表现为单侧腋窝淋巴结病的转移性基底细胞癌：1例报告并文献复习
Metastatic basal cell carcinoma presenting as unilateral axillary lymphadenopathy: report of a case and review of the literature.
作者信息
Berlin Joshua M, Warner Michael R, Bailin Philip L
机构信息
Department of Dermatology, Cleveland Clinic Foundation, Cleveland, Ohio 44195, USA.
出版信息
Dermatol Surg. 2002 Nov;28(11):1082-4. doi: 10.1046/j.1524-4725.2002.02090.x.
BACKGROUND
Although basal cell carcinoma (BCC) is one of the most common forms of cancer worldwide, the incidence of metastatic basal cell carcinoma (MBCC) is exceedingly low. Of reported cases, it is estimated that up to 85% arise in the head and neck region.
OBJECTIVE
Case presentation of a BCC measuring 1.1 cm arising in a nonfacial site that presented with unilateral axillary lymphadenopathy.
METHODS
Case presentation with literature review.
RESULTS
Risk factors which should lead to a higher index of suspicion among clinicians for identifying these patients include large tumor size, previous irradiation, local invasion, and recurrence. The lymph nodes, lungs, bones, and skin are among the most common sites in which metastases arise.
CONCLUSION
We report an unusual case of MBCC arising from a small, nonfacial primary BCC that presented with unilateral axillary lymphadenopathy.
背景
尽管基底细胞癌（BCC）是全球最常见的癌症形式之一，但转移性基底细胞癌（MBCC）的发病率极低。在已报道的病例中，估计高达85%发生在头颈部区域。
目的
报告一例发生于非面部部位、大小为1.1厘米的基底细胞癌，并伴有单侧腋窝淋巴结病。
方法
病例报告并进行文献复习。
结果
临床医生对这些患者进行识别时，应提高怀疑指数的危险因素包括肿瘤体积大、既往放疗史、局部侵犯和复发。淋巴结、肺、骨和皮肤是最常见的转移部位。
结论
我们报告了一例罕见的MBCC病例，其起源于一个小的、非面部的原发性BCC，并伴有单侧腋窝淋巴结病。
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