Title | Morpheaform basal cell carcinoma of the skin: a difficult to treat type of basal cell carcinoma histopathological study of 759 cases and review of the literature | |
Authors | Fragiski A. Anthouli-Anagnostopoulou¹, Evagelos Kanelos¹, Eftichia Hatziolou² and Sotiris Anagnostopoulos²
1. Faculty of Health and Caring Professions, Technological Educational Institution (TEI), Athens, Greece 2. Histopathological Laboratory, Andreas Sygros Hospital, Athens, Greece 3. TEKOR Informatics S.A., Athens, Greece |
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Citation | Anthouli-Anagnostopoulou, A.A., Kanelos, E., Hatziolou, E., Anagnostopoulos, S.: Morpheaform basal cell carcinoma of the skin: a difficult to treat type of basal cell carcinoma histopathological study of 759 cases and review of the literature, Epitheorese Klin. Farmakol. Farmakokinet. 15(1): 43-49 (2001) | |
Publication Date | Received for publication: 5 November 2000
Accepted for publication: 10 December 2000 |
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Full Text Language | English | |
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Keywords | Basal cell carcinoma of the skin (BCC), morphea-like basal cell carcinoma of the skin (MBCC), sclerosing type basal cell carcinoma of the skin, aggressive basal cell carcinoma of the skin, immune response, desmoplastic basal cell carcinoma of the skin, therapy modalities. | |
Other Terms | review article | |
Summary | The purpose of this study was to recognize from 2972 basal cell carcinomas (BCCs) of the skin those BCCs that showed histologically: a) infiltrative growth pattern, b) fibrosclerosing activity of the underlying stroma and c) absence of inflammatory lymphoid reaction (immune response). A retrospective study of 759 biopsies of sclerosing type BCC was performed through last six years according to: a) sex, b) age, c) location single or multifocal and d) the presence or not of immune response in the histological picture. Sclerosing BCCs lesions are observed almost equal in both sexes with slight predominance to men (1.12/1) 60-80 years old (55.5%), affect mainly nose and cheeks areas (53.8%) and show little (20.7%) or no inflammatory reaction (43%) in the histologic picture. 13.3% of BCCs had a multifocal location. Mohs micrographie surgery was the preferable applied therapy. Morpheaform sclerosing BCC, unlike other BCCs types, is a special type of BCC that presents an aggressive behavior with possibility of recurrences or metastases, similar to squamous cell carcinoma (SCC), as a consequence of the absence of lymphoid inflammatory reaction and the presence of multifocal location. | |
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