10.8.04GrandRoundsBCC

10.8.04GrandRoundsBCC - Infiltrating Basal Cell Carcinoma...

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Infiltrating Basal Cell Carcinoma Laura S. Gilmore, MD Department of Ophthalmology October 8, 2004 Discussant: Kenn Freedman, MD
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Case Presentation CC: growth on right side of nose HPI: 81 yo HF who first noted growth on right side of nose “last December”, progressively growing. PMH: arthritis SH: ½ ppd smoker X 25 years ROS: denies F/C, significant weight loss FH: non-contributory
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Physical Exam General: AAO, VSS and good VA: 20/80 OD, 20/50 OS Pupils: 3mm OU, no APD External: extensive ulcerative lesion from bridge of nose to RLL and R cheek, with almost complete destruction of RLL and nearly complete ptosis of RUL IOP, CVF, DFE normal OS, unobtainable OD
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Differential Diagnosis Malignant melanoma Squamous cell carcinoma Basal cell carcinoma, infiltrative Infectious
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Basics of BCC Background Most common cutaneous malignancy (~80- 90%) Typically slow-growing, rarely metastasizes Sun-exposed skin, mostly face and scalp, esp
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10.8.04GrandRoundsBCC - Infiltrating Basal Cell Carcinoma...

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