Invasive giant basal cell carcinoma of the head: case report, reconstruction choice and literature review

Author:

Sakalauskaite M.1,Vitkus K.1,Balciunas D.1,Sirsinaitis S.2,Rocka S.2

Affiliation:

1. 1Vilnius University, Faculty of Medicine, Clinic of Rheumatology, Traumatology-Orthopaedics, Reconstructive surgery, Department of Plastic and Reconstructive surgery, Vilnius University Santariskiu Clinics Central Hospital, LT-01102, Vilnius, Lithuania

2. 2Faculty of Medicine, Clinic of Neurology and Neurosurgery, Department of Neurosurgery, Vilnius University, LT-04130, Vilnius, Lithuania

Abstract

AbstractIt is unusual to find a giant invasive basal cell carcinoma in the occipital region of the head. We are presenting a case of basal cell carcinoma invading and eroding occipital bone, managed with an unusual scalp reconstruction method. A 69-year-old female presented with a 16x19 cm diameter tumour in the occipital region. Preoperative biopsy revealed a basal cell carcinoma. A complete surgical excision of the tumour was performed in one-step surgery and tissue defect was reconstructed by a pedicle latissimus dorsi musculocutaneous flap. Our case shows that this distant pedicle flap is safe and reliable, and should be revised as the option for the occipital region reconstruction.

Publisher

Walter de Gruyter GmbH

Subject

General Medicine

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