Basal Cell Carcinoma
EXTENSIVE NASAL TIP BASAL CELL CARCINOMA
HISTORY 71-year-old woman presents with a nasal tip lesion biopsied on 6/12/2017 showing basal cell carcinoma, superficial and micronodular type. There is a history of treatment with topical chemotherapy and Mohs excision of other sites. Patient is anxious about the possible extent of nasal carcinoma and the reconstruction required. DISCUSSION This case presents an excellent…
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Recurrent Extensive Basal Cell Carcinoma of Forehead
HISTORY 68-year-old man presented with a recurrent right forehead basal cell carcinoma. The carcinoma was previously treated with Mohs excision in 2002 and 2009. The recurrence appeared initially as superficial and was treated successfully with topical imiquimod. Deep recurrence became evident many months later. Morphology of the basal cell carcinoma was infiltrative with metatypical features.…
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DEEP NECK BASAL CELL CARCINOMA RECURRENCE – FOLLOW UP
Initial resection sparing facial nerve branches Resection of additional positive margins (the submandibular gland and the mandible are visible), second excision of additional margin. HISTORY 63 year old man presented with a 5-year history of a lesion in the left anterior neck. The lesion was diagnosed as basal cell carcinoma and excised in 2012, but it…
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STAGING OF RECURRENT EXTENSIVE BASAL CELL CARCINOMA OF THE FOREHEAD
HISTORY This 68-year-old man presented with a recurrent extensive right forehead basal cell carcinoma eight years after previous Mohs excision. The lesion itself is palpable as it extends for approximately 5 cm. The extent appears to be subcutaneous for approximately 1.5 cm past a visible plaque. The histopathology shows this to be a nodular type…
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FIELD CANCERIZATION WITH BASAL CELL CARCINOMA
2012 Radiation Simulation Persistent cheek recurrence of BCC at edge of flap recent CT showing resected right temporal bone with overlying flap and evidence of deep tumor HISTORY This 69-year-old man presented with greater than 25-year history of multiple basal cell carcinomas of the face and neck. His most problematic cancer has been in the…
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LOWER LID CARCINOMA
HISTORY This 84 year old man was initially seen with a large left facial lesion. Biopsy diagnosed basal cell carcinoma in 3 locations of biopsy. The patient was reluctant to undergo a surgical excision and reconstruction. Vismodegib (Erivedge) was used as primary treatment. Patient completed a 4 month course of 150mg daily vismodegib dose. He…
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MEDIAL CANTHUS BASAL CELL CARCINOMA FOLLOW UP
HISTORY 91 year old man presented with a recurrent right medial canthus BCC that was previously treated with 45 days of radiation (SRT at Hoag Hospital). Biopsy showed infiltrative sclerosing basal cell carcinoma with focal perineural invasion. MRI in December of 2016 showed the mass was fixed on the lamina papyracea adjacent to the medial…
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BASOSQUAMOUS CARCINOMA INVADING PAROTID GLAND
SMAS Fasciocutaneous Island flap used to reconstruct the parotid and facial defect. HISTORY 79 year old man presented in 3/2017 with basal cell carcinoma of the right ear involving the parotid and the tragal cartilage. 3 levels of Mohs were done without clear margins. Mapping biopsies were performed on 3/20/17 showing metatypical basal cell carcinoma…
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LEFT NECK METATYPICAL BASAL CELL CARCINOMA
HISTORY 63 year old man presented with a 5-year history of a lesion on the left anterior neck. The lesion was diagnosed as basal cell carcinoma and excised in 2012 , but it recurred three years ago with progressive deep scar growth. The lesion was re-biopsied in 2017 as a metatypical basal cell carcinoma with…
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MAPPING OF BCC WITH CONFOCAL MICROSCOPY
HISTORY 63 year old woman diagnosed with recurrence of BCC of left upper lip in 2015 after treatment of Efudex and a surgical excision in 2005. Patient had 3 separate BCC locations in left upper lip. Due to the size and multifocality of the lesion, patient was treated with Erivedge for 7…
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