title: Multiple infundibulocystic basal cell carcinomas: case report of unique unilateral presentation.
abstract: BACKGROUND
  Basal cell carcinoma shows a wide spectrum of clinical and histologic appearances. A distinct tumor variant with follicular infundibulocystic differentiation is recognized, and there are only a few reports on its clinical presentation and management.
  
  
  OBJECTIVE
  To report a case of multiple infundibulocystic basal cell carcinomas with a unique unilateral presentation.
  
  
  METHODS
  A clinical history was obtained. Photographs were taken, and punch biopsies were performed.
  
  
  RESULTS
  An 83-year-old Caucasian female presented with multiple unilateral, asymptomatic, skin-colored, dome-shaped papules around the right mouth for 11 years without apparent change. Punch biopsies revealed findings typical of infundibulocystic basal cell carcinoma.
  
  
  CONCLUSIONS
  A patient with clinically indolent multiple unilateral infundibulocystic basal cell carcinomas is described. Given the location of these multiple lesions, standard treatment modalities for basal cell carcinomas would have significant cosmetic and functional implications. A management approach with clinical follow-up and surgical intervention only for changing lesions is discussed.
authors.affiliation: Department of Dermatology, Presbyterian Hospital of Cornell University, New York, USA.
authors.forename: Alysa R
authors.initials: AR
authors.lastname: Herman
authors.forename: Klaus J
authors.initials: KJ
authors.lastname: Busam
authors.forename: Robert A
authors.initials: RA
authors.lastname: Greenberg
authors.forename: Kishwer S
authors.initials: KS
authors.lastname: Nehal
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D002280:Basal Cell Carcinoma / Q000473:pathology* / Q000601:surgery; D005153:Facial Neoplasms / Q000473:pathology* / Q000601:surgery; D005260:Female; D006801:Humans; D012878:Skin Neoplasms / Q000473:pathology* / Q000601:surgery