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Neglected Basal Cell Carcinoma of the Chest Wall

Neglected Basal Cell Carcinoma of the Chest Wall▶ Watch on YouTube — age-restricted, cannot embed here

Imaging findings

Chest CT demonstrates a massive, deeply invasive soft-tissue mass on the anterior chest wall. The tumor has eroded into the sternum, causing extensive osseous destruction, and has metastasized to distant sites.

Key takeaways

Basal cell carcinoma is the most common skin cancer and is highly curable when treated early. However, in cases of long-term neglect, it can become locally aggressive, infiltrating deep subcutaneous tissues, bone (such as the sternum), and musculature, and rarely, it can undergo metastatic spread.

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