Limits...
Neglected Basal cell carcinomas in the 21st century.

Varga E, Korom I, Raskó Z, Kis E, Varga J, Oláh J, Kemény L - J Skin Cancer (2010)

Bottom Line: The therapy of neglected cases demands an individual multidisciplinary approach and teamwork.Basal cell carcinoma (BCC), the most common cutaneous tumor, usually develops in the elderly, grows slowly, and has an extremely low metastatic potential; these factors are suggesting that BCCs might well be the "ideal candidates" for neglected tumors.Five neglected advanced cases of BCC were diagnosed in our dermatological institute between 2000 and 2009.

View Article: PubMed Central - PubMed

Affiliation: Department of Dermatology and Allergology, Albert Szent-Györgyi Clinical Center, University of Szeged, Korányi fasor 6, 6720 Szeged, Hungary.

ABSTRACT
Although tumors on the surface of the skin are considered to be easily recognizable, neglected advanced skin neoplasms are encountered even in the 21st century. There can be numerous causes of the delay in the diagnosis: fear of the diagnosis and the treatment, becoming accustomed to a slowly growing tumor, old age, a low social milieu, and an inadequate hygienic culture are among the factors leading some people not to seek medical advice. The treatment of such advanced neoplasms is usually challenging. The therapy of neglected cases demands an individual multidisciplinary approach and teamwork. Basal cell carcinoma (BCC), the most common cutaneous tumor, usually develops in the elderly, grows slowly, and has an extremely low metastatic potential; these factors are suggesting that BCCs might well be the "ideal candidates" for neglected tumors. Five neglected advanced cases of BCC were diagnosed in our dermatological institute between 2000 and 2009. The clinical characteristics and treatment modalities of these neoplasms are discussed, together with the possible causes of the neglect.

No MeSH data available.


Related in: MedlinePlus

Case 3: An exophytic, ulcerated tumor mass in the middle of the back, with suppurative inflammation and abscess formation.
© Copyright Policy - open-access
Related In: Results  -  Collection


getmorefigures.php?uid=PMC2993023&req=5

fig5: Case 3: An exophytic, ulcerated tumor mass in the middle of the back, with suppurative inflammation and abscess formation.

Mentions: A 63-year-old man living in an agricultural town had had a small exophytic skin-colored nodule in the middle of his back for many years. This had started to grow rapidly and become ulcerated during the past few months. By his first medical visit in September 2009, suppurative inflammation with abscess formation had developed in the nearby dermis (Figure 5). Consequently, an incisional biopsy and incision of the abscess were initially performed, and systemic antibiotic therapy was administered. The histopathological diagnosis was BCC. Laboratory tests revealed that the patient had previously unrecognized non-insulin-dependent diabetes mellitus. In a second operation, the whole tumor was removed with conservative wound care because of the inflammation. The patient at first participated in regular surgical followup and treatment of the remaining ulcer, but he later failed to appear for the oncology followup.


Neglected Basal cell carcinomas in the 21st century.

Varga E, Korom I, Raskó Z, Kis E, Varga J, Oláh J, Kemény L - J Skin Cancer (2010)

Case 3: An exophytic, ulcerated tumor mass in the middle of the back, with suppurative inflammation and abscess formation.
© Copyright Policy - open-access
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC2993023&req=5

fig5: Case 3: An exophytic, ulcerated tumor mass in the middle of the back, with suppurative inflammation and abscess formation.
Mentions: A 63-year-old man living in an agricultural town had had a small exophytic skin-colored nodule in the middle of his back for many years. This had started to grow rapidly and become ulcerated during the past few months. By his first medical visit in September 2009, suppurative inflammation with abscess formation had developed in the nearby dermis (Figure 5). Consequently, an incisional biopsy and incision of the abscess were initially performed, and systemic antibiotic therapy was administered. The histopathological diagnosis was BCC. Laboratory tests revealed that the patient had previously unrecognized non-insulin-dependent diabetes mellitus. In a second operation, the whole tumor was removed with conservative wound care because of the inflammation. The patient at first participated in regular surgical followup and treatment of the remaining ulcer, but he later failed to appear for the oncology followup.

Bottom Line: The therapy of neglected cases demands an individual multidisciplinary approach and teamwork.Basal cell carcinoma (BCC), the most common cutaneous tumor, usually develops in the elderly, grows slowly, and has an extremely low metastatic potential; these factors are suggesting that BCCs might well be the "ideal candidates" for neglected tumors.Five neglected advanced cases of BCC were diagnosed in our dermatological institute between 2000 and 2009.

View Article: PubMed Central - PubMed

Affiliation: Department of Dermatology and Allergology, Albert Szent-Györgyi Clinical Center, University of Szeged, Korányi fasor 6, 6720 Szeged, Hungary.

ABSTRACT
Although tumors on the surface of the skin are considered to be easily recognizable, neglected advanced skin neoplasms are encountered even in the 21st century. There can be numerous causes of the delay in the diagnosis: fear of the diagnosis and the treatment, becoming accustomed to a slowly growing tumor, old age, a low social milieu, and an inadequate hygienic culture are among the factors leading some people not to seek medical advice. The treatment of such advanced neoplasms is usually challenging. The therapy of neglected cases demands an individual multidisciplinary approach and teamwork. Basal cell carcinoma (BCC), the most common cutaneous tumor, usually develops in the elderly, grows slowly, and has an extremely low metastatic potential; these factors are suggesting that BCCs might well be the "ideal candidates" for neglected tumors. Five neglected advanced cases of BCC were diagnosed in our dermatological institute between 2000 and 2009. The clinical characteristics and treatment modalities of these neoplasms are discussed, together with the possible causes of the neglect.

No MeSH data available.


Related in: MedlinePlus