Giant basal cell carcinoma, experience and challenges at a public hospital in Peru

Abstract

Basal cell carcinoma is the most common neoplasm worldwide, affecting mostly
photoexposed areas of the skin. It manifests as lesions that do not exceed 2 cm
in diameter, have low metastatic potential, and are locally aggressive. However,
there are atypical cases where these lesions are equal to or greater than 5 cm
in diameter, exhibit aggressive behavior with high recurrence and metastatic
potential, acquiring the name giant basal cell carcinoma. We present the
case of an elderly adult with long-standing disease and extensive skin tumor
who required a comprehensive evaluation and radical surgical management
with curative intent, this presentation and approach being uncommon.