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Management of Giant Basal Cell Carcinoma with Atypical Location
Ferhat Bozkurt1, İrfan Özyazgan1, Bilgeyis Naghizade1
1Department of Plastic, Reconstructive and Aesthetic Surgery, Erciyes University Faculty of Medicine, Kayseri, Türkiye.
Background:
Giant basal cell carcinoma (BCC) is a rare, locally aggressive variant of the most common cutaneous malignancy. It often develops due to delayed diagnosis and may occur in atypical, sun-protected areas, making clinical recognition more challenging.
Case Report:
An 82-year-old male presented with a 12 × 8 cm ulcerated lesion in the posterior axillary region, an uncommon and sun-protected location. Surgical excision was performed with clear margins, and the resulting defect was reconstructed using a fasciocutaneous transposition flap. The patient's postoperative course was uneventful, with no signs of recurrence on follow-up.
Conclusion:
This case underscores the importance of clinical vigilance for atypical presentations of BCC. Early recognition, combined with a multidisciplinary approach, is essential for achieving optimal oncologic control and functional reconstruction, even in rare and complex presentations.
