Basal Cell Carcinoma With Calcification
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Basal cell carcinoma is the most common cutaneous neoplasm. Calcinosis cutis is the deposition of calcium within the dermis. An 80-year-old man with a history of non-melanoma skin cancer presented for a scheduled skin check. Cutaneous examination showed a five-millimeter nodule on his left nasal ala.

A shave biopsy was performed. Microscopic examination of the tissue specimen showed nodular aggregates of basaloid tumor cells with peripheral palisading of the tumor cells and retraction of the dermal stroma from the tumor aggregates.

Calcification was also noted not only in the dermis and within a hair follicle adjacent to the tumor but also in the nest of tumor cells and in the necrotic debris associated with the basal cell carcinoma.

Mohs surgery was performed; the nodular basal cell carcinoma with associated calcinosis cutis was removed in three stages. The size of the final defect was 2 centimeters by 1.4 centimeters; a full thickness skin graft taken from a posterior auricular site was used to fill the skin defect on his nose. There was no recurrence at 17 months follow-up.

Source: https://www.cureus.com/articles/50122-basal-cell-carcinoma-with-calcification-case-report-of-calcifying-basal-cell-carcinoma-and-review-of-calcinosis-cutis-associated-with-basal-cell-carcinoma
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