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- Title
Giant Basal Cell Carcinomas Arising on the Bilateral Forearms of a Patient: A Case Report and Review of Nonsurgical Treatment Options.
- Authors
Shangraw, Sarah; Stone, Rivka C.; Cho-Vega, Jeong Hee; Kirsner, Robert S.
- Abstract
Giant basal cell carcinomas (GBCCs) are large basal cell carcinomas (BCCs; <5 cm) with a greater propensity to invade and metastasize than standard BCCs. The presence of 2 GBCCs in a single individual is rare. We present the case of a 71-year-old Caucasian male with bilateral GBCCs on the dorsal forearms, measuring 130 cm² and 24 cm², respectively, that developed over a 21-year period. Over this period, the patient treated the tumors with herbal remedies. Histologic evaluation showed a conventional nodular BCC for both tumors. Computed tomography and magnetic resonance imaging revealed a T4N0M0 stage for the larger lesion. Surgical excision and grafting and reconstruction were offered, but he declined. This case highlights a shared belief in holistic treatments and rejection of Western medical inter-ventions that are common among many patients with GBCC. Studies reporting nonsurgical treatments for GBCCs, including radiotherapy, vismodegib, topical imiquimod, and acitretin are reviewed.
- Subjects
BASAL cell carcinoma treatment; METASTASIS; HERBAL medicine; CANCER radiotherapy; CAUCASIAN race; HEALTH
- Publication
Case Reports in Dermatology, 2016, Vol 8, Issue 3, p363
- ISSN
1662-6567
- Publication type
Case Study
- DOI
10.1159/000452323