Clinico-Pathological Profile of Basaloid Skin Tumors-Experience from a Tertiary Care Center of Eastern India

Basaloid tumors comprise a wide spectrum of benign and malignant tumors like basal cell carcinoma, seborrheic keratosis, pilomatricoma, basosquamous carcinoma, trichoblastoma, and cylindroma. Among them, basal cell carcinoma is the most common type which constitutes about 90% of all malignant skin tumor. This study was aimed at analyzing the clinico-pathological profile of basaloid skin tumors attending radiotherapy and surgery OPD of our institution and compares them with those of the reported literature from rest of the country as well as outside world. All cases of basaloid skin tumors presented at radiotherapy, surgery, and dermatology OPD between January 2020 and June 2021 with or without a histological diagnosis were evaluated. Those without a histological diagnosis underwent biopsy and categorized according to standard histological criteria. After histological confirmation, we collected demographic, clinical, and pathological data of the cases. Among 106 patients analyzed, 54.7% (58) cases were diagnosed as basal cell carcinoma followed by seborrheic keratosis (17.9%), pilomatricoma (13.2%), basosquamous carcinoma (9.4%), trichoblastoma (2.8%), and cylindroma (1.8%). Mean age of presentation was 57.03 (± 7.435) years, and head-neck region was the most common site of involvement for basal cell carcinoma. Twenty-two cases required immunohistochemical assessment for confirmation of diagnosis. To conclude, this study is one of its first from Eastern India and will act as a stepping stone for future studies concentrating on clinico-pathological profile, early diagnosis and treatment of basaloid skin tumors.