Infiltrative Basal Cell Carcinoma, Case of the Month, November 2021
Bob Berendsen • November 5, 2021
Infiltrative Basal Cell Carcinoma
An 82 year-old male patient was referred to our office for evaluation of a biopsy proven infiltrative basal cell carcinoma of the nose (Figure 1). The patient stated that the spot had been preset for several months and that it had been enlarging.
After discussing treatment options including Mohs surgery, radiation therapy, and oral targeted therapy, the patient decided that Mohs surgery would be the best option, as he was very active and preferred an effective but fast definitive treatment.
The surgery and microscopic evaluation of the tissue revealed a very large and aggressive tumor that had invaded widely into the nose. The tumor was much larger than it looked and involved a significant portion of the nose (Figure 2). Three stages of tissue were taken in order to clear the tumor.
After discussing several closure options, the patient and I decided upon a full thickness skin graft. This would allow for a single stage procedure, excellent tissue match in terms of skin texture and color, and simplicity for the patient (Figure 3).
At a 3-year follow-up visit, there is no evidence of recurrence, the nose is level and centered and the patient and referring physician are very pleased with the results (Figure 4).
At Pine Belt Dermatology & Skin Cancer Center, we believe your nails are more than a cosmetic feature—they give valuable insight into...
When a ‘Rash’ Might Be Something More Serious At Pine Belt Dermatology & Skin Cancer Center, we recognize that rashes are common and frequently resolve quickly with minimal treatment. However, some rashes may signify underlying conditions that require prompt medical attention. Identifying when a rash is more than a minor irritation is key to protecting your health. Comprehending Common vs. Concerning Rashes Most everyday rashes result from irritants, allergies, heat, or minor infections and typically improve within a few days with over-the-counter treatments. However, if a rash lasts longer, worsens, or appears with other symptoms, it may signal a more serious issue. Identifying the difference between a routine rash and one that requires medical evaluation helps avoid complications and ensure appropriate care. Warning Signs to Watch For Certain features may indicate a rash requires clinical assessment, including: Rapidly spreading or worsening rash Severe pain, swelling, or blistering Signs of infection such as pus, warmth, or red streaks Fever or flu-like symptoms accompanying the rash A rash that does not improve after several days of treatment Dark, purple, or bruised-looking areas on the skin For example, a rash with fever may indicate a viral or bacterial infection, whereas painful blistering can suggest conditions such as shingles. In rare cases, rashes may signal autoimmune disorders or severe allergic reactions. Rashes That May Point to Underlying Conditions Some rashes may be linked to broader health concerns, including conditions that cause inflammation in the skin and other organs: Allergic reactions that may escalate into further severe responses Infections that spread beyond the skin if untreated Medication reactions that require immediate adjustment Persistent or unusual skin changes may be early signs of skin cancer or precancerous conditions, especially if they do not heal or continue to change over time. Why Early Evaluation Matters Delaying care for a worrisome rash may allow the underlying condition to progress. Early diagnosis improves treatment outcomes and helps prevent discomfort and complications. A dermatology specialist can assess the rash’s appearance, location, and progression, and may recommend diagnostic tests if needed. This approach assures treatment addresses the underlying cause, not just the visible symptoms. When to See a Dermatology Specialist If you are unsure about your rash, it is best to err on the side of caution. Consider seeking care if: The rash is persistent, painful, or unusual in appearance Over-the-counter treatments are not effective You experience additional symptoms such as fever or fatigue The rash interferes with your daily comfort or quality of life At Pine Belt Dermatology & Skin Cancer Center, our experienced providers supply comprehensive skin evaluations and customized treatment plans. We take time to understand your symptoms and deliver clear, effective solutions tailored to your needs. Protecting Your Skin and Your Health While many rashes are minor, some may be early warning signs of more serious health concerns. Monitoring skin changes and pursuing prompt medical advice can produce a notable effect. If you notice a rash that does not seem right, do not ignore it. Schedule a consultation with Pine Belt Dermatology & Skin Cancer Center for expert evaluation and peace of mind. Your skin is an important indicator of your overall health, and taking it seriously supports ongoing well-being.
At Pine Belt Dermatology & Skin Cancer Center, we know that healthy skin is affected by more than just external care—it’s related to your overall health...
Here’s how UV light therapy works, why it is useful for scalp psoriasis during winter, what to expect from treatment, and how to use it safely.
A truly effective skincare routine should be tailored to your needs, protect your natural barrier, and target concerns with proven ingredients.
The cold, dry air outside combined with indoor heating can strip away your skin’s natural moisture, leaving it tight, flaky, and more vulnerable to irritation.
At Pine Belt Dermatology, we understand how winter weather affects your skin and how frustrating it can be to deal with the discomfort that comes with it.
Acne is often thought of as a summer skin concern. However, many people notice that their breakouts actually worsen in the fall.
This blog explores why SPF isn’t just a summer essential—it’s a daily requirement, no matter the season.
Fortunately, with the right approach and treatments, you can begin reversing these effects and restore your skin’s health and radiance.