title: [Ulcus terebrans. Therapy options and their limits].
abstract: Basal cell carcinoma (BCC) is the most common tumor in humans and is defined as a slow-growing, locally invasive, epithelial skin tumor which rarely metastasizes. The first line treatment is surgical excision with histologic examination of the tumor margins, but numerous alternative therapies are available. A 75-year old patient with the most destructive form of BCC, ulcus terebrans, involving the scalp and invading the frontal bone. We discuss the problems and therapeutic limitations for this unusual BCC variant.
authors.affiliation: Hautklinik der Heinrich-Heine-Universität, Düsseldorf.
authors.forename: M
authors.initials: M
authors.lastname: Sonntag
authors.forename: J
authors.initials: J
authors.lastname: Reifenberger
authors.forename: M
authors.initials: M
authors.lastname: Megahed
authors.forename: K W
authors.initials: KW
authors.lastname: Schulte
mesh_terms: D000368:Aged; D000077384:Anastrozole; D001943:Breast Neoplasms / Q000175:diagnosis / Q000473:pathology / Q000628:therapy; D002280:Basal Cell Carcinoma / Q000175:diagnosis / Q000473:pathology / Q000628:therapy*; D018270:Carcinoma, Ductal, Breast / Q000175:diagnosis / Q000473:pathology / Q000628:therapy; D003131:Combined Modality Therapy; D003646:Debridement; D005260:Female; D006801:Humans; D033162:Incidental Findings; D009367:Neoplasm Staging; D009378:Neoplasms, Multiple Primary / Q000175:diagnosis / Q000473:pathology / Q000628:therapy; D009570:Nitriles / Q000627:therapeutic use; D010166:Palliative Care; D011867:Radioisotope Teletherapy; D012535:Scalp / Q000473:pathology; D012878:Skin Neoplasms / Q000175:diagnosis / Q000473:pathology / Q000628:therapy*; D012883:Skin Ulcer / Q000175:diagnosis / Q000473:pathology / Q000628:therapy*; D014230:Triazoles / Q000627:therapeutic use
chemical_list: D009570:Nitriles; D014230:Triazoles; D000077384:Anastrozole