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Case Report
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| Cutaneous basaloid squamous cell carcinoma of the face, a rare variant: A case report |
| Krishnangshu Choudhury Bhanja1, Swapan Kumar Mallick1, Shyam Sharma1, Rama Saha2 |
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1Junior Resident, Department of Radiotherapy, Institute of Post graduate Medical Education and Research, Kolkata-700020, West Bengal, India.
2Associate Professor, Department of Pathology, Institute of Post graduate Medical Education and Research, Kolkata-700020, West Bengal, India. |
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doi:10.5348/ijcri-2012-01-84-CR-6
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Address correspondence to: Krishnangshu Bhanja Choudhury C-11/4, Green Tower, Golf Green Kolkata -700095 West Bengal India Phone: 00-91 - 9830932869 Email: krishnangshubc@gmail.com |
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| How to cite this article: |
| Bhanja KC, Mallick SK, Sharma S, Saha R. Cutaneous basaloid squamous cell carcinoma of the face, a rare variant: A case report. International Journal of Case Reports and Images 2012;3(1):20-23. |
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Abstract
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Introduction:
Basaloid squamous cell carcinoma (BSCC) is a rare and aggressive variant of squamous cell carcinoma (SCC) that occurs preferentially in the upper aerodigestive tract. While rare reports of metastatic BSCC have been cited in various articles, the primary cutaneous lesions involve the inguinal and perineal skin. The incidence of cutaneous BSCC of face has not being been reported. We present a rare case of cutaneous BSCC involving the right lower eye lid and skin over the lateral nasal wall in an elderly male patient who underwent wide excision and post operative radiotherapy.
Case Report: A 76-year-old male patient presented with painful ulcerative bleeding skin lesion of 2x1.5 cm below the right eye, extending to skin over the nose, gradually increasing in size over the last one year. Presumptive diagnosis of basal cell carcinoma was made. After cleaning, debridement and parental antibiotics, the whole lesion was excised and surgical reconstruction done. However, histopathological examination showed mucosal mass composed of epithelial cells in anastomosing cords and islands with presence of peripheral pallisading, diagnostic of basaloid squamous cell carcinoma. The patient received adjuvant radiotherapy 50 Gray in 20 fractions over four weeks due to positive margins. The patient is on follow up for last eight months without any sign of recurrence. Conclusion: We report a rare case of basaloid squamous cell carcinoma of skin of face which was clinically misdiagnosed as basal cell carcinoma. | |
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Key Words:
Cutaneous basaloid squamous cell carcinoma
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Author Contributions:
Krishnangshu Choudhury Bhanja - Substantial contributions to conception and design, acquisition of data, Drafting the article, revising it critically for important intellectual content, Final approval of the version to be published Swapan Kumar Mallick - Substantial contributions to conception and design, analysis and interpretation of data, Drafting the article, Final approval of the version to be published Shyam Sharma - Substantial contributions to conception and design, Drafting the article, revising it critically for important intellectual content, Final approval of the version to be published Rama Saha - Drafting the article, revising it critically for important intellectual content, Substantial contributions to conception and design, Final approval of the version to be published |
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Guarantor of submission:
The corresponding author is the guarantor of submission. |
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Source of support:
None |
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Conflict of interest:
The authors declare no conflict of interest. |
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Copyright:
© Krishnangshu Choudhury Bhanja et al. 2012; This article is distributed the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any means provided the original authors and original publisher are properly credited. (Please see Copyright Policy for more information.) |
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