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Cranial invasion by basal cell carcinoma.
The Journal of Dermatologic Surgery and Oncology
|May 1, 1986
Summary
Basal cell carcinoma (BCC) rarely invades the cranium over time. Early-stage cranial bone invasion may only be visible as pitting during surgery, not on imaging.
Area of Science:
- Oncology
- Neurosurgery
- Dermatology
Background:
- Basal cell carcinoma (BCC) is the most common type of skin cancer.
- Cranial invasion by BCC is a rare but serious complication.
Observation:
- Direct spread of BCC into cranial bones is a slow process.
- Early invasion may not be detected by radiography or CT scans.
- Surgical inspection can reveal pitting indicative of bone invasion.
Findings:
- Invasion through the calvarium from scalp BCC or involvement of the cribriform plate from intranasal BCC signifies advanced disease.
- The study presents examples of cranial invasion by BCC.
- Diagnostic and treatment methods for cranial BCC invasion are outlined.
Implications:
- Highlights the importance of vigilance for BCC invasion, even when imaging is negative.
- Emphasizes the need for thorough surgical assessment in suspected cases.
- Informs diagnostic and treatment strategies for advanced BCC involving the cranium.