title: Bilateral Lymphatic Spread of Metastatic Basal Cell Carcinoma.
abstract: Herein, we report a case of a patient with an abnormal skin lesion that remained unchecked by medical professionals for approximately 20 years. Upon physical examination in the emergency department for a fractured hip, an infiltrative mass was incidentally discovered. The neoplasm was noted to have progressed from an eraser-sized mass to a 3.5-cm invasive lesion. Initial surgical intervention was believed to have been successful in removal, as margins were clear with the exception of 1 indeterminate segment. However, subsequent 1-year follow-up revealed recurrence of the disease with bilateral axillary node and deep muscle involvement. This prompted a more extensive surgical approach complemented with radiation therapy. The patient had remained disease-free for a year.
authors.affiliation: Department of Surgery, Division of Surgical Oncology, 987400 Nebraska Medical Center, University of Nebraska Medical Center, Omaha, Neb.
authors.forename: Richard L
authors.initials: RL
authors.lastname: Sleightholm
authors.affiliation: Department of Surgery, Division of Surgical Oncology, 987400 Nebraska Medical Center, University of Nebraska Medical Center, Omaha, Neb.
authors.forename: James R
authors.initials: JR
authors.lastname: Willcockson
authors.affiliation: Department of Surgery, Division of Surgical Oncology, 987400 Nebraska Medical Center, University of Nebraska Medical Center, Omaha, Neb.
authors.forename: Duncan C
authors.initials: DC
authors.lastname: Watley
authors.affiliation: Department of Surgery, Division of Surgical Oncology, 987400 Nebraska Medical Center, University of Nebraska Medical Center, Omaha, Neb.
authors.forename: Frederick L
authors.initials: FL
authors.lastname: Durden
authors.affiliation: Department of Surgery, Division of Surgical Oncology, 987400 Nebraska Medical Center, University of Nebraska Medical Center, Omaha, Neb.
authors.forename: Jason M
authors.initials: JM
authors.lastname: Foster