Neglected cutaneous skin malignancy: A patient with concurrent giant basal cell carcinoma and melanoma

Abstract Background Giant basal cell carcinomas (BCCs) are a rare subtype of BCC that grow to be greater than 5 cm in diameter. With the increase in size, there is a corresponding increase in metastatic rate and state of local invasion, with a clinical morphology that can be hard to differentiate fr...

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Autores principales:	L. Sun, E. Tan
Formato:	article
Lenguaje:	EN
Publicado:	Wiley 2021
Materias:	Dermatology RL1-803
Acceso en línea:	https://doaj.org/article/f0091bab62e5475bbd70175f5e7fada7
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spelling	oai:doaj.org-article:f0091bab62e5475bbd70175f5e7fada72021-12-02T11:13:08ZNeglected cutaneous skin malignancy: A patient with concurrent giant basal cell carcinoma and melanoma2690-442X10.1002/ski2.68https://doaj.org/article/f0091bab62e5475bbd70175f5e7fada72021-12-01T00:00:00Zhttps://doi.org/10.1002/ski2.68https://doaj.org/toc/2690-442XAbstract Background Giant basal cell carcinomas (BCCs) are a rare subtype of BCC that grow to be greater than 5 cm in diameter. With the increase in size, there is a corresponding increase in metastatic rate and state of local invasion, with a clinical morphology that can be hard to differentiate from other subtypes of cutaneous malignancy. Although histologically equivalent to their common sub‐centimetre counterparts, giant BCCs can precipitate significant systematic medical morbidity as well as psychological trauma, and can be a real surgical reconstructive challenge to clinicians. Aims To add breadth to the existing cases in the literature, as well as a fresh patient perspective on the psychological challenges in a patient with Giant BCC. Materials & Methods A case from the Waikato Hospital, New Zealand referred to the Plastic and Reconstructive Department is carefully photographed, ordered, and presented. Results We present a case of a 15 cm giant BCC of the back existing alongside a neglected thick exophytic melanoma of the elbow in a patient who had been too embarrassed to approach healthcare professionals. These skin lesions were an incidental discovery by the general practitioner after the patient presented with symptoms of shortness of breath. Discussion Neglected skin cancers can fungate and be clinically morphologically confusing. Photographs of examples of these tumours can hone clinician awareness of the existance of Giant BCCs. Conclusion Giant BCCs are an entity yet to receive standardized treatment stratification. Prompt diagnosis and staging scans mean an expedited path to wide local excision and reconstruction, resulting in timely resolution of patients' immediate morbidity from their oncological disease burden.L. SunE. TanWileyarticleDermatologyRL1-803ENSkin Health and Disease, Vol 1, Iss 4, Pp n/a-n/a (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Dermatology RL1-803
spellingShingle	Dermatology RL1-803 L. Sun E. Tan Neglected cutaneous skin malignancy: A patient with concurrent giant basal cell carcinoma and melanoma
description	Abstract Background Giant basal cell carcinomas (BCCs) are a rare subtype of BCC that grow to be greater than 5 cm in diameter. With the increase in size, there is a corresponding increase in metastatic rate and state of local invasion, with a clinical morphology that can be hard to differentiate from other subtypes of cutaneous malignancy. Although histologically equivalent to their common sub‐centimetre counterparts, giant BCCs can precipitate significant systematic medical morbidity as well as psychological trauma, and can be a real surgical reconstructive challenge to clinicians. Aims To add breadth to the existing cases in the literature, as well as a fresh patient perspective on the psychological challenges in a patient with Giant BCC. Materials & Methods A case from the Waikato Hospital, New Zealand referred to the Plastic and Reconstructive Department is carefully photographed, ordered, and presented. Results We present a case of a 15 cm giant BCC of the back existing alongside a neglected thick exophytic melanoma of the elbow in a patient who had been too embarrassed to approach healthcare professionals. These skin lesions were an incidental discovery by the general practitioner after the patient presented with symptoms of shortness of breath. Discussion Neglected skin cancers can fungate and be clinically morphologically confusing. Photographs of examples of these tumours can hone clinician awareness of the existance of Giant BCCs. Conclusion Giant BCCs are an entity yet to receive standardized treatment stratification. Prompt diagnosis and staging scans mean an expedited path to wide local excision and reconstruction, resulting in timely resolution of patients' immediate morbidity from their oncological disease burden.
format	article
author	L. Sun E. Tan
author_facet	L. Sun E. Tan
author_sort	L. Sun
title	Neglected cutaneous skin malignancy: A patient with concurrent giant basal cell carcinoma and melanoma
title_short	Neglected cutaneous skin malignancy: A patient with concurrent giant basal cell carcinoma and melanoma
title_full	Neglected cutaneous skin malignancy: A patient with concurrent giant basal cell carcinoma and melanoma
title_fullStr	Neglected cutaneous skin malignancy: A patient with concurrent giant basal cell carcinoma and melanoma
title_full_unstemmed	Neglected cutaneous skin malignancy: A patient with concurrent giant basal cell carcinoma and melanoma
title_sort	neglected cutaneous skin malignancy: a patient with concurrent giant basal cell carcinoma and melanoma
publisher	Wiley
publishDate	2021
url	https://doaj.org/article/f0091bab62e5475bbd70175f5e7fada7
work_keys_str_mv	AT lsun neglectedcutaneousskinmalignancyapatientwithconcurrentgiantbasalcellcarcinomaandmelanoma AT etan neglectedcutaneousskinmalignancyapatientwithconcurrentgiantbasalcellcarcinomaandmelanoma
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Neglected cutaneous skin malignancy: A patient with concurrent giant basal cell carcinoma and melanoma

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