Professional paper

https://doi.org/10.57140/mj.53.3.6

Locally aggressive giant basal cell carcinoma of the head with focus on surgical treatment - a case report

Fatima Juković-Bihorac orcid.org/0000-0002-4151-2235 ; Cantonal Hospital Zenica, Department of Pathology, Zenica, Bosnia and Herzegovina
Hakija Bečulić ; Cantonal Hospital Zenica, Department of Neurosurgery, Zenica, Bosnia and Herzegovina
Emir Begagić ; University of Zenica, Medical Faculty, Department of General Medicine
Rasim Skomorac ; Cantonal Hospital Zenica, Department of Neurosurgery, Zenica, Bosnia and Herzegovina

Abstract

Introduction: Basal cell carcinoma is the most common non melanoma skin cancer. It accounts for
approximately 80% of all skin cancers.
Case report: We presented a 62-year-old patient with a giant, deeply infiltrative, destructive lesion of
the head which lasted for 15 years. Microbiological analysis showed contamination, computed tomography
(CT) scan showed deep infiltration and bone destruction. The risks of operative treatment were numerous.
The treatment was more complicated by infection, infiltrative spreading and the patient's comorbidity.
Regardless, we decided on a wide surgical resection with pathohistological evaluation of the resection
margins. The patient denied oncological treatment. After 10 years, there were no recurrent tumours.
Conclusion: Aggressive surgical treatment is the treatment of choice for giant basal cell carcinoma. In
the case of giant locally aggressive and advanced neoplasms, when surgery is not appropriate or not
possible, medical treatment becomes oncological.

Keywords

non melanoma skin cancer; basal cell carcinoma; giant skin carcinoma

Hrčak ID:

310175

URI

https://hrcak.srce.hr/310175

Publication date:

27.11.2023.

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