Periungual Basal Cell Carcinoma: Case Report and Literature Review

Abstract

Case report and review of the English literature of nail unit basal cell carcinoma. RESULTS In addition to the currently described patient, 17 other patients with nail unit basal cell carcinoma have been reported. The tumor occurred approximately 3 times more often on the fingers then on the toes and had a slight predilection to occur in men. Ulceration, noted in more than one-half of patients, was the most common presentation of nail unit basal cell carcinoma. Mohs micrographic surgery. Often with second intention healing, was successfully employed in 39% of patients. CONCLUSIONS Basal cell carcinoma infrequently involves the nail unit and often presents as ulceration. Adequate biopsy of the lesion is essential in making a timely diagnosis. Mohs micrographic surgery with second intension healing is an effective treatment that may offer excellent cosmetic and functional results.

Basal cell carcinoma in childhood: Case report and literature review

“…[54][55][56][57] It typically presents in adults and has been associated with exposure to ultraviolet radiation. 54,58,59 BCC occasionally is reported in children.…”

Periungual basal cell carcinoma: A case report with review of literature

“…Presentation varies from onycholysis[610] to longitudinal melanonychia,[1217] and the most common sign of the disease is ulceration[78141618202124–26] around and of the nail plate, as seen in our subject.…”

“…Male: female ratio was 1.8:1. The thumb was the most frequently affected site[568912131519242628] and the hallux was reported in five cases. [1118212227] The right middle finger was involved in three cases[41620] and both hands were affected with almost similar frequency.…”

Azo Pigments and a Basal Cell Carcinoma at the Thumb

“…Skin cancer, predominantly basal cell carcinoma and squamous cell carcinoma, have accounted for about 40% of all cancers in the United States and their frequency has been increasing [1]. However, the nail unit is a very uncommon site for basal cell carcinoma to develop [2,3,4]. In 2006, Martinelli et al[ 2] reviewed the English literature and found only 17 patients with a basal cell carcinoma at this location.…”

“…However, the nail unit is a very uncommon site for basal cell carcinoma to develop [2,3,4]. In 2006, Martinelli et al[ 2] reviewed the English literature and found only 17 patients with a basal cell carcinoma at this location.…”