Giant Anterior Chest Wall Basal Cell Carcinoma: An Approach to Palliative Reconstruction

Anterior chest wall giant basal cell carcinoma (GBCC) is a rare skin malignancy that requires a multidisciplinary treatment approach. This case report demonstrates the challenges of anterior chest wall GBCC reconstruction for the purpose of palliative therapy in a 72-year-old female. Surgical resect...

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Main Authors: Pauline Joy F. Santos, Christina Prendergast, Amber Leis
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Case Reports in Oncological Medicine
Online Access:http://dx.doi.org/10.1155/2016/5067817
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author Pauline Joy F. Santos
Christina Prendergast
Amber Leis
author_facet Pauline Joy F. Santos
Christina Prendergast
Amber Leis
author_sort Pauline Joy F. Santos
collection DOAJ
description Anterior chest wall giant basal cell carcinoma (GBCC) is a rare skin malignancy that requires a multidisciplinary treatment approach. This case report demonstrates the challenges of anterior chest wall GBCC reconstruction for the purpose of palliative therapy in a 72-year-old female. Surgical resection of the lesion included the manubrium and upper four ribs. The defect was closed with bilateral pectoral advancement flaps, FlexHD, and pedicled VRAM. The palliative nature of this case made hybrid reconstruction more appropriate than rigid sternal reconstruction. In advanced metastatic cancers, the ultimate goals should be to avoid risk for infection and provide adequate coverage for the defect.
format Article
id doaj-art-2024e1c23c78459882019305d2105643
institution Kabale University
issn 2090-6706
2090-6714
language English
publishDate 2016-01-01
publisher Wiley
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series Case Reports in Oncological Medicine
spelling doaj-art-2024e1c23c78459882019305d21056432025-02-03T06:08:34ZengWileyCase Reports in Oncological Medicine2090-67062090-67142016-01-01201610.1155/2016/50678175067817Giant Anterior Chest Wall Basal Cell Carcinoma: An Approach to Palliative ReconstructionPauline Joy F. Santos0Christina Prendergast1Amber Leis2Department of Plastic Surgery, University of California, Irvine, CA, USADepartment of Plastic Surgery, University of California, Irvine, CA, USADepartment of Plastic Surgery, University of California, Irvine, CA, USAAnterior chest wall giant basal cell carcinoma (GBCC) is a rare skin malignancy that requires a multidisciplinary treatment approach. This case report demonstrates the challenges of anterior chest wall GBCC reconstruction for the purpose of palliative therapy in a 72-year-old female. Surgical resection of the lesion included the manubrium and upper four ribs. The defect was closed with bilateral pectoral advancement flaps, FlexHD, and pedicled VRAM. The palliative nature of this case made hybrid reconstruction more appropriate than rigid sternal reconstruction. In advanced metastatic cancers, the ultimate goals should be to avoid risk for infection and provide adequate coverage for the defect.http://dx.doi.org/10.1155/2016/5067817
spellingShingle Pauline Joy F. Santos
Christina Prendergast
Amber Leis
Giant Anterior Chest Wall Basal Cell Carcinoma: An Approach to Palliative Reconstruction
Case Reports in Oncological Medicine
title Giant Anterior Chest Wall Basal Cell Carcinoma: An Approach to Palliative Reconstruction
title_full Giant Anterior Chest Wall Basal Cell Carcinoma: An Approach to Palliative Reconstruction
title_fullStr Giant Anterior Chest Wall Basal Cell Carcinoma: An Approach to Palliative Reconstruction
title_full_unstemmed Giant Anterior Chest Wall Basal Cell Carcinoma: An Approach to Palliative Reconstruction
title_short Giant Anterior Chest Wall Basal Cell Carcinoma: An Approach to Palliative Reconstruction
title_sort giant anterior chest wall basal cell carcinoma an approach to palliative reconstruction
url http://dx.doi.org/10.1155/2016/5067817
work_keys_str_mv AT paulinejoyfsantos giantanteriorchestwallbasalcellcarcinomaanapproachtopalliativereconstruction
AT christinaprendergast giantanteriorchestwallbasalcellcarcinomaanapproachtopalliativereconstruction
AT amberleis giantanteriorchestwallbasalcellcarcinomaanapproachtopalliativereconstruction