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.

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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