Metatypical basal cell carcinoma: from the primary tumour to a generalized metastatic process – description of diagnostics and combination therapy of an extremely rare skin cancer

Introduction Basal cell carcinoma (BCC) is the most common form of skin cancer. The hallmarks of this carcinoma are the absence of distant metastases and local malignancy. Metatypical basal cell carcinoma (MTBBC) is rare variant that it is considered to be a more aggressive form, with a higher poten...

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Main Authors: Barbara Madej-Czerwonka, Agnieszka Korga-Plewko
Format: Article
Language:English
Published: Institute of Rural Health 2021-04-01
Series:Annals of Agricultural and Environmental Medicine
Subjects:
Online Access:http://www.aaem.pl/Metatypical-basal-cell-carcinoma-from-the-primary-tumour-to-a-generalized-metastatic,134660,0,2.html
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author Barbara Madej-Czerwonka
Agnieszka Korga-Plewko
author_facet Barbara Madej-Czerwonka
Agnieszka Korga-Plewko
author_sort Barbara Madej-Czerwonka
collection DOAJ
description Introduction Basal cell carcinoma (BCC) is the most common form of skin cancer. The hallmarks of this carcinoma are the absence of distant metastases and local malignancy. Metatypical basal cell carcinoma (MTBBC) is rare variant that it is considered to be a more aggressive form, with a higher potential for metastases and recurrence. Probably due to its very rare occurrence, data on pathogenesis, course and treatment are inconsistent. Case report An unusual and very aggressive course of MTBBC with multiple metastases is prtesented. Repeated histopathological evaluation shows the diagnostic difficulties in this type of tumour. Therapeutic attempts, including targeted therapy with vismodegib, were unsuccessful. Conclusions This case showed that it should always be taken into account that each case of diagnosed BCC may turn out to be metatypical variant with a much more aggressive course and worse prognosis. For this reason, intensive follow-up after a completed treatment is recommended.
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spelling doaj.art-ff6c2792938b4f808c11c70e685dc9fb2022-12-22T02:41:35ZengInstitute of Rural HealthAnnals of Agricultural and Environmental Medicine1232-19661898-22632021-04-0129115215610.26444/aaem/134660134660Metatypical basal cell carcinoma: from the primary tumour to a generalized metastatic process – description of diagnostics and combination therapy of an extremely rare skin cancerBarbara Madej-Czerwonka0https://orcid.org/0000-0002-2165-9651Agnieszka Korga-Plewko1https://orcid.org/0000-0002-2027-9681Human Anatomy Department, Medical University, Lublin, PolandIndependent Medical Biology Unit, Medical University, Lublin, PolandIntroduction Basal cell carcinoma (BCC) is the most common form of skin cancer. The hallmarks of this carcinoma are the absence of distant metastases and local malignancy. Metatypical basal cell carcinoma (MTBBC) is rare variant that it is considered to be a more aggressive form, with a higher potential for metastases and recurrence. Probably due to its very rare occurrence, data on pathogenesis, course and treatment are inconsistent. Case report An unusual and very aggressive course of MTBBC with multiple metastases is prtesented. Repeated histopathological evaluation shows the diagnostic difficulties in this type of tumour. Therapeutic attempts, including targeted therapy with vismodegib, were unsuccessful. Conclusions This case showed that it should always be taken into account that each case of diagnosed BCC may turn out to be metatypical variant with a much more aggressive course and worse prognosis. For this reason, intensive follow-up after a completed treatment is recommended.http://www.aaem.pl/Metatypical-basal-cell-carcinoma-from-the-primary-tumour-to-a-generalized-metastatic,134660,0,2.htmlskin cancermetastasesmetatypical basal cell carcinomavismodegib
spellingShingle Barbara Madej-Czerwonka
Agnieszka Korga-Plewko
Metatypical basal cell carcinoma: from the primary tumour to a generalized metastatic process – description of diagnostics and combination therapy of an extremely rare skin cancer
Annals of Agricultural and Environmental Medicine
skin cancer
metastases
metatypical basal cell carcinoma
vismodegib
title Metatypical basal cell carcinoma: from the primary tumour to a generalized metastatic process – description of diagnostics and combination therapy of an extremely rare skin cancer
title_full Metatypical basal cell carcinoma: from the primary tumour to a generalized metastatic process – description of diagnostics and combination therapy of an extremely rare skin cancer
title_fullStr Metatypical basal cell carcinoma: from the primary tumour to a generalized metastatic process – description of diagnostics and combination therapy of an extremely rare skin cancer
title_full_unstemmed Metatypical basal cell carcinoma: from the primary tumour to a generalized metastatic process – description of diagnostics and combination therapy of an extremely rare skin cancer
title_short Metatypical basal cell carcinoma: from the primary tumour to a generalized metastatic process – description of diagnostics and combination therapy of an extremely rare skin cancer
title_sort metatypical basal cell carcinoma from the primary tumour to a generalized metastatic process description of diagnostics and combination therapy of an extremely rare skin cancer
topic skin cancer
metastases
metatypical basal cell carcinoma
vismodegib
url http://www.aaem.pl/Metatypical-basal-cell-carcinoma-from-the-primary-tumour-to-a-generalized-metastatic,134660,0,2.html
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