title: Basal Cell Carcinoma Arising in a Breast Augmentation Scar.
abstract: We report a case of a 46-year-old female who presented with a persistent lesion on the inferior right breast. The lesion was located within the scar from a breast augmentation procedure 12 years ago. The lesion had been treated as several conditions with no improvement. Biopsy revealed a superficial and nodular basal cell carcinoma, and the lesion was successfully removed with Mohs micrographic surgery. Basal cell carcinoma arising in a surgical scar is exceedingly rare with only 13 reported cases to date. This is the first reported case of basal cell carcinoma arising in a breast augmentation scar. We emphasize the importance of biopsy for suspicious lesions or those refractory to treatment, particularly those lesions that form within a scar. Level of Evidence V This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .
authors.affiliation: University of Virginia School of Medicine, 1215 Lee St., Charlottesville, VA, 22908, USA. Lre4qa@virginia.edu.
authors.forename: Lisa R
authors.initials: LR
authors.lastname: Edwards
authors.affiliation: Department of Dermatology, University of Virginia Health System, PO BOX 800718, Charlottesville, VA, 22908, USA.
authors.forename: Nicole D
authors.initials: ND
authors.lastname: Cresce
authors.affiliation: Department of Dermatology, University of Virginia Health System, PO BOX 800718, Charlottesville, VA, 22908, USA.
authors.forename: Mark A
authors.initials: MA
authors.lastname: Russell
mesh_terms: D002280:Basal Cell Carcinoma / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D002921:Cicatrix / Q000150:complications*; D057210:Delayed Diagnosis / Q000009:adverse effects*; D005260:Female; D006801:Humans; D016462:Mammaplasty / Q000009:adverse effects*; D008875:Middle Aged; D015580:Mohs Surgery; D012878:Skin Neoplasms / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D055108:Sunbathing / Q000293:injuries; D014466:Ultraviolet Rays / Q000009:adverse effects
keywords: Basal cell carcinoma; Breast augmentation; Surgical scar; Trauma