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Tabarestani A, Khlopas A, Wright T, Kim J. Basal Cell Carcinoma of the 2nd Digit Treated With the Reverse Cross-Finger Flap: A Case Report. Cureus 2024; 16:e65105. [PMID: 39170999 PMCID: PMC11338070 DOI: 10.7759/cureus.65105] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/22/2024] [Indexed: 08/23/2024] Open
Abstract
Basal cell carcinoma (BCC) is the most common form of skin cancer but rarely presents on the finger with few cases described in the literature. We present the case of a 77-year-old female with a nine-month history of biopsy-proven BCC on the dorsal aspect of her left index finger. Following the complete surgical excision of the tumor, a two-stage reverse cross-finger flap was performed, resulting in minimal impact on mobility and aesthetics and prompting a discussion on the efficacy of this approach in treating BCC of the hand. We explore the various treatment modalities available for BCCs, underscoring the importance of tailored interventions for optimal patient outcomes. The successful outcome in our case emphasizes the significance of considering alternative surgical techniques in managing uncommon presentations of BCCs, contributing to the evolving armamentarium of options available to hand surgeons.
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Affiliation(s)
- Arman Tabarestani
- Division of Hand and Upper Extremity Surgery, University of Florida, Gainesville, USA
| | - Anton Khlopas
- Division of Hand and Upper Extremity Surgery, University of Florida, Gainesville, USA
| | - Thomas Wright
- Division of Hand and Upper Extremity Surgery, University of Florida, Gainesville, USA
| | - Jongmin Kim
- Division of Hand and Upper Extremity Surgery, University of Florida, Gainesville, USA
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Neder AT, da Costa AC, de Barros RSM, Nakachima LR, Rodrigues MP, de Souza SCA, de Oliveira RK, da Gama SAM, Sabongi RG, Hirakawa CK. Hand tumors. REVISTA DA ASSOCIACAO MEDICA BRASILEIRA (1992) 2024; 70:e2024S108. [PMID: 38865528 PMCID: PMC11164264 DOI: 10.1590/1806-9282.2024s108] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/29/2023] [Accepted: 12/11/2023] [Indexed: 06/14/2024]
Affiliation(s)
- Antonio Tufi Neder
- Universidade de São Paulo/Faculty of Medicine of Ribeirão Preto - Hand Surgery at Rede Mater Dei de Saúde and Instituto Orizonti – Belo Horizonte (MG), Brazil
| | - Antonio Carlos da Costa
- Medical School of Santa Casa de São Paulo, Hand Surgery and Microsurgery Group at Santa Casa de São Paulo – Belo Horizonte (MG), Brazil
| | | | - Luis Renato Nakachima
- Universidade Federal de São Paulo, Paulista School of Medicine, Department of Orthopedics and Traumatology – Belo Horizonte (MG), Brazil
| | - Mauricio Pinto Rodrigues
- Universidade de São Paulo, Institute of Orthopedics and Traumatology, Clinical Hospital, Faculty of Medicine – Belo Horizonte (MG), Brazil
| | | | | | - Sérgio Augusto Machado da Gama
- Universidade de São Paulo, Clinical Hospital, Faculty of Medicine, Pontifícia Universidade Católica de Campinas Hand Group – Belo Horizonte (MG), Brazil
| | - Rodrigo Guerra Sabongi
- Universidade Federal de São Paulo, Paulista School of Medicine – Belo Horizonte (MG), Brazil
| | - Celso Kiyoshi Hirakawa
- Universidade Federal de São Paulo, Paulista School of Medicine, Department of Orthopedics and Traumatology – Belo Horizonte (MG), Brazil
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Greco V, Fornaro L, Ascierto PA, Palla M, Martora F, Marasca C. Basal cell carcinoma of the palm: an uncommon anatomical area involvement. Ital J Dermatol Venerol 2024; 159:357-358. [PMID: 38619199 DOI: 10.23736/s2784-8671.24.07660-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/16/2024]
Affiliation(s)
- Vincenzo Greco
- Section of Dermatology, Department of Clinical Medicine and Surgery, University of Naples Federico II, Naples, Italy
| | - Luigi Fornaro
- Section of Dermatology, Department of Clinical Medicine and Surgery, University of Naples Federico II, Naples, Italy
| | - Paolo A Ascierto
- Unit of Melanoma, Cancer Immunotherapy and Development Therapeutics, National Cancer Institute IRCCS G. Pascale Foundation, Naples, Italy
| | - Marco Palla
- Unit of Melanoma, Cancer Immunotherapy and Development Therapeutics, National Cancer Institute IRCCS G. Pascale Foundation, Naples, Italy
| | - Fabrizio Martora
- Section of Dermatology, Department of Clinical Medicine and Surgery, University of Naples Federico II, Naples, Italy
| | - Claudio Marasca
- Unit of Melanoma, Cancer Immunotherapy and Development Therapeutics, National Cancer Institute IRCCS G. Pascale Foundation, Naples, Italy -
- Dermatology Unit, Medical Department, Antonio Cardarelli National Hospital of Naples, Naples, Italy
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4
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Mortada H, Aldihan R, Alhindi N, Abu alqam R, Alnaim MF, Kattan AE. "Basal cell carcinoma of the hand: A systematic review and meta-analysis of incidence of recurrence". JPRAS Open 2022; 35:42-57. [PMID: 36685723 PMCID: PMC9851839 DOI: 10.1016/j.jpra.2022.11.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/08/2022] [Accepted: 11/26/2022] [Indexed: 12/03/2022] Open
Abstract
Background Hand basal cell carcinoma is a rare and complex disorder. Due to the hand's anatomical features, managing hand BCC is challenging. Therefore, we have conducted this systematic review to investigate various clinical characteristics, investigations, and treatment options related to hand BCC. Furthermore, a meta-analysis was used to provide pooled recurrence rates. Methods We conducted this review per the International Prospective Register of Systematic Reviews (PROSPERO) guidelines. This study performed a systematic literature review in February 2022 using the following electronic databases: Cochrane, MEDLINE, and EMBASE. Key terms include hand basal cell carcinoma, basal cell carcinoma, management, outcome, and recurrence. We evaluated articles according to predefined quality criteria. Results The study included 9725 patients and 51 published articles. A total of 35 case reports, 2 case series, 1 prospective study, and the remaining retrospective studies were evaluated. An asymptomatic skin lesion was the main complaint. In 10 studies, Moh surgery was the most frequently used treatment method. In the seven studies included in the meta-analysis, the overall incidence rate of recurrence among the included patients was 1.49 cases per year. Conclusion The optimal extent of surgical treatment is still controversial, though an early biopsy can help identify lesions at an early stage. It is the first study to provide occurrence rates based on a meta-analysis. Developing treatment guidelines for BCC of the hand will be the focus of future research.
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Affiliation(s)
- Hatan Mortada
- Division of Plastic Surgery, Department of Surgery, King Saud University Medical City, King Saud University and Department of Plastic Surgery & Burn Unit, King Saud Medical City, Riyadh, Saudi Arabia
| | - Rema Aldihan
- College of Medicine, King Saud University, Riyadh, Saudi Arabia,Corresponding author at: College of medicine, King Saud University, Riyadh, Saudi Arabia 12445, Riyadh, Saudi Arabia.
| | - Nawaf Alhindi
- College of Medicine, King Abdulaziz University, Rabigh, Saudi Arabia
| | - Rakan Abu alqam
- College of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia
| | | | - Abdullah E. Kattan
- Division of Plastic Surgery, Department of Surgery, College of Medicine, King Saud University, Riyadh, Saudi Arabia
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Aggressive Digital Papillary Adenocarcinoma Initially Misdiagnosed as Basal Cell Carcinoma. Dermatol Surg 2021; 47:137-139. [PMID: 31567583 DOI: 10.1097/dss.0000000000002173] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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6
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Ascierto PA, Garbe C. Updates and new perspectives in nonmelanoma skin cancer therapy: highlights from 'Immunotherapy Bridge'. Immunotherapy 2020; 12:167-174. [PMID: 32208790 DOI: 10.2217/imt-2020-0042] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
Over the last few years, extensive research has improved our understanding of tumor immunology and has enabled the development of novel treatments. The state of the art of immunotherapy in various types of malignancies was exhaustively discussed in the 'Immunotherapy Bridge' meeting, which was held in Naples on 4-5 December 2019. Highlights related to the immunological treatment of nonmelanoma skin cancer are the content of this article.
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Affiliation(s)
- Paolo Antonio Ascierto
- Unit Melanoma, Cancer Immunotherapy & Development Therapeutics, Istituto Nazionale Tumori IRCCS Fondazione 'G Pascale,' Napoli, Italy
| | - Claus Garbe
- Center for Dermatooncology, Department of Dermatology, Eberhard Karls University, Tübingen, Germany
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Ascierto PA, Schadendorf D. Immunotherapy in non-melanoma skin cancer: updates and new perspectives. Drugs Context 2019; 8:212583. [PMID: 30936937 PMCID: PMC6434981 DOI: 10.7573/dic.212583] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/08/2019] [Revised: 03/06/2019] [Accepted: 03/06/2019] [Indexed: 12/13/2022] Open
Affiliation(s)
- Paolo Antonio Ascierto
- UOC Oncologia Medica e Terapie Innovative del Dipartimento Melanoma - Tessuti Molli - Muscolo - Scheletrico e Testa Collo, Istituto Nazionale Tumori Fondazione G. Pascale, Napoli, Italy
| | - Dirk Schadendorf
- Department for Dermatology, Venerology and Allergology, University Hospital Essen, Essen, Germany
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Boix-Vilanova J, Izquierdo-Herce N, del Pozo L. A Refractory Periungual Lesion. ACTAS DERMO-SIFILIOGRAFICAS 2019. [DOI: 10.1016/j.adengl.2018.12.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022] Open
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Boix-Vilanova J, Izquierdo-Herce N, Del Pozo LJ. A Refractory Periungual Lesion. ACTAS DERMO-SIFILIOGRAFICAS 2018; 110:e9-e10. [PMID: 30032953 DOI: 10.1016/j.ad.2017.10.026] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/28/2017] [Revised: 09/24/2017] [Accepted: 10/07/2017] [Indexed: 11/25/2022] Open
Affiliation(s)
- J Boix-Vilanova
- Servicio de Dermatología, Hospital Universitari Son Espases, Palma de Mallorca, Islas Baleares, España.
| | - N Izquierdo-Herce
- Servicio de Dermatología, Hospital Universitari Son Espases, Palma de Mallorca, Islas Baleares, España
| | - L J Del Pozo
- Servicio de Dermatología, Hospital Universitari Son Espases, Palma de Mallorca, Islas Baleares, España
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Parik M, Roy P, Mukherjee R, Mukhopadhyay G. A Field Fire Ulcer. Indian J Surg 2017; 79:369-370. [PMID: 28827917 DOI: 10.1007/s12262-017-1652-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/24/2017] [Accepted: 05/05/2017] [Indexed: 11/30/2022] Open
Abstract
Basal cell carcinoma (BCC) is the most common skin cancer, mostly affecting areas of the skin exposed to UV radiation. Though metastasis is rare, the tumour may be locally invasive with a high recurrence rate. Pathophysiology involves neoplastic transformation of the pluripotent cells of the epidermis and follicular epithelium. 'Field fire BCC' is an uncommon type of BCC, showing concomitant crusting, ulceration and scarring which spreads peripherally with a central area of regression.
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Affiliation(s)
- Madhav Parik
- RG Kar Medical College and Hospital Kolkata, Block C-111, Bangur Avenue, Calcutta, 700055 India
| | - Pritha Roy
- RG Kar Medical College and Hospital Kolkata, AA Block, Salt Lake, Calcutta, 700064 India
| | - Ramanuj Mukherjee
- Department of General Surgery, RG Kar Medical College and Hospital Kolkata, 136 Sarat Bose Road, Calcutta, 700029 India
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Tsoucalas G, Sgantzos M. Paul of Aegina (ca 625-690 AD): an early description of a rare basal cell carcinoma of the breast. Clin Case Rep 2017; 5:545-546. [PMID: 28396790 PMCID: PMC5378827 DOI: 10.1002/ccr3.775] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/19/2016] [Revised: 11/22/2016] [Accepted: 11/28/2016] [Indexed: 11/08/2022] Open
Abstract
Basal cell carcinoma of the breast is a rare type of skin cancer. A probable case reported c.650AD is described with very similar localized symptoms. Understanding its emergence and evolution could improve diagnosis and treatment.
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Affiliation(s)
- Gregory Tsoucalas
- History of Medicine Faculty of Medicine University of Thessaly Viopolis P.O. 41500 Larissa Greece
| | - Markos Sgantzos
- Department of Anatomy & History of Medicine Faculty of Medicine University of Thessaly Viopolis P.O. 41500 Larissa Greece
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