Lung metastasis of basal cell carcinoma on anterior chest wall: A rare case report
1 Department of Radiology, Dr. Moewardi Hospital/Faculty of Medicine Universitas Sebelas Maret, Indonesia.
2 Department of Radiotherapy Oncology, Dr. Moewardi Hospital/ Faculty of Medicine Universitas Sebelas Maret, Indonesia.
3 Department of Pathology Anatomy, Faculty of Medicine, Universitas Sebelas Maret, Indonesia.
Case Study
GSC Advanced Research and Reviews, 2020, 05(03), 010-013.
Article DOI: 10.30574/gscarr.2020.5.3.0119
Publication history:
Received on 22 November 2020; revised on 03 December 2020; accepted on 05 December 2020
Abstract:
Introduction: Metastasis of primary basal cell carcinoma (BCC) on thoracic wall is rarely reported in literatures. Metastasis of cancer to the lung is suggested of hematogenous spread to the lung. We reported the only case of metastatic BCC encountered in Dr. Moewardi Hospital Surakarta.
Case: A 62-year-old female patient was referred to our hospital with a recurrent lump on the anterior part of her chest accompanied by radiating pain to the back lasting for about a year. Previously she had undergone surgery, but the lump regrew on the similar location. Histopathology finding revealed infiltrating BCC. Chest radiograph showed miliary type pulmonal metastasis. Contrast CT-Scan imaging revealed a malignant solid mass on the anterior thoracic wall with lung metastasis, manifesting as pneumonia and left pleural effusion, in accordance to pneumonic and subpleural type pulmonal metastasis. Subsequently, patient underwent chemoradiotherapy, resulting in positive response of tumor regression.
Conclusion: Clinicians need to exercise a high index of suspicion of metastasis for the management of patient with BCC on rare sites such as anterior chest.
Keywords:
Basal-cell-carcinoma; Lung; Metastasis; CT-Scan
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Copyright © 2020 Author(s) retain the copyright of this article. This article is published under the terms of the Creative Commons Attribution Liscense 4.0
