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Review article

Subepidermal Basal Cell carcinoma Following Laser Treatment of Congenital Capillary Malformation: A Case Report

Krešimir Bulić ; University Hospital Centre Zagreb, Zagreb, Croatia
Ivana Ilić ; Department of Pathology and Cytology, University Hospital Centre Zagreb, Zagreb, Croatia;
Eva Brenner ; University of Zagreb, School of Medicine, Zagreb, Croatia
Luka Bulić ; School of Medicine, University of Zagreb, Zagreb, Croatia;
Mia Lorencin Bulić ; University Hospital Dubrava, Zagreb, Croatia


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Abstract

While basal cell carcinoma is the most common type of skin can-
cer in humans, its subepidermal presentation is extremely rare. The risk factors

for basal cell carcinoma development are well-known, but it remains unclear in
which setting the tumor restricts itself to the dermal compartment. We present

the fifth known case of subepidermal basal cell carcinoma. However, this par-
ticular presentation is unique due to arising beneath a capillary malformation.

The patient had previously undergone multiple laser treatments which yielded

no success. Initially, the vascular malformation was removed and sent for histo-
pathological diagnosis. After the discovery of basal cell carcinoma, wide surgical

resection was performed. The patient had no recurrence up to the last follow-up
at 18 months postoperatively. This case demonstrates a new presentation of a

very rare condition, but also highlights the importance of histopathological ex-
amination and the need for future research on any possible association between

laser therapy and carcinogenesis.

Keywords

case report, subepidermal basal cell carcinoma; capillary malfor- mation; laser treatment

Hrčak ID:

316458

URI

https://hrcak.srce.hr/316458

Publication date:

15.12.2023.

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