|Year : 2020 | Volume
| Issue : 2 | Page : 108-109
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|
Dr. Anupam Das
Department of Dermatology, KPC Medical College and Hospital, Kolkata, West Bengal
Source of Support: None, Conflict of Interest: None
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., The purpose of documenting this case is to increase the awareness among the physicians and highlight the role of prompt referral and suitable intervention.
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Conflicts of interest
There are no conflicts of interest.
| References|| |
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
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]