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Face Basosquamous Carcinoma, a Case Report
R Mercuţ1, Claudia Georgescu2, Sanda Mihaela Popescu3
1University of Medicine and Pharmacy of Craiova, Clinic of Plastic Surgery, Emergency County Hospital, Craiova, Romania.
Current Health Sciences Journal
|February 13, 2016
Summary
Basosquamous carcinoma, a rare skin cancer, can recur and metastasize. This case highlights surgical management of a nasal basosquamous carcinoma following trauma, emphasizing complete tumor ablation and reconstruction.
Area of Science:
- Dermatology
- Surgical Oncology
- Pathology
Background:
- Basosquamous carcinoma (metatypical carcinoma) is an uncommon and debated skin malignancy.
- It presents with a higher propensity for recurrence and distant metastasis compared to other non-melanoma skin cancers.
Observation:
- A 71-year-old patient presented with a 3/4 cm ulcerative lesion on the nasal pyramid.
- The lesion's onset was linked to trauma to the nasal pyramid 13 years prior.
- Comprehensive evaluation included otolaryngology (ORL) examination, imaging, and oncology assessment.
Findings:
- Surgical excision was performed to completely ablate the tumor.
- A resulting 4/5 cm defect was reconstructed using a forehead flap, based on the right supratrochlear artery pedicle.
- Histopathological examination confirmed the diagnosis of basosquamous carcinoma.
Implications:
- This case underscores the importance of thorough evaluation and surgical management for nasal basosquamous carcinoma.
- Effective reconstruction using a forehead flap is demonstrated for large nasal defects.
- Prompt referral to oncology services is crucial for further patient management and treatment.
