From Aesthetic to Functional Dilemma: Managing a Pedunculated Giant Basal Cell Carcinoma of the Nose

TL;DR

This paper reports a rare case of a large, pedunculated basal cell carcinoma on the nose causing feeding issues in an elderly patient.

Contribution

The novelty lies in documenting a rare case of pedunculated giant basal cell carcinoma in the facial region with functional complications.

Findings

A 93-year-old patient had a pedunculated giant basal cell carcinoma on the nose causing feeding intolerance.

Surgical resection confirmed the adenoid type of basal cell carcinoma with no distant metastases.

Only one similar case of pedunculated GBCC in the facial region has been previously reported.

Abstract

Giant basal cell carcinoma (GBCC) is a rare and aggressive variant characterized by its frequent invasion of underlying tissues and the occasional development of metastases. An even rarer form, pedunculated GBCC, can lead to functional complications depending on its location. This report presents a case of pedunculated GBCC located on the nose of a 93-year-old patient, which resulted in feeding intolerance. After an R0 surgical resection, histopathological examination confirmed the adenoid type of basal cell carcinoma, with no evidence of distant disease. In the literature, only one case of pedunculated GBCC in the facial region has been documented. A multidisciplinary approach involving prompt investigation and treatment is essential to prevent functional issues that could compromise the patient's quality of life.

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