Perianal basal cell carcinoma: a common cancer in an uncommon location

Journal of Surgical Case Reports
Edward R HagenRodney Kratz

Abstract

This is a case of a perianal basal cell carcinoma, a common skin cancer in an unusual location. Our patient is a 67-year-old male with a perianal lesion. He first noticed this painless lesion 5 years prior to presentation and was having fecal incontinence and weight loss. He had a fully encompassing ulcerated lesion involving the entirety of the anal margin. We performed a biopsy that returned on pathology as a basal cell carcinoma. Due to the size of the lesion and his current nutritional status, it was determined to be unresectable. We were able to provide him with a diverting colostomy to address his incontinence and this allowed the patient to recover enough to undergo treatment with radiation (total of 5400 cGy). To our knowledge, this is the largest perianal basal cell carcinoma reported in the literature and an example of combining palliative surgery and radiation as a treatment option.

References

Jun 26, 2001·Journal of the American Academy of Dermatology·G E Gibson, I Ahmed
Apr 4, 2015·Annals of Dermatology·Hyun Soo Lee, Sue Kyung Kim
Jun 6, 2016·International Journal of Surgery Case Reports·José P Rivera-ChavarríaSilvia Riggioni-Víquez
Nov 23, 2017·International Journal of Molecular Sciences·Cristina PellegriniMaria Concetta Fargnoli

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Methods Mentioned

BETA
biopsies

Related Concepts

Related Feeds

Carcinoma, Basal Cell

Basal cell carcinoma is a form of malignant skin cancer found on the head and neck regions and has low rates of metastasis. Discover the latest research on basal cell carcinoma here.

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