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A Case of Super-giant Basal Cell Carcinoma Initially Diagnosed as Multiple Traumas
Basal cell carcinoma (BCC), which is relatively easy to diagnose in a clinical setting, is the most common malignant tumor in the skin. Conversely, a giant BCC, a tumor beyond 5 cm in diameter, is a rare disease. In particular, a giant BCC beyond 20 cm in diameter is called a super-giant BCC, which...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Lippincott Williams & Wilkins
2023
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9894351/ https://www.ncbi.nlm.nih.gov/pubmed/36751507 http://dx.doi.org/10.1097/GOX.0000000000004812 |
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author | Okano, Junko Arata, Jun Arakawa, Atsuhiro Ogino, Shuichi Yamashita, Teruyo |
author_facet | Okano, Junko Arata, Jun Arakawa, Atsuhiro Ogino, Shuichi Yamashita, Teruyo |
author_sort | Okano, Junko |
collection | PubMed |
description | Basal cell carcinoma (BCC), which is relatively easy to diagnose in a clinical setting, is the most common malignant tumor in the skin. Conversely, a giant BCC, a tumor beyond 5 cm in diameter, is a rare disease. In particular, a giant BCC beyond 20 cm in diameter is called a super-giant BCC, which frequently invades into deeper tissues, including the dermis, bones, or muscles. Here, we present a case of a 71-year-old patient who was initially diagnosed with multiple traumas with a large periosteal defect of the head. The ulcer was surrounded by malodorous necrotic tissue and slough, and several bacteria that caused necrotizing fasciitis were detected. Mapping biopsies after extensive debridement yielded BCC, and therefore, he was finally diagnosed with a super-giant BCC. A careful consultation revealed a history of ulcer on the head after a head injury approximately 10 years ago. He underwent radical dissection including the external table of the skull, followed by a free latissimus dorsi muscle flap with a meshed split-thickness skin graft. Because of the slow and chronic development of a super-giant BCC, accurate diagnosis is often difficult. Careful attention should be paid in patients with long-sustained ulcers. |
format | Online Article Text |
id | pubmed-9894351 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Lippincott Williams & Wilkins |
record_format | MEDLINE/PubMed |
spelling | pubmed-98943512023-02-06 A Case of Super-giant Basal Cell Carcinoma Initially Diagnosed as Multiple Traumas Okano, Junko Arata, Jun Arakawa, Atsuhiro Ogino, Shuichi Yamashita, Teruyo Plast Reconstr Surg Glob Open Reconstructive Basal cell carcinoma (BCC), which is relatively easy to diagnose in a clinical setting, is the most common malignant tumor in the skin. Conversely, a giant BCC, a tumor beyond 5 cm in diameter, is a rare disease. In particular, a giant BCC beyond 20 cm in diameter is called a super-giant BCC, which frequently invades into deeper tissues, including the dermis, bones, or muscles. Here, we present a case of a 71-year-old patient who was initially diagnosed with multiple traumas with a large periosteal defect of the head. The ulcer was surrounded by malodorous necrotic tissue and slough, and several bacteria that caused necrotizing fasciitis were detected. Mapping biopsies after extensive debridement yielded BCC, and therefore, he was finally diagnosed with a super-giant BCC. A careful consultation revealed a history of ulcer on the head after a head injury approximately 10 years ago. He underwent radical dissection including the external table of the skull, followed by a free latissimus dorsi muscle flap with a meshed split-thickness skin graft. Because of the slow and chronic development of a super-giant BCC, accurate diagnosis is often difficult. Careful attention should be paid in patients with long-sustained ulcers. Lippincott Williams & Wilkins 2023-02-02 /pmc/articles/PMC9894351/ /pubmed/36751507 http://dx.doi.org/10.1097/GOX.0000000000004812 Text en Copyright © 2023 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of The American Society of Plastic Surgeons. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND) (https://creativecommons.org/licenses/by-nc-nd/4.0/) , where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal. |
spellingShingle | Reconstructive Okano, Junko Arata, Jun Arakawa, Atsuhiro Ogino, Shuichi Yamashita, Teruyo A Case of Super-giant Basal Cell Carcinoma Initially Diagnosed as Multiple Traumas |
title | A Case of Super-giant Basal Cell Carcinoma Initially Diagnosed as Multiple Traumas |
title_full | A Case of Super-giant Basal Cell Carcinoma Initially Diagnosed as Multiple Traumas |
title_fullStr | A Case of Super-giant Basal Cell Carcinoma Initially Diagnosed as Multiple Traumas |
title_full_unstemmed | A Case of Super-giant Basal Cell Carcinoma Initially Diagnosed as Multiple Traumas |
title_short | A Case of Super-giant Basal Cell Carcinoma Initially Diagnosed as Multiple Traumas |
title_sort | case of super-giant basal cell carcinoma initially diagnosed as multiple traumas |
topic | Reconstructive |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9894351/ https://www.ncbi.nlm.nih.gov/pubmed/36751507 http://dx.doi.org/10.1097/GOX.0000000000004812 |
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