Background: Basal cell carcinoma (BCC) is the most common cutaneous skin malignancy. 85% of BCCs affect the face, a region particularly rich in noble organs. Although BCC progresses slowly, considerable local destruction and mutilation may be observed. Material and Methods: We performed a retrospective review of the database stored by our institution. All patients with histologically confirmed mutilating basal cell carcinoma of the face hospitalized at the dermatology department of the university hospital in Fez, Morocco, from 2015 through 2020 were evaluated. Results: Nine patients were included, with the tumors located in the lips, temporal region, orbital region, and cheeks, with sizes varying from 5 to 11 cm. Conclusion: In the series, we were able to highlight the high-risk character of the subpopulation living in rural areas and the role of smoking as a major risk factor.
Background: Given the high incidence of skin cancer (SC) in several countries around the world, general practitioners (GPs) are playing an increasingly important role in the prevention and early detection of this disease. The main objective of our study was to evaluate the current role of GP’s in the prevention and early detection of skin cancer. The secondary objectives were to determine the GP’s level of knowledge, their lack of information and their need for education on skin cancer. Methods: We realized a cross-sectional descriptive survey by means of a questionnaire among GPs practicing in the private and public sector in the city of Fes. Results: 158 general practitioners issued a completed and usable questionnaire. The average age was 45.91 years, sex ratio M/F =1.05. The number of years of exercise varied between one year and 39 years with the predominance of the bracket; between 10 and 20 years of experience. 47.5% estimated that their dermatological activity represented less than 10% of their overall activity. The majority of physicians surveyed stated that they rarely or never carry out all practices related to skin cancer prevention and screening, the main obstacle being the difficulty in recognizing suspicious lesions. 60.8% of physicians stated that they never gave photoprotection advice to their patients. 1.3% had participated in a specific training course on skin cancer screening; 92.9% selected “lack of proposal” as their reasons for non-participation in such a course. Among the general practitioners in the study, 91.1% considered that it was essential to reinforce their knowledge, particularly in terms of training in the recognition of suspicious lesions (88.6%). The evaluation of knowledge about skin cancer showed a good level of knowledge among 54.7% of the doctors questioned and an insufficient level among 43.1%. Conclusion: Most GPs are willing to take part in SC prevention and screening in their daily practice. However, our results demonstrate a high need for additional education and training.
It is well established that ultraviolet (UV) radiation is one of the major risk factors for the development of skin cancer. It is therefore consistent to think that in vitiligo plaques completely devoid of melanin and melanocytes, cellular DNA without its natural protector can only be more vulnerable to UV aggression. We logically expect to have a high incidence of skin cancer in vitiligo patients. To our astonishment, the literature tends rather towards the hypothesis that there is no increase in this risk. We report a new case of multiple actinic keratoses, Bowen’s disease and squamous cell carcinoma on the sun-exposed areas in a 67 year old man with universal vitiligo. We also conducted a literature review by collecting all similar cases as well as cohorts, meta-analyses and literature reviews on the issue, to determine if this debate is still ongoing.
The periocular skin is susceptible to numerous benign and malignant neoplasms. Malignant skin tumors of the periocular area are very particular; they can present differently, are rapidly aggressive and pose a real therapeutic challenge. Aggressive forms occur mostly in immunocompromised individuals. A complete destruction of the orbit is rare and the initial seat is most often the eyelid. We report the case of an immunocompetent 70-year-old patient with destruction of the entire orbital region including the eyeball secondary to the extension of squamous cell carcinoma of the internal canthus.
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