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| CLINICAL PICTURE |
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| Year : 2020 | Volume
: 7
| Issue : 2 | Page : 108-109 |
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Giant pigmented basal cell carcinoma
Anupam Das1, Abheek Sil2
1 Department of Dermatology, KPC Medical College and Hospital, Kolkata, West Bengal, India
2 Department of Dermatology, RG Kar Medical College and Hospital, Kolkata, West Bengal, India
| Date of Submission | 20-Oct-2019 |
| Date of Decision | 25-Feb-2020 |
| Date of Acceptance | 27-Jul-2020 |
| Date of Web Publication | 03-Dec-2020 |
Correspondence Address:
Dr. Anupam Das
Department of Dermatology, KPC Medical College and Hospital, Kolkata, West Bengal
India
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/Pigmentinternational.Pigmentinternational_
Basal cell carcinoma is a nonmelanocytic skin malignancy, which develops from the basal cells of the skin. More than 80% of BCCs occur on the face, head and neck. The clinicopathological types of BCC are nodular, infiltrative, micronodular, morpheaform and superficial. When the largest dimension of the lesion is more than 5 cms, it is referred to as giant basal cell carcinoma. Presentation of giant BCC indicates neglect and/or follow up. We hereby present a case of giant pigmented BCC in an elderly lady.
Keywords: Basal cell carcinoma, giant, pigmented
How to cite this article:
Das A, Sil A. Giant pigmented basal cell carcinoma. Pigment Int 2020;7:108-9 |
A 71-year-old lady presented with a well-circumscribed erythematous plaque with central scarring, focal sero-haemorrhagic crusts and hyperpigmented thread-like raised border, measuring 13 cms × 7 cms, over the right fronto-temporal area [Figure 1]. The lesion had been present for 12 years, during which it had progressively increased in size, although the patient had otherwise been in good health. There was a history of easy bleeding to touch or trivial trauma. Incisional biopsy from the margin showed basaloid proliferation of cells, with peripheral palisading. Besides, increased melanin pigment was noted [Figure 2]. Based on clinicopathological correlation, a diagnosis of giant pigmented basal cell carcinoma was done. She was referred to the Department of Plastic Surgery, where she underwent wide resection of the tumour with a pedicled trapezius myocutaneous flap repair. | Figure 1 Solitary giant erythematous plaque with areas of atrophy, telangiectasia and crusting. Note the presence of pigmented borders.
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 | Figure 2 Photomicrograph showing basaloid proliferation of cells, with peripheral palisading. Besides, increased melanin pigment is also notable (H&E, 100X).
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Giant pigmented basal cell carcinoma is an aggressive malignant neoplasm having a diameter in excess of 5 cm. This rare variant of the more commonly encountered basal cell carcinoma possesses greater propensity for metastasis (especially when size is more than 10 cm) and loco-regional recurrence.[1],[2] The purpose of documenting this case is to increase the awareness among the physicians and highlight the role of prompt referral and suitable intervention.
Financial support and sponsorship
Nil.
Conflicts of interest
There are no conflicts of interest.
| References | |  |
| 1. | Purnell J.C., Gardner JM, Brown J.A., Shalin SC. Conventional versus giant basal cell carcinoma, a review of 57 Cases: histologic differences contributing to excessive growth. Indian J Dermatol 2018;63:147-54  |
| 2. | Desmond B, Boudreaux L, Young J. A rare case of super giant basal cell carcinoma. JAAD Case Rep 2015;1:280-282. |
[Figure 1], [Figure 2]
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