2021 Volume 20 Issue 3 Pages 212-215
A 65-year-old male with an intellectual disability developed an approximately 1-2 cm tumor on the occipital region 2 years ago. The patient noticed bleeding but did not seek treatment. The tumor gradually increased in size, and the patient noticed purulent exudate and was referred to this hospital. At the initial examination, a foul-smelling 4×6cm hemorrhagic tumor was observed and biopsy led to a diagnosis of basal cell carcinoma. Based on the size of the tumor and the patient’s condition,surgical excision was deemed difficult, and 69 Gy radiation therapy was performed on an outpatient basis. The tumor gradually decreased in size and was reduced further by the application of liquid nitrogen. Biopsy performed on the scar tissue demonstrated no remnant of basal cell carcinoma. For giant basal cell carcinoma that it is difficult to excise surgically, radiation therapy may be a therapeutic option. Skin Research, 20 : 212-215, 2021
