title: Neglected skin cancer in the elderly: a case of basosquamous cell carcinoma of the right shoulder.
abstract: Skin cancer remains the most common cancer worldwide, and basal cell carcinoma represents the largest portion of non-melanomatous skin cancers with over 3 million cases diagnosed annually. Locally advanced disease is frequently seen in the elderly posing clinical challenges regarding proper treatment.We report on an 86-year-old female presenting with fatigue, anemia and a large ulcerated skin lesion along the right upper back. A biopsy of the lesion revealed a basosquamous cell carcinoma. She underwent a wide local excision with complex wound reconstruction.Neglected skin cancers in the elderly can present difficult clinical scenarios. There are associated adjuvant therapies that should be considered following resection, such as local radiation therapy and other novel therapies. Newer therapies, such as with vismodegib, may also be considered. A comprehensive, multimodal approach to treatment should be considered in most cases of locally advanced, non-melanoma skin cancers.
authors.affiliation: Department of Surgery, Division of Surgical Oncology, Louisiana State University, Health Sciences Center.
authors.forename: Erika
authors.initials: E
authors.lastname: Bisgaard
authors.affiliation: Department of Surgery, Division of Plastic & Reconstructive Surgery, Louisiana State University, Health Sciences Center.
authors.forename: Michael
authors.initials: M
authors.lastname: Tarakji
authors.affiliation: Department of Surgery, Division of Plastic & Reconstructive Surgery, Louisiana State University, Health Sciences Center.
authors.forename: Frank
authors.initials: F
authors.lastname: Lau
authors.affiliation: Department of Surgery, Division of Surgical Oncology, Louisiana State University, Health Sciences Center, ariker@lsuhsc.edu.
authors.forename: Adam
authors.initials: A
authors.lastname: Riker