Martorell-Calatayud A, Sanz-Motilva V, Candelas D, Sanchez-Carpintero I, Delgado Y, Ruiz-Rodríguez R
Departamento de Dermatología, Instituto Valenciano de Oncologia, Valencia, España.
Actas Dermosifiliogr. 2011 Jan;102(1):53-7. doi: 10.1016/j.ad.2010.08.002. Epub 2010 Dec 22.
Although basal cell carcinoma (BCC) is one of the most common forms of cancer worldwide, it rarely occurs in the axilla. Only 31 cases have been reported in the literature. The incidence of metastatic BCC, particularly in areas not exposed to the sun, is very low. We present a new case of axillary BCC with lymph node metastases and the results of an extensive review of cases previously reported in the literature. BCC in the axilla is rare and metastasis is exceptional. Factors other than UV radiation probably contribute to its development. The lateral pectoral island flap was used for surgical closure. This method is useful for the reconstruction of axillary defects, obtaining excellent cosmetic and functional results. This flap should therefore be considered for the repair of large surgical defects in the axilla.
尽管基底细胞癌（BCC）是全球最常见的癌症形式之一，但它很少发生在腋窝。文献中仅报道了31例。转移性基底细胞癌的发生率，尤其是在非暴露于阳光下的区域，非常低。我们报告了一例伴有淋巴结转移的腋窝基底细胞癌新病例，并对文献中先前报道的病例进行了广泛回顾。腋窝基底细胞癌罕见，转移更是罕见。紫外线辐射以外的因素可能促成其发生。采用胸外侧岛状皮瓣进行手术闭合。该方法对腋窝缺损的重建有用，可获得极佳的美容和功能效果。因此，对于修复腋窝的大型手术缺损，应考虑使用该皮瓣。
