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Basal cell carcinoma destructiveC44.L
Synonym(s)
DefinitionThis section has been translated automatically.
Primary destructive growing basal cell carcinoma. The term has become uncommon today as "infiltrating and destructive growth" is a characteristic feature of all basal cell carcinomas (see below).
Occurrence/EpidemiologyThis section has been translated automatically.
Mainly Caucasian population, rarely in African countries, age at occurrence > 50 years.
EtiopathogenesisThis section has been translated automatically.
Excessive exposure to UV rays. Also possible in immunocompromised patients (e.g. after stem cell transplantation).
LocalizationThis section has been translated automatically.
all parts of the face, va. nose, forehead, cheeks
Clinical featuresThis section has been translated automatically.
Mostly tub-like, large-area (1.0 - 5.0 cm, rarely > 5.0 cm), slightly painful, sharply defined, red ulcer with a raised, nodular rim wall. Musculature or bones may be exposed at the base of the ulcer.
Arrosion bleeding of larger vessels or osseous destruction with penetration into the skull calotte is possible.
TherapyThis section has been translated automatically.
Early, generous surgical removal in healthy individuals (micrographic surgery), see basal cell carcinoma.
Note(s)This section has been translated automatically.
Infiltrating and thus destructive growth is a characteristic feature of all basal cell carcinomas. With a longer duration of existence and increasing infiltration of deeper skin areas, the tumour first decays on its surface and successively also in deeper layers. With extensive horizontal growth, by "grazing" the surface, superficial, polycyclically limited ulcers develop, actually exulcerated basal cell carcinomas (ulcer roden).
When growing in depth, vital structures can be detected. This "drilling" type, also known as ulcus terebrans, can reach monstrous proportions after years of existence.
LiteratureThis section has been translated automatically.
- Sonntag M et al (2004) Ulcus terebrans. Therapy options and their limits. dermatologist 55:983-985