Second primary cancer occurrence on forehead flap after reconstruction of nasal carcinoma.
We reported a case of basal cell carcinoma on the flap which was initially treated with excision of squamous cell carcinoma and forehead flap reconstruction of nasal dorsum. After 8 years of reconstruction, basal cell carcinoma was developed on the flap surface. This may be due to a recurrence, or a second primary tumor, or an activation of a dormant tumor with perturbing factors like surgery. In this report, our purpose was to discuss the possible etiopathogenesis, most appropriate diagnostic procedures, and treatment protocol for a carcinoma of the flap which has been used to reconstruct the previous cutaneous cancer.
Firat
Yezdan
Y
Department of Otorhinolaryngology, Inonu University, School of Medicine, Malatya, Turkey. yfirat@inonu.edu.tr
Kizilay
Ahmet
A
Akarcay
Mustafa
M
Miman
Murat Cem
MC
D000328:Adult; D002280:Basal Cell Carcinoma / Q000473:pathology*; D002294:Carcinoma, Squamous Cell / Q000601:surgery*; D005500:Follow-Up Studies; D005546:Forehead / Q000473:pathology*; D006801:Humans; D008297:Male; D008545:Melanoma / Q000601:surgery; D016609:Neoplasms, Second Primary / Q000473:pathology*; D009669:Nose Neoplasms / Q000601:surgery*; D010307:Parotid Neoplasms / Q000601:surgery; D012878:Skin Neoplasms / Q000473:pathology* / Q000601:surgery; D013524:Surgical Flaps / Q000473:pathology*