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Neglected giant scalp Basal cell carcinoma
Anne Kristine Larsen1, Waseem-Asim Ghulam El-Charnoubi1, Julie Gehl1
1Department of Plastic Surgery, University Hospital of Copenhagen, Herlev Hospital, Herlev, Denmark.
Plastic and Reconstructive Surgery. Global Open
|October 8, 2014
Summary
Giant basal cell carcinoma on the scalp can be successfully treated. This case highlights effective surgical excision, radiotherapy, and flap reconstruction for a positive outcome.
Area of Science:
- Dermatology
- Surgical Oncology
- Plastic Surgery
Background:
- Basal cell carcinoma (BCC) rarely presents as giant tumors, posing significant treatment challenges.
- Scalp BCC can invade deep tissues, complicating surgical and reconstructive approaches.
Observation:
- A case of neglected giant basal cell carcinoma on the scalp was observed.
- The tumor invaded underlying deep tissues, necessitating extensive treatment.
Findings:
- Wide surgical excision combined with postoperative radiotherapy achieved local control.
- Reconstruction with a free latissimus dorsi flap provided acceptable cosmetic and functional results.
- No recurrence was noted at 1-year follow-up.
Implications:
- This multidisciplinary approach demonstrates a viable strategy for managing complex giant scalp BCC.
- Successful reconstruction is crucial for restoring both function and aesthetics in these challenging cases.
- Early detection and treatment remain paramount for better patient outcomes in basal cell carcinoma.
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