Abstract

Introduction: Basal cell carcinoma (BCC) is the most common malignant skin neoplasm with an increasing incidence worldwide. Its local destructive behavior can cause invasion to the deeper construction and reach the brain parenchyma. Case Report: A 62-year-old male presented with myiasis of the occipital part of the skull with a large skin defect. Brain images showed a mass lesion in the cerebellum. The histological diagnosis, by biopsy of the skin lesion, was BCC. Conclusion: Our case was an intradural infiltration of BCC, which was difficult to diagnose on initial presentation because the lesion was covered by myiasis. It is notable that neurosurgeons and oncologists should be aware of the natural history of BCC, since it could infiltrate into the brain, mimicking a case of intracranial tumor.

Highlights

  • Basal cell carcinoma (BCC) is the most common malignant skin neoplasm with an increasing incidence worldwide

  • Our case was an intradural infiltration of BCC, which was difficult to diagnose on initial presentation because the lesion was covered by myiasis

  • It is notable that neurosurgeons and oncologists should be aware of the natural history of BCC, since it could infiltrate into the brain, mimicking a case of intracranial tumor

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Summary

Conclusion

Our case was an intradural infiltration of BCC, which was difficult to diagnose on initial presentation because the lesion was covered by myiasis. It is notable that neurosurgeons and oncologists should be aware of the natural history of BCC, since it could infiltrate into the brain, mimicking a case of intracranial tumor. Noda R, Yanagisawa S, Inoue M, Hara T. Basal cell carcinoma with extensive cerebellar invasion: A case report and literature review.

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