Bilateral lymphatic spread of metastatic basal cell carcinoma

Richard L. Sleightholm, James R. Willcockson, Duncan C. Watley, Frederick L. Durden, Jason M. Foster

Research output: Contribution to journalArticlepeer-review

3 Scopus citations


Herein, we report a case of a patient with an abnormal skin lesion that remained unchecked by medical professionals for approximately 20 years. Upon physical examination in the emergency department for a fractured hip, an infiltrative mass was incidentally discovered. The neoplasm was noted to have progressed from an eraser-sized mass to a 3.5-cm invasive lesion. Initial surgical intervention was believed to have been successful in removal, as margins were clear with the exception of 1 indeterminate segment. However, subsequent 1-year follow-up revealed recurrence of the disease with bilateral axillary node and deep muscle involvement. This prompted a more extensive surgical approach complemented with radiation therapy. The patient had remained disease-free for a year.

Original languageEnglish (US)
Article numbere1182
JournalPlastic and Reconstructive Surgery - Global Open
Issue number12
StatePublished - 2016

ASJC Scopus subject areas

  • Surgery


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