TY  - JOUR
TT  - Perianal Basal Cell Carcinoma: A Rare Case
AU  - Eser, Cengiz
AU  - Oran, Gökçen
AU  - Gencel, Eyüphan
AU  - Açıkalın, Arbil
PY  - 2015
DA  - August
JF  - Türk Plastik Rekonstrüktif Ve Estetik Cerrahi Dergisi
JO  - turkplastsurg
PB  - Türk Plastik Rekonstrüktif ve Estetik Cerrahi Derneği
WT  - DergiPark
SN  - 1300-6878
SP  - 82
EP  - 84
VL  - 23
IS  - 2
KW  - Bazal hücreli karsinom
KW  - deri tümörleri
KW  - perianal bölge
N2  - Basal cell carcinoma (BCC) is the most common type of non melanoma skin cancers. Because of less exposure to ultraviolet light in perianal and genital regions, BCC is seen rarely in these areas. It is rarely seen in perianal and genital regions where non U.V. exposed areas.  In this case report a fifty years old patient who had an ulcerated lesion on his left perianal region for nearly ten years was evaluated. After BCC is diagnosed with incisional biopsy, the lesion was excised with 5mm surgical margins under general anesthesia. The excision material was reported as BCC with clean surgical margins. Neither recurrence nor metastasis was observed in postoperative twelve months follow-up.  Differential diagnosis of ulcerated lesions of perianal and genital regions include sexually transmitted diseases (e.g. Syphilis, HSV), pyoderma gangrenosum, Behçet’s disease, thrombosed haemorrhoid, fistula secondary to inflammatory bowel disease, and colorectal malignancies. Even it is very rare, BCC must be kept in mind in differential diagnosis of ulcerated perianal and genital lesions.
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CR  - sinde bu bölgenin de rutin olarak muayene edilmesi gerekmektedir.
CR  - Perianal BHK tedavisinde lokal eksizyon, elektrodesikasyon, küretaj ve Mohs cerrahisi uygulanabilmektedir.10 Hastamızda lezyonun 0,5 cm marjininden eksizyon uygulanmış olup takiplerinde de nüks yada metastaz bulgusuna rastlanmamıştır.
CR  - Hastamızın klinik ön tanısında melanoma, yassı hücreli karsinom, kloakojenik karsinom, tromboze he- moroid ve fistül düşünüldü. Ancak insizyonel biyopsi sonucu BHK olarak raporlanması üzerine diğer ön tanı- lar ekarte edildi. SONUÇ
CR  - Bu olgu sunumunda perianal bölge ülsere lezyon- larında ayırıcı tanıda birçok dermatolojik ve onkolojik tanı akılda tutulmakla beraber çok nadir de olsa BHK olasılığı göz önünde bulundurulması gerektiği vurgu- lanmıştır. Histopatolojik olarak tanı konulduğunda cer- rahi eksizyon ile tedavi sağlanabilmektedir.
UR  - https://dergipark.org.tr/tr/pub/turkplastsurg/issue//246587
L1  - https://dergipark.org.tr/tr/download/article-file/214415
ER  -