catriona M Maybury1, Emma Craythorne, Blanca Martin
1Department of Dermatology, Guys and St Thomas' Hospital Trust, London, UK. catriona.maybury@gmail.com
BMJ Case Reports
|April 19, 2013
Summary
A rare case of nodular basal cell carcinoma (BCC) occurred in a patient with type VI skin, highlighting the disproportionately high morbidity and mortality in this demographic. Early diagnosis and treatment are crucial for this aggressive skin cancer.
Area of Science:
- Dermatology
- Oncology
Background:
- Basal cell carcinoma (BCC) is the most common type of skin cancer, rarely metastasizing but capable of local invasion.
- Patients with type VI skin have a low incidence of skin cancer, but face higher morbidity and mortality rates when diagnosed.
Observation:
- A 75-year-old woman with type VI skin presented with a persistent, ulcerated nasal nodule.
- Initial diagnosis of eczema was ineffective with topical steroids.
Findings:
- Skin biopsy confirmed a nodular basal cell carcinoma (BCC).
- BCCs rarely metastasize but can invade locally.
- Skin cancer in type VI skin, though infrequent, is associated with higher morbidity and mortality.
Implications:
- Highlights the importance of considering rare diagnoses in patients with type VI skin.
- Emphasizes the need for vigilant monitoring and prompt treatment of suspicious lesions in this demographic.
- Underscores the disproportionately high risk of severe outcomes for skin cancer in individuals with darker skin types.
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