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Neglected skin cancer in the elderly: a case of basosquamous cell carcinoma of the right shoulder

Skin cancer remains the most common cancer worldwide, and basal cell carcinoma represents the largest portion of non-melanomatous skin cancers with over 3 million cases diagnosed annually. Locally advanced disease is frequently seen in the elderly posing clinical challenges regarding proper treatmen...

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Detalles Bibliográficos
Autores principales: Bisgaard, Erika, Tarakji, Michael, Lau, Frank, Riker, Adam
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4988298/
https://www.ncbi.nlm.nih.gov/pubmed/27534889
http://dx.doi.org/10.1093/jscr/rjw134
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author Bisgaard, Erika
Tarakji, Michael
Lau, Frank
Riker, Adam
author_facet Bisgaard, Erika
Tarakji, Michael
Lau, Frank
Riker, Adam
author_sort Bisgaard, Erika
collection PubMed
description Skin cancer remains the most common cancer worldwide, and basal cell carcinoma represents the largest portion of non-melanomatous skin cancers with over 3 million cases diagnosed annually. Locally advanced disease is frequently seen in the elderly posing clinical challenges regarding proper treatment. We report on an 86-year-old female presenting with fatigue, anemia and a large ulcerated skin lesion along the right upper back. A biopsy of the lesion revealed a basosquamous cell carcinoma. She underwent a wide local excision with complex wound reconstruction. Neglected skin cancers in the elderly can present difficult clinical scenarios. There are associated adjuvant therapies that should be considered following resection, such as local radiation therapy and other novel therapies. Newer therapies, such as with vismodegib, may also be considered. A comprehensive, multimodal approach to treatment should be considered in most cases of locally advanced, non-melanoma skin cancers.
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spelling pubmed-49882982016-09-21 Neglected skin cancer in the elderly: a case of basosquamous cell carcinoma of the right shoulder Bisgaard, Erika Tarakji, Michael Lau, Frank Riker, Adam J Surg Case Rep Case Report Skin cancer remains the most common cancer worldwide, and basal cell carcinoma represents the largest portion of non-melanomatous skin cancers with over 3 million cases diagnosed annually. Locally advanced disease is frequently seen in the elderly posing clinical challenges regarding proper treatment. We report on an 86-year-old female presenting with fatigue, anemia and a large ulcerated skin lesion along the right upper back. A biopsy of the lesion revealed a basosquamous cell carcinoma. She underwent a wide local excision with complex wound reconstruction. Neglected skin cancers in the elderly can present difficult clinical scenarios. There are associated adjuvant therapies that should be considered following resection, such as local radiation therapy and other novel therapies. Newer therapies, such as with vismodegib, may also be considered. A comprehensive, multimodal approach to treatment should be considered in most cases of locally advanced, non-melanoma skin cancers. Oxford University Press 2016-08-17 /pmc/articles/PMC4988298/ /pubmed/27534889 http://dx.doi.org/10.1093/jscr/rjw134 Text en Published by Oxford University Press and JSCR Publishing Ltd. All rights reserved. © The Author 2016. http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com
spellingShingle Case Report
Bisgaard, Erika
Tarakji, Michael
Lau, Frank
Riker, Adam
Neglected skin cancer in the elderly: a case of basosquamous cell carcinoma of the right shoulder
title Neglected skin cancer in the elderly: a case of basosquamous cell carcinoma of the right shoulder
title_full Neglected skin cancer in the elderly: a case of basosquamous cell carcinoma of the right shoulder
title_fullStr Neglected skin cancer in the elderly: a case of basosquamous cell carcinoma of the right shoulder
title_full_unstemmed Neglected skin cancer in the elderly: a case of basosquamous cell carcinoma of the right shoulder
title_short Neglected skin cancer in the elderly: a case of basosquamous cell carcinoma of the right shoulder
title_sort neglected skin cancer in the elderly: a case of basosquamous cell carcinoma of the right shoulder
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4988298/
https://www.ncbi.nlm.nih.gov/pubmed/27534889
http://dx.doi.org/10.1093/jscr/rjw134
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AT laufrank neglectedskincancerintheelderlyacaseofbasosquamouscellcarcinomaoftherightshoulder
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