Archives of Craniofacial Surgery (대한두개안면성형외과학회지)

Korean Cleft Palate-Craniofacial Association (대한두개안면성형외과학회)
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Concurrent presentation of porocarcinoma and basal cell carcinoma arising on a capillary malformation: a case report

  • Sunkyu Park (Department of Plastic and Reconstructive Surgery, Seoul National University Bundang Hospital, Seoul National University College of Medicine) ;
  • Jong-Ho Kim (Department of Plastic and Reconstructive Surgery, Seoul National University Bundang Hospital, Seoul National University College of Medicine)
  • Received : 2023.07.24
  • Accepted : 2023.10.09
  • Published : 2023.10.20
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Abstract

Porocarcinoma (PC) and basal cell carcinoma (BCC) are distinct skin cancers. Few studies have documented the occurrence of two concurrent types of skin cancers, and to the best of our knowledge, this represents the inaugural report of such a coexisting lesion arising from a capillary malformation. Herein, we report a case of concurrent PC and BCC presenting with capillary malformation. A 93-year-old woman visited our hospital with a protruding mass in her right nasal ala that appeared as a capillary malformation. A biopsy was performed on the skin lesion, and BCC was diagnosed. A wide excision was performed. Permanent biopsy revealed that the skin lesion was a PC with basal cells and squamous differentiation. The safety margin of the deep tissue margin was < 0.1 cm; however, considering the advanced age of the patient, further excision was deemed to not possess any benefits. This case illustrates the importance of recognizing the possibility of multiple skin cancers, even in patients with benign lesions such as capillary malformations. The rarity of this presentation highlights the importance of thorough investigation and histopathological examination of skin lesions in guiding appropriate surgical excision.

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References

  1. Rodriguez J, Nonaka D, Kuhn E, Reichel M, Rosai J. Combined high-grade basal cell carcinoma and malignant melanoma of the skin ("malignant basomelanocytic tumor"): report of two cases and review of the literature. Am J Dermatopathol 2005;27:314-8.  https://doi.org/10.1097/01.dad.0000171600.17692.65
  2. Cornejo KM, Deng AC. Malignant melanoma within squamous cell carcinoma and basal cell carcinoma: is it a combined or collision tumor? A case report and review of the literature. Am J Dermatopathol 2013;35:226-34.  https://doi.org/10.1097/DAD.0b013e3182545e27
  3. Cohen PR, Calame A. Multiple skin neoplasms at one site (MUSK IN A NEST): a comprehensive review of basal cell carcinoma and benign or malignant "collision" tumors at the same cutaneous location. Clin Cosmet Investig Dermatol 2020;13:731-41.  https://doi.org/10.2147/CCID.S259324
  4. Devi NR, Valarmathi K, Lilly M, Satish S, Mishra N. Primary axillary porocarcinoma: a rare cutaneous tumour. J Clin Diagn Res 2016;10:ED04-6. 
  5. Beer R, Alcalay J, Goldberg LH. Basal cell carcinoma occurring at the site of a strawberry hemangioma. Cutis 1992;49:111-2. 
  6. Feinmesser M, Taube E, Badani E, Kristt D. Basal cell carcinomas arising over arteriovenous malformations: some speculations on the theme. Am J Dermatopathol 1997;19:575-9.  https://doi.org/10.1097/00000372-199712000-00004
  7. Maldonado D, Sturgeon A, Tarbox MB. Basal cell carcinoma arising within a longstanding hemangioma. Proc (Bayl Univ Med Cent) 2021;35:76-7.  https://doi.org/10.1080/08998280.2021.1960132
  8. Dinehart M, Abate MS, Jennings T, Kaley JR, Shalin SC. Colliding, colonizing or combining? Four cases illustrating the unique challenges presented by melanoma arising in conjunction with basal cell carcinoma. J Cutan Pathol 2018;45:443-52.  https://doi.org/10.1111/cup.13137
  9. Olmos Nieva CC, Samaniego Gonzalez E, Gonzalez Moran MA, Rodriguez Prieto MA. Eccrine porocarcinoma: a clinical and histologic description of a series of 11 cases treated at the university hospital complex in Leon, Spain. Actas Dermosifiliogr (Engl Ed) 2021;112:478-81.  https://doi.org/10.1016/j.ad.2020.01.007
  10. Salih AM, Kakamad FH, Essa RA, Rauf GM, SA Mayrur, HM Shvan, et al. Porocarcinoma: a systematic review of literature with a single case report. Int J Surg Case Rep 2017;30:13-6.  https://doi.org/10.1016/j.ijscr.2016.10.051
  11. Kurashige Y, Minemura T, Nagatani T. Eccrine porocarcinoma: clinical and pathological report of eight cases. Case Rep Dermatol 2013;5:259-66.  https://doi.org/10.1159/000355606
  12. Yu N, Long X, Lujan-Hernandez JR, Hassan KZ, Bai M, Wang Y, et al. Marjolin's ulcer: a preventable malignancy arising from scars. World J Surg Oncol 2013;11:313. 
  13. Brownstein MH, Starink TM. Desmoplastic trichoepithelioma and intradermal nevus: a combined malformation. J Am Acad Dermatol 1987;17:489-92.  https://doi.org/10.1016/S0190-9622(87)70234-5
  14. Scruggs JM, Rensvold EA, Parekh PK, Butler DF. Cutaneous collision cancers: a report of two squamomelanocytic malignancies and review of the literature. Dermatol Surg 2011;37:1679-83.  https://doi.org/10.1111/j.1524-4725.2011.02132.x
  15. Diamantopoulos P, Gouveris P, Diamantopoulou S, Tseloni L, Arkoumani E, Arnogiannaki N, et al. Collision tumor of malignant tumors of the skin: dermal squamomelanocytic tumor coexisting with basal cell carcinoma-a rare case. J Surg Case Rep 2021;2021:rjab560. 
  16. Lam C, Fuller C, Flamm A, Billingsley EM. Collision tumor of basal and squamous cell carcinoma of the palm. J Clin Aesthet Dermatol 2019;12:28-30. 
  17. Lee DW, Kwak SH, Kim JH, Byeon JY, Lee HJ, Choi HJ. Sebaceous carcinoma arising from sebaceoma. Arch Craniofac Surg 2021;22:126-30.  https://doi.org/10.7181/acfs.2021.00059
  18. Lee IS, Hong IP, Lee HK. Basal cell carcinoma and squamous cell carcinoma in a single tumor in the anterior auricular area. Arch Craniofac Surg 2020;21:257-60.  https://doi.org/10.7181/acfs.2020.00262
  19. Jung JH, Jeon YR, Kim HI, Lee MK, Chung S. Verrucous carcinoma arising from actinic keratosis: a case report. Arch Craniofac Surg 2021;22:333-6.