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.