A basosquamous cell carcinoma of the periorbital region arising from a chronic wound created by laser ablation of a basal cell carcinoma.
Basosquamous cell carcinomas (BSCs) are very rare and behave aggressively, with features of both basal cell carcinoma and squamous cell carcinoma. The diagnosis of BSC includes a spectrum of histologic definitions, ranging from coexistence of basal cell carcinoma and squamous cell carcinoma with or without a transition zone, to any basal cell carcinoma with evidence of keratinization.A 63-year-old man presented with a BSC within a chronic periorbital wound, which was confirmed through a postoperative histologic examination. The wound was created from a previous laser ablation of a diagnosed basal cell carcinoma. The BSC was excised without causing any deformity, and coverage of the defect was obtained using a local perforator-based flap. No recurrence was observed during a 5-month follow-up.
From the *Department of Plastic and Reconstructive Surgery, Dongguk University, Seoul, South Korea; †The Burns Unit, StAndrew's Centre for Plastic Surgery and Burns, Broomfield Hospital, Chelmsford, Essex, England, United Kingdom; ‡Department of Plastic and Reconstructive Surgery, College of Medicine, Hanyang University; and §Department of Plastic and Reconstructive Surgery, Gangnam Sacred Heart Hospital, College of Medicine, Hallym University, Seoul, South Korea.
Young Taek
YT
Lee
Ali M
AM
Ghanem
Jeong Tae
JT
Kim
Jong Do
JD
Kim
D002280:Basal Cell Carcinoma / Q000601:surgery*; D002281:Carcinoma, Basosquamous / Q000473:pathology* / Q000601:surgery; D005148:Facial Dermatoses / Q000601:surgery; D005153:Facial Neoplasms / Q000473:pathology* / Q000601:surgery; D005500:Follow-Up Studies; D006801:Humans; D053685:Laser Therapy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D016609:Neoplasms, Second Primary / Q000473:pathology* / Q000601:surgery; D012878:Skin Neoplasms / Q000473:pathology* / Q000601:surgery; D012883:Skin Ulcer / Q000601:surgery