Giant rodent ulcer of the elbow requiring defect coverage by preconditioned latissimus dorsi pedicled myocutaneous flap following excision

As the most common form of skin cancer, basal cell carcinoma (BCC) is typified by locally infiltrative growth and a very low risk of metastasis. On occasion, however, this otherwise indolent neoplasm may behave aggressively, demonstrating deep tissue invasion and a high rate of postsurgical recurrence. The pathogenesis and determinants of such tenacious growth are not completely understood. Only 1% of all BCC's achieve the status of 'giant', as defined in 1988 by the American Joint Committee on Cancer. In this article, the authors provide a comprehensive review of the scientific literature on giant basal cell carcinoma (GBCC) of the skin and report their experience with this rare tumour subtype.

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Spontaneous Regression of Two Giant Basal Cell Carcinomas in a Single Patient after Incomplete Excision

Rieger

Schlecker

Pierer

et al. 2009

Tumori

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We present a patient with two independent giant basal cell carcinomas over the left clavicle and the lower back, measuring 7 x 12 cm and 18 x 20 cm, respectively. Both tumors were excised incompletely (R2) and the patient refused followup resections. After 52 and 16 months, respectively, no signs of recurrence were observed. CONCLUSION; Incompletely excised giant basal cell carcinomas can regress spontaneously. A watch-and-wait approach after incomplete resection may be pragmatic to avoid mutilating follow-up resections in patients refusing further surgery.

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Giant rodent ulcer of the elbow requiring defect coverage by preconditioned latissimus dorsi pedicled myocutaneous flap following excision

Cited by 4 publications

References 9 publications

31 Tumors of the epidermis

31 Tumors of the epidermis

Giant basal cell carcinoma of the skin: literature review and personal experience

Spontaneous Regression of Two Giant Basal Cell Carcinomas in a Single Patient after Incomplete Excision

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