CHSJ

Curr Health Sci J, vol. 48, no. 3, 2022

A Rare Case of Neglected Giant Basal Cell Carcinoma in a Nurse-Case Report and Literature Review

[Case Report]

A. COJOCARU(1,2), O.A. ORZAN(2,3), C. BIRJOVANU(1,4), N.C. ANDREEA(5), D. PETRACHE(6), E.M. MARINESCU(7), M.E. CIUREA(7)


(1)PhD Student, Doctoral School, University of Medicine and Pharmacy of Craiova, Romania;
(2)Department of Dermatology, Elias Emergency University Hospital, Bucharest, Romania;
(3)Department of Dermatology, “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania;
(4)Department of Ophthalmology, “Dr. Carol Davila”, Central Military Emergency University Hospital, Bucharest, Romania;
(5)Department of Histology, Emergency University Hospital, Bucharest, Romania;
(6)Private consultant-Savigneux, France;
(7)Department of Plastic Surgery, University of Medicine and Pharmacy of Craiova, Romania


Abstract:

Basal cell carcinoma (BCC) is the most common skin cancer in the fair-skinned adult population over 50 years of age and the incidence is rising. Generally, BCC has an indolent course, low mortality and a good prognosis due to low rates of metastasis. Giant basal cell carcinoma is a rare reported oncological entity which accounts for 0.5% to 1% of all cases of BCC and has a diameter larger than 5cm. Basosquamous carcinoma is a rare high-risk type of BCC with clinical and histopathological features of both BCC and squamous cell carcinoma. A 61-year-old female presented to our clinic for a giant bleeding tumor located under her left breast. She initially noted the tumor almost 15 years ago. Although the patient was a nurse, she was afraid to seek medical advice until an episode of significant bleeding. At presentation the tumor was a 15/7cm in size, was invading the underlying structures and had a central ulceration. The margins of the tumoral plaque had several nodules and pearly structures suggesting the possible clinical diagnosis of BCC.


Keywords: Basal cell carcinoma, giant basal cell carcinoma, basosquamous carcinoma.



Corresponding: Olgua-Anca Orzan, "Carol Davila" University of Medicine and Pharmacy, Bucharest 050474, Romania, e-mail: olguta@gmail.comAlexandra Roman, Department of Periodontology, Iuliu Haieganu" University of Medicine and Pharmacy, Cluj-Napoca, Romania, e-mail: veve_alexandra@yahoo.com


DOI 10.12865/CHSJ.48.03.13 - Download PDF
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