Management of Giant Basal Cell Carcinoma with Atypical Location

BOZKURT F., ÖZYAZGAN İ., NAGHIZADE B., CANÖZ Ö., DEMİRAY S.

JOURNAL OF CLINICAL PRACTICE AND RESEARCH, cilt.47, sa.5, ss.560-562, 2025 (ESCI, TRDizin) identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 47 Sayı: 5
  • Basım Tarihi: 2025
  • Doi Numarası: 10.14744/cpr.2025.28487
  • Dergi Adı: JOURNAL OF CLINICAL PRACTICE AND RESEARCH
  • Derginin Tarandığı İndeksler: Emerging Sources Citation Index (ESCI), EMBASE, Directory of Open Access Journals, TR DİZİN (ULAKBİM)
  • Sayfa Sayıları: ss.560-562
  • Anahtar Kelimeler: Atypical location, locally advanced BCC, rare, reconstructive surgery, skin cancers
  • Erciyes Üniversitesi Adresli: Evet

Özet

Background: Giant basal cell carcinoma (BCC) is a rare, locallyaggressive variant of the most common cutaneous malignancy. It often develops due to delayed diagnosis and may occur in atypical, sun-protected areas, making clinical recognition more challenging. Case Report: An 82-year-old male presented with a 12 x 8 cm ulcerated lesion in the posterior axillary region, an uncommon and sun-protected location. Surgical excision was performed with clear margins, and the resulting defect was reconstructed using a fasciocutaneous transposition flap. The patient's postoperative course was uneventful, with no signs of recurrence on follow-up. Conclusion: This case underscores the importance of clinical vigilance for atypical presentations of BCC. Early recognition, combined with a multidisciplinary approach, is essential for achieving optimal oncologic control and functional reconstruction, even in rare and complex presentations.