Sundarraj Dhayalakshmi, Da Forno Phil, Lakshmiah Sundarraj, Mair Manish
Medicine, Kettering General Hospital, Kettering, UK.
Cellular Pathology, University Hospitals of Leicester NHS Trust, Leicester, UK.
BMJ Case Rep. 2025 Jun 22;18(6):e263515. doi: 10.1136/bcr-2024-263515.
An elderly male patient with a history of basal cell carcinoma (BCC), which was excised from the right temple in 2013, presented in 2021 with swelling in the right parotid region. This led to a diagnosis of metastatic BCC in the parotid gland. He consequently underwent a right partial parotidectomy and neck dissection with adjuvant radiotherapy. In 2024, the patient was represented with a firm swelling in the right parotid region, and further imaging revealed a new lung lesion. He subsequently underwent a right video-assisted thoracoscopic surgery lower lobe wedge resection for the lung lesion and a right revision parotidectomy. Histopathology with immunohistochemistry confirmed metastatic BCC in both the parotid gland and lungs. This case highlights the rare occurrence of BCC metastasising, first to the parotid gland and then to the lungs, underscoring the need for a multidisciplinary approach and close follow-up for effective management.
一名老年男性患者，有基底细胞癌（BCC）病史，2013年于右颞部切除，2021年出现右腮腺区肿胀。这导致诊断为腮腺转移性基底细胞癌。因此，他接受了右腮腺部分切除术和颈部清扫术，并辅以放疗。2024年，患者再次出现右腮腺区硬结性肿胀，进一步影像学检查发现肺部有新病灶。随后，他接受了右电视辅助胸腔镜下肺下叶楔形切除术以切除肺部病灶，并进行了右腮腺改良切除术。组织病理学及免疫组化证实腮腺和肺部均有转移性基底细胞癌。该病例突出了基底细胞癌转移的罕见情况，先是转移至腮腺，然后转移至肺部，强调了多学科方法和密切随访以进行有效管理的必要性。
