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Pigmented basal cell carcinoma: an unusual case
1Radiotherapy Service, San Juan Veterans Administration Hospital, Puerto Rico 00927-5800.
Annals of Plastic Surgery
|April 1, 1995
Summary
This case report details successful treatment of extensive facial basal cell carcinoma using radiotherapy and surgery. A multidisciplinary approach ensured excellent cosmetic outcomes and long-term tumor remission.
Area of Science:
- Dermatology
- Oncology
- Plastic Surgery
Background:
- Basal cell carcinoma (BCC) is the most common human cancer, frequently occurring on sun-exposed areas like the face.
- Extensive facial BCC presents significant treatment challenges due to cosmetic and functional considerations.
Observation:
- A 66-year-old male patient presented with a large, pigmented basal cell carcinoma on the left cheek.
- The tumor's extensive nature required a complex treatment strategy.
Findings:
- Treatment involved a combination of radiotherapy and staged surgical resections.
- The patient achieved an excellent cosmetic result and remained tumor-free for 2.5 years post-treatment.
Implications:
- Multidisciplinary team collaboration, including radiotherapy, plastic surgery, and dental services, is crucial for managing disfiguring facial skin malignancies.
- This case highlights the effectiveness of integrated treatment modalities for achieving optimal functional and aesthetic outcomes in complex BCC cases.