HIDDEN THREATS: BASAL CELL CARCINOMA IN COVERED BODY SITES – A CASE SERIES

• Thulasi Jagadish,*  
• Atira Mirza,  
• Sudha H M

Abstract

Basal cell carcinoma (BCC) is the most common skin neoplasm, 85%-90% of which is localized in the head and neck region. BCCs of covered sites have been considered unusual because of their location. In this case series we present 4 cases in which BCC appeared in covered, non-sun exposed areas of the skin. Amongst the 4 cases, case 1 is classified under difficult-to-treat BCC, case 2 and 4 are that of pigmented variant, one of which, case 2, was clinically suspected to be a melanoma and case 3 is a giant BCC with an increased risk of recurrence. This case series stresses on the fact that a clinician should be aware of the possible diagnosis of BCC and include it as a differential despite its occurrence in unusual locations and such cases need to be reported so that their pathogenesis, diagnostic criteria, intervention methods and post care can be understood.

Keywords

Basal cell carcinoma,unusual sites,covered sites,giant BCC,cutaneous neoplasm