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Invasive giant basal cell carcinoma of the head: case report, reconstruction choice and literature review

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Sakalauskaite M., Vitkus K., Balciunas D., Sirsinaitis S., Rocka S.
Open Medicine
|
2009
|
vol. 4
|
issue 4
519-526
EN
It is unusual to find a giant invasive basal cell carcinoma in the occipital region of the head. We are presenting a case of basal cell carcinoma invading and eroding occipital bone, managed with an unusual scalp reconstruction method. A 69-year-old female presented with a 16x19 cm diameter tumour in the occipital region. Preoperative biopsy revealed a basal cell carcinoma. A complete surgical excision of the tumour was performed in one-step surgery and tissue defect was reconstructed by a pedicle latissimus dorsi musculocutaneous flap. Our case shows that this distant pedicle flap is safe and reliable, and should be revised as the option for the occipital region reconstruction.
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