Basal cell carcinoma with intravascular invasion

Abstract

Summary:

We report the case of a 59-year-old Caucasian male with a primary infiltrative basal cell carcinoma (BCC) with vascular invasion on the right temple. An excision biopsy was taken and histology confirmed a BCC, 2.5mm thick, invading into the reticular dermis. The patient underwent a scar excision which demonstrated no further malignancy. The patient showed no clinical signs of recurrence 2 years after diagnosis.

Relevance:

BCC is the most common human malignancy and its incidence is increasing. Less than 1% of BCCs metastasize and very few cases of intravascular invasion by a primary BCC have been reported. This report discusses the clinical features of a BCC, the population at risk and summarises all known cases of BCC with vascular invasion in the literature. 

Take Home Messages:

Due to the rarity of BCC with vascular invasion, there is a poor understanding of the disease process and the metastatic potential, resulting in uncertainty for clinician and patient regarding appropriate management.