title: Recurrent basal cell carcinoma of the lower limb with tibial invasion.
abstract: BACKGROUND
  Basal cell carcinoma (BCC) is the most common skin malignancy and is most prevalent on the head and neck region, although BCC can occur in other sites, including the lower limbs.
  
  
  OBJECTIVE
  We report the case of an 85-year-old female patient who experienced recurrent BCCs in the lower limb with tibial invasion.
  
  
  METHODS
  Treatment consisted of wide skin excision, tibial osteotomy, intraoperative cryotherapy, and coverage with an internal gastrocnemius muscle flap.
  
  
  RESULTS
  The computed tomographic scan showed local bone control of the BCC, with no recurrence, so we avoided limb amputation.
  
  
  CONCLUSIONS
  The reported case is uncommon because of the site, the extent of bone infiltration, and local treatment with cryotherapy.
authors.affiliation: Unit of Plastic and Reconstructive Surgery, Hospital Nacional de Parapléjicos de Toledo, Spain. tepefu@yahoo.es
authors.forename: Teresa
authors.initials: T
authors.lastname: Pérez de la Fuente
authors.forename: Isabel
authors.initials: I
authors.lastname: González González
mesh_terms: D000369:Aged, 80 and over; D001859:Bone Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D002280:Basal Cell Carcinoma / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D005260:Female; D006801:Humans; D021621:Imaging, Three-Dimensional; D009361:Neoplasm Invasiveness; D012878:Skin Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D013977:Tibia; D014057:Tomography, X-Ray Computed