Mixed Type Basal Cell Carcinoma in 48 Years Old Caucasian Male: A Case Report

Abstract

Introduction: Basal cell carcinoma (BCC) is a malignancy which often affects white-skinned people. The incidence increased in the world up to 10% per year. Ultraviolet exposure is the most common risk factor, and usually affects head and neck. Patients with BCC have increased risks of having melanoma but no other internal malignancy. The existence of lumps which easily bleed and hard to heal perfectly is the most common symptoms found. Diagnosing it is based on the description of the lesion and the result if skin’s histopathology examination. Management is a very important aspect because if it is not treated, it will invade the surrounding tissue and result in functional and cosmetic disturbance. Objective: To describe the clinical relevance regarding symptom, dermoscopy examination and treatment of basal cell carcinoma. Case Report: A 48-year-old male complained of having a wound on his left shoulder since a year before. At the beginning the lesion was small and red, then gradually grew larger and black. Patient did not admit having the same complaint before and there was no history of disease or malignancy. He also done dermoscopy examination which is the result led to basal cell carcinoma characteristics. Excision wound on his left shoulder was done and the histopathology result came as a mixed type basal cell carcinoma. Discussion: Based on anamnesis, physical and diagnostic examinations, the working diagnosis of this patient was mixed type basal cell carcinoma. Diagnostic test is carried out by dermoscopy and histopathology examination. From the dermoscopy examination, it was found that the result was consistent with the characteristic of basal cell carcinoma. The histopathology result also confirmed that the cells were matched with the description of basaloid cells arranged palisades at the edge. The skin’s condition had to be evaluated in the next six months. Conclusion: Basal cell carcinoma is a common malignancy which happens most often in white-skinned people who are exposed to ultraviolet regularly. It is very important to check skin’s condition if a suspicious lump is present. The management is a crucial aspect needed to prevent invasions to surrounding tissues. Keywords: basal cell carcinoma, skin tumor, local invasion.