Pigmented paraaxillary located “complex” basal cell carcinoma imitating clinically irritated melanocytic lesion -succesfull surgical approach in Bulgarian patient

Cristiana Voicu, Mara Madalina Mihai, Mihai Lupu, James W. Patterson, Nely Koleva, Uwe Wollina, Torello Lotti, Jacopo Lotti, Katlein França, Atanas Batashki, Serena Gianfaldoni, Ilko Bakardzhiev, Hristo Mangarov, Georgi Tchernev

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Abstract

Background: Basal cell carcinoma (BCC) is the most frequently encountered neoplasm worldwide. While nodular BCC is the most frequent clinical subtype, other forms of BCC, such as superficial, cystic, morpheiform, infiltrative, and pigmented may also be encountered. CASE PRESENTATION: We present the case of a 67-year-old male with a relatively well-defined infiltrative, pigmented plaque with multiple colours and peripheral growth situated in the right axillary region. The histopathologic examination performed after complete surgical excision of the tumour revealed a complex pigmented BCC with macronodular, fibroepithelioma-like, cystic, focally infiltrative and basosquamous features. Conclusion: Uncommon locations of BCCs in sun-protected areas such as the axillary region require a higher degree of suspicion for diagnosis. The complex histology of the presented case, including subtypes with differing biologic attributes, emphasises the importance of histopathological examination in the diagnosis and therapeutic management of BCC.

Original languageEnglish
Pages (from-to)497-500
Number of pages4
JournalOpen Access Macedonian Journal of Medical Sciences
Volume5
Issue number4 Special Issue GlobalDermatology
DOIs
Publication statusPublished - 2017

Keywords

  • Axillary region
  • Basal cell carcinoma
  • Basosquamous carcinoma

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