Nodular Basal Cell Carcinoma As An Imitator of Rhinophyma

Abstract

Basal cell carcinoma (BCC) is the most common skin tumor of the white race. There are four types including nodular, pigmented, superficial and morpheaform. The most common type is nodular type. Rhinophyma, represents the end stage of rosacea, and is caused by a progressive hypertrophy of sebaceous glandular tissue, connective tissue, and blood vessels. Besides, fibrosis, follicular plugging and telangiectasia are seen. Although rhinophyma is not a premalignant lesion, this relationship is considered by reports of malignancies on the background of rhinophyma. Various malignancies, including BCC, SCC, angiosarcoma and sebaceous carcinoma, have been reported to coexist or to imitate rhinophyma. We herein, report a 83 year patient presented with rhinophymatous lesion which was BCC originally, and emphasized the importance of careful examination of the skin and diagnostic biopsy of uncertain areas.

Keywords

• Basal cell carcinoma, rhinophyma, imitator; premalignant.

Rinofima Taklitçisi: Nodüler Bazal Hücreli Karsinom

Abstract

Bazal hücreli kanser (BHK), beyaz ırkın en yaygın görülen deri tümörüdür. Nodüler, pigmente, süperfisyel ve morfeiform olarak bilinen başlıca dört tipi vardır. En sık nodüler tip görülür. Rozasenin son evresi olan rinofima, sebase glandüler yapı, konnektif doku ve kan damarlarının progresif hipertrofisi ile oluşur. Bununla birlikte fibrozis, foliküler tıkanma ve telenjektazi de gözlenir. Rinofima premalign olarak bilinmemesine rağmen, rinofima zemininde gelişen maligniteler bu ilişkiyi düşündürmektedir. BHK, Skuamöz hücreli kanser (SHK), anjiyosarkom ve sebase karsinom gibi maligniteler rinofimayla eş zamanlı ya da taklitçi olarak bildirilmiştir. Burada 83 yaşında burun üzerinde rinofima benzeri BHK ile başvuran bir vaka sunularak dikkatli muayenenin önemi ve şüpheli alanlarda tanısal biyopsinin gerekliliği vurgulanmıştır.

Keywords

• Bazal hücreli karsinom, rinofima, taklitçi; premalign.

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