Bilateral Lymphatic Spread of Metastatic Basal Cell Carcinoma. Issue 12 (December 2016)

• Record Type: Journal Article
• Authors: Sleightholm, Richard L.; Willcockson, James R.; Watley, Duncan C.; Durden, Frederick L.; Foster, Jason M.
• Is Part Of: Plastic and reconstructive surgery. Volume 4:Issue 12(2016:Dec.)
• Publication Date: 2016-12
• Subjects: Surgery, Plastic -- Periodicals; Surgery, Plastic -- Periodicals; Reconstructive Surgical Procedures -- Periodicals; 617.95205
• DOI: 10.1097/GOX.0000000000001182
• Languages: English
• ISSNs: 2169-7574

Abstract

Abstract : Summary: Herein, we report a case of a patient with an abnormal skin lesion that remained unchecked by medical professionals for approximately 20 years. Upon physical examination in the emergency department for a fractured hip, an infiltrative mass was incidentally discovered. The neoplasm was noted to have progressed from an eraser-sized mass to a 3.5-cm invasive lesion. Initial surgical intervention was believed to have been successful in removal, as margins were clear with the exception of 1 indeterminate segment. However, subsequent 1-year follow-up revealed recurrence of the disease with bilateral axillary node and deep muscle involvement. This prompted a more extensive surgical approach complemented with radiation therapy. The patient had remained disease-free for a year.