AI Article Synopsis
- Giant basal cell carcinoma (GBCC) is a rare and aggressive type of skin cancer, exemplified by a case study of a man in his 60s with a large ulcer on his heel that had persisted for a year.
- The patient underwent surgeries including biopsies and an excision with a skin graft to treat the aggressive lesion.
- The study highlights the relationship between tumor size and behavior, as well as factors like tumor location, surgical margins, and potential for recurrence or spread.
Article Abstract
Giant basal cell carcinoma (GBCC) is a rare and more aggressive variant of basal cell carcinoma. We present a case of GBCC with an overview of the challenges it presents.A man in his 60s presented to the tertiary care unit with a history of an ulcer over the posterior aspect of his left heel for the past 1 year. Examination revealed an ulceroproliferative lesion of 10×8 cm on the posterior aspect of the left heel and lower Tendo-Achilles region. A wedge biopsy of the lesion was performed twice, which demonstrated basal cell carcinoma. The patient underwent excision of the lesion with 10 mm margins. A split-thickness skin graft was placed and secured over the resultant wound with the application of a negative pressure wound dressing.The correlation between tumour size and tumour behaviour is examined. Additionally, the significance of tumour location, width of margins, incidence recurrence or metastasis is also studied.
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| http://dx.doi.org/10.1136/bcr-2024-261951 | DOI Listing |
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