Case report: Management of infiltrative basosquamous carcinoma of the sternum

Basosquamous carcinoma (BSC) is a rare cutaneous cancer defined as a basal-cell carcinoma that has differentiated into a squamous-cell carcinoma. It is aggressive and infiltrative, and known for its multiple recurrences and risk for metastasis. This article describes the case of a 78-year-old man wh...

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Bibliographic Details
Published in:International journal of surgery case reports 2023-05, Vol.106, p.108107, Article 108107
Main Authors: Lo, Eric Yu Wei, Lo, Charmaine, Hing, Alfred, Langbart, Marc, French, Bruce
Format: Article
Language:English
Subjects:
Basosquamous carcinoma
Case Report
Oncology
Reconstructive surgery
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Summary:Basosquamous carcinoma (BSC) is a rare cutaneous cancer defined as a basal-cell carcinoma that has differentiated into a squamous-cell carcinoma. It is aggressive and infiltrative, and known for its multiple recurrences and risk for metastasis. This article describes the case of a 78-year-old man who presented with a several-year history of an infiltrative BSC of his chest-wall invading into his sternum. He was subsequently treated surgically with a chest-wall wide-local excision and sub-total sternectomy, reconstructed with titanium plates and a musculocutaneous anterolateral thigh free-flap. This case highlights a surgical approach to advanced chest-wall BSC. •Basosquamous carcinoma (BSC) is a rare cutaneous cancer defined as a basal-cell carcinoma that has differentiated into a squamous-cell carcinoma•A video postoperatively demonstrating early paradoxical movement of the flap•Multidisciplinary approach to treatment in a guideline free space•This case highlights a surgical approach to advanced chest-wall BSCC.
ISSN:2210-2612
2210-2612
DOI:10.1016/j.ijscr.2023.108107