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Case Report
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
Message to Corresponding Author
Article ID: 100076Z10RN2021
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
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 SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors 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.