Asilian Ali, Tamizifar Banafshe
Department of Dermatology, Alzahra Hospital, Medical University of Isfahan, Isfahan, Iran.
Dermatol Surg. 2005 Nov;31(11 Pt 1):1468-71. doi: 10.2310/6350.2005.31221.
Basal cell carcinoma (BCC) is the most common cutaneous malignancy and usually has a benign coarse. Rarely, examples of aggressive and neglected types of this tumor are seen.
To present an interesting and dramatic example of how some people neglect their tumors and how devastating the sequelae can be.
We report a 58-year-old man with an extensive BCC and signs of cranial nerve involvement.
The patient had a large, infected ulcer on his scalp. He also had skull bone destruction, osteomyelitis, mastoiditis, cranial nerve paralysis, and radiographic features of the skull base and upper cervical soft tissue involvement. Pathologic studies revealed an infiltrating form of BCC.
If left untreated and neglected, as in this case, BCC can become inoperable and complicated.
基底细胞癌（BCC）是最常见的皮肤恶性肿瘤，通常呈良性病程。很少见到侵袭性和被忽视类型的这种肿瘤病例。
呈现一个有趣且引人注目的例子，说明一些人如何忽视他们的肿瘤以及后果可能有多严重。
我们报告一名58岁患有广泛基底细胞癌且有颅神经受累体征的男性。
患者头皮有一个大的感染性溃疡。他还存在颅骨破坏、骨髓炎、乳突炎、颅神经麻痹以及颅底和上颈部软组织受累的影像学特征。病理研究显示为浸润型基底细胞癌。
如本病例所示，如果不治疗且被忽视，基底细胞癌可能会变得无法手术且出现并发症。
