From Aesthetic to Functional Dilemma: Managing a Pedunculated Giant Basal Cell Carcinoma of the Nose

Giant basal cell carcinoma (GBCC) is a rare and aggressive variant characterized by its frequent invasion of underlying tissues and the occasional development of metastases. An even rarer form, pedunculated GBCC, can lead to functional complications depending on its location. This report presents a case of pedunculated GBCC located on the nose of a 93-year-old patient, which resulted in feeding intolerance. After an R0 surgical resection, histopathological examination confirmed the adenoid type of basal cell carcinoma, with no evidence of distant disease. In the literature, only one case of pedunculated GBCC in the facial region has been documented. A multidisciplinary approach involving prompt investigation and treatment is essential to prevent functional issues that could compromise the patient's quality of life.