Shih Shawn, Dai Christina, Ansari Ahmed, Greenwald Jeffrey
Internal Medicine, University of Central Florida College of Medicine, Orlando, USA.
Dermatology, University of Central Florida College of Medicine, Orlando, USA.
Cureus. 2018 Oct 2;10(10):e3401. doi: 10.7759/cureus.3401.
Basal cell carcinoma is the most common malignancy worldwide, but it very rarely metastasizes. Perineural invasion in basal cell carcinoma has been well documented in the literature, but evidence of intravascular invasion has rarely been reported. We describe a rare case of metatypical basal cell carcinoma with intravascular invasion and discuss the clinical management associated with this presentation. The patient was successfully treated with two stages of Mohs micrographic surgery.
基底细胞癌是全球最常见的恶性肿瘤，但极少发生转移。基底细胞癌的神经周围浸润在文献中有充分记载，但血管内浸润的证据却鲜有报道。我们描述了一例罕见的具有血管内浸润的化生型基底细胞癌病例，并讨论了与此表现相关的临床处理。该患者通过两期莫氏显微外科手术成功治愈。
