Giant basal cell carcinoma: case reports

Background: Basal cell carcinoma is the most common malignant tumor and has an increased incidence in recent decades. The giant size is defined as a lesion larger than 5 cm in the largest diameter that commonly occurs in the trunk. Currently, decreasing in locations that have specialized services that are easier for the population to access. Case 1: A 54-year-old man, painter, showed an exulcerated plaque, with a friable surface and hypertrophic infiltrated margins of 12 cm in the largest diameter, located in the chest for 5 years. An incisional biopsy was then performed, which confirmed the diagnosis of basal cell carcinoma. Excision of the lesion was performed in a referral cancer hospital. Case 2: A 63-year-old man, farmer, showed erythematous-infiltrated plaque, a pearly surface of irregular shape, located in the right hemithorax, measuring 12 x 5 cm that appeared 20 years ago. The biopsy identified a basal cell carcinoma pattern and excision was performed with margins of the lesion by the dermatology team.Conclusion: Although the number of diagnoses of basal cell carcinoma has increased in recent years, it is still possible to find cases of giant basal cell carcinoma that represent a challenge for dermatologists and oncology surgeons.