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Resident rounds part III: plaque on left areola of an African-American woman.
- Source :
-
Journal of drugs in dermatology : JDD [J Drugs Dermatol] 2014 Jun; Vol. 13 (6), pp. 767. - Publication Year :
- 2014
-
Abstract
- Basal cell carcinoma (BCC) is the most common cutaneous malignancy, and usually presents on sun-exposed areas of the skin. Unsurprisingly, BCC appearing on the nipple-areola complex (NAC) is rare, and even more so in females and dark skin types. BCC of the NAC is more aggressive than other locations, thus diagnosis and treatment are imperative. We present a case of an African American female with a lichenified, scaly plaque on her left areola that was unresponsive to clobetasol. After biopsy, the lesion was identified as pigmented BCC of the NAC. The patient denied surgical treatment and was treated with topical 5-fluorouracil. The BCC initially resolved but recurred at 22 month follow-up. We plan to treat the recurrence with Mohs surgery.
- Subjects :
- Administration, Topical
Black or African American
Aged
Antimetabolites, Antineoplastic administration & dosage
Antimetabolites, Antineoplastic therapeutic use
Biopsy
Breast Neoplasms diagnosis
Breast Neoplasms therapy
Carcinoma, Basal Cell diagnosis
Carcinoma, Basal Cell therapy
Female
Fluorouracil administration & dosage
Fluorouracil therapeutic use
Follow-Up Studies
Humans
Mohs Surgery methods
Neoplasm Recurrence, Local
Skin Neoplasms diagnosis
Skin Neoplasms therapy
Breast Neoplasms pathology
Carcinoma, Basal Cell pathology
Nipples pathology
Skin Neoplasms pathology
Subjects
Details
- Language :
- English
- ISSN :
- 1545-9616
- Volume :
- 13
- Issue :
- 6
- Database :
- MEDLINE
- Journal :
- Journal of drugs in dermatology : JDD
- Publication Type :
- Academic Journal
- Accession number :
- 25061653