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Updated: Apr 11, 2026

Cell Population Analyses During Skin Carcinogenesis
Published on: August 21, 2013
Failure of vismodegib in advanced Basal cell carcinoma
G Hansel1, G Tchernev2, A A Chokoeva3
1Department of Dermatology and Allergology, Academic Teaching Hospital Dresden-Friedrichstadt, Dresden, Germany.
Abstract:
Basal cell carcinoma (BCC) is the most common malignant tumor of mankind. For locally advanced and metastatic BCC treatment options are limited. Recently, the first hedgehog signal pathway inhibitor, vismodegib, has been approved for such tumors. Although high response rates have been reported for spontaneous BCC and Gorlin-Goltz syndrome, some tumors do not respond primarily or secondarily. We report about a 38-year-old female patient with a large multicentric BCC of temple with primary chemoresistance of the tumor. We discuss possible mechanism and other limitations of vismodegib in BCC.
Insights
Vismodegib, a hedgehog pathway inhibitor, shows promise for advanced basal cell carcinoma (BCC). However, this case highlights primary chemoresistance in a patient with multicentric BCC, indicating limitations of this targeted therapy.
Area of Science:
- Oncology
- Dermatology
- Molecular Biology
Background:
- Basal cell carcinoma (BCC) is the most common human malignancy.
- Treatment options for locally advanced and metastatic BCC are limited.
- Vismodegib, a hedgehog signal pathway inhibitor, is a recent therapeutic advancement.
Purpose of the Study:
- To report a case of a 38-year-old female patient with large multicentric BCC of the temple.
- To investigate primary chemoresistance to vismodegib in BCC.
- To discuss potential mechanisms and limitations of vismodegib therapy.
Main Methods:
- Case report of a patient with basal cell carcinoma.
- Clinical observation of treatment response to vismodegib.
- Discussion of molecular pathways and therapeutic resistance.
Main Results:
- The patient presented with a large multicentric basal cell carcinoma.
- The tumor exhibited primary chemoresistance to vismodegib.
- This case underscores potential limitations of vismodegib in certain BCC presentations.
Conclusions:
- Vismodegib is effective for some advanced BCCs but not universally.
- Primary resistance to vismodegib can occur in basal cell carcinoma.
- Further research is needed to understand and overcome vismodegib resistance mechanisms.
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