Giant basal cell carcinoma of scalp: A neglected tumor and twenty-five years after diagnosis - case report and literature review

Basal cell carcinoma (BCC) is the most common non-melanoma skin cancers, Giant variant of BCCs are a rare cutaneous neoplasms. The most important risk factors for skin cancers are ultraviolet (UV) exposure. We report the case of a 69-year-old men presented with pruritus, bleeding, focal ulcerated, large multinodular lesion symptoms and findings in the temporal region of the scalp. Grossly, there was an well-demarcated relatively smooth discrete mass measuring tumor of 5.5 cm × 4.5 cm. The histopathological diagnosis was Giant BCC. A review of the literature on Giant BCCs are rare variant in the skin of previously described cases. This tumor most frequently involves in the back, the face, and extremity. Risk factors that have been associated with skin in include smoking, prior radiation exposure, neglect and development of Giant BCCs. Clinical course of the disease are generally more aggressive. The treatment of choice is complete surgical excision, reconstruction and is curative.