Case Report


Basal cell carcinoma with extensive cerebellar invasion: A case report and literature review

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1 Medical Doctor, Department of Neurosurgery, NTT Medical Center Tokyo, 5-9-22 Higashii-Gotanda, Shinagawa-ku,Tokyo, Japan

2 Medical Doctor, Department of Neurosurgery and Neuro-Oncology, National Cancer Center Hospital, 5-1-1 Tsukiji, Chuo-ku, Tokyo, Japan

3 Chief Doctor, Department of Neurosurgery, Center Hospital of the National Center for Global Health and Medicine, 1-21-1 Toyama, Shinjuku-ku, Tokyo, Japan

4 Vice President, Department of Neurosurgery, Center Hospital of the National Center for Global Health and Medicine, 1-21-1 Toyama, Shinjuku-ku, Tokyo, Japan

Address correspondence to:

Ryuichi Noda

5-9-22 Higashii-Gotanda, Shinagawa-ku, Tokyo 141-8625,

Japan

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Article ID: 100076Z10RN2021

doi: 10.5348/100076Z10RN2021CR

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How to cite this article

Noda R, Yanagisawa S, Inoue M, Hara T. Basal cell carcinoma with extensive cerebellar invasion: A case report and literature review. J Case Rep Images Oncology 2021;7:100076Z10RN2021.

ABSTRACT


Introduction: Basal cell carcinoma (BCC) is the most common malignant skin neoplasm with an increasing incidence worldwide. Its local destructive behavior can cause invasion to the deeper construction and reach the brain parenchyma.

Case Report: A 62-year-old male presented with myiasis of the occipital part of the skull with a large skin defect. Brain images showed a mass lesion in the cerebellum. The histological diagnosis, by biopsy of the skin lesion, was BCC.

Conclusion: Our case was an intradural infiltration of BCC, which was difficult to diagnose on initial presentation because the lesion was covered by myiasis. It is notable that neurosurgeons and oncologists should be aware of the natural history of BCC, since it could infiltrate into the brain, mimicking a case of intracranial tumor.

Keywords: Basal cell carcinoma, Intracranial infiltration, Metastasis, Myiasis

SUPPORTING INFORMATION


Author Contributions

Ryuichi Noda - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Drafting the article, Final approval of the version to be published

Shunsuke Yanagisawa - Interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published

Masato Inoue - Interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published

Tetsuo Hara - Interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published

Guaranter of Submission

The corresponding author is the guarantor of submission.

Source of Support

None

Consent Statement

Written informed consent was obtained from the patient for publication of this article.

Data Availability

All relevant data are within the paper and its Supporting Information files.

Conflict of Interest

Authors declare no conflict of interest.

Copyright

© 2021 Ryuichi Noda et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.