Ng Hung Shin Paul Brian, Tie Bibiana, Kanagarajah Vijay, Tan Ailin
Department of General and Transplant Surgery, Princess Alexandra Hospital, Brisbane, QLD, Australia.
J Surg Case Rep. 2023 Jan 10;2023(1):rjac618. doi: 10.1093/jscr/rjac618. eCollection 2023 Jan.
Nodulocystic basal cell carcinoma (BCC) is a cystic variant of BCC, which can easily be misdiagnosed. We report a case of a 52-year-old man with a nodulocystic BCC that appeared at the site of a previously excised BCC 9 years prior. It examined as a benign cyst with a radiological signature of a vascular malformation. It was histologically confirmed on fine needle aspirate (FNA) and excisional biopsy to be a nodulocystic BCC. BCC is one of the most common paraneoplastic neoplasms affecting photo-exposed areas and displaying many variants. Nodulocystic BCC is a rarer variant that may have more than one dermoscopic face and can appear macroscopically benign. Given its malignant potential, it is imperative that it is accurately diagnosed. We highlighted that nodular cystic BCC can easily be misdiagnosed. Careful history and FNA are key differentiators to establish the correct diagnosis.
结节囊肿性基底细胞癌（BCC）是基底细胞癌的一种囊性变体，很容易被误诊。我们报告一例52岁男性，其结节囊肿性基底细胞癌出现在9年前曾切除过基底细胞癌的部位。它经检查为良性囊肿，具有血管畸形的影像学特征。经细针穿刺抽吸活检（FNA）及切除活检，组织学确诊为结节囊肿性基底细胞癌。基底细胞癌是影响光暴露部位且有多种变体的最常见的副肿瘤性肿瘤之一。结节囊肿性基底细胞癌是一种较罕见的变体，可能有不止一种皮肤镜表现，肉眼可见时可能看似良性。鉴于其恶性潜能，准确诊断至关重要。我们强调结节囊肿性基底细胞癌很容易被误诊。仔细询问病史和进行细针穿刺抽吸活检是确立正确诊断的关键鉴别方法。
