Rarely, basal cell carcinoma grows to a giant size, invading the underlying deep tissue and complicating the treatment and reconstruction modalities. A giant basal cell carcinoma on the scalp is in some cases treated with a combination of surgery and radiation therapy, resulting in local control, a satisfactory long-term cosmetic and functional result. We present a case with a neglected basal cell scalp carcinoma, treated with wide excision and postoperative radiotherapy, reconstructed with a free latissimus dorsi flap. The cosmetic result is acceptable and there is no sign of recurrence 1 year postoperatively.
From the Department of Plastic Surgery, University Hospital of Copenhagen, Herlev Hospital, Herlev, Denmark.
Received for publication January 2, 2014; accepted January 18, 2014.
Disclosure: The authors have no financial interest to declare in relation to the content of this article. The Article Processing Charge was paid for by the authors.
Anne Kristine Larsen, MD Department of Plastic Surgery University Hospital of Copenhagen Herlev Hospital, Herlev, Denmark E-mail: firstname.lastname@example.org
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