Basal cell carcinoma of the scalp x Frontal fibrosing alopecia: diagnostic and therapeutic challenge

Authors

DOI:

https://doi.org/10.11606/issn.1679-9836.v101i3e-178016

Keywords:

Fibrosing frontal alopecia, Basal cell carcinoma, Scarring alopecia, Mohs micrographic surgery

Abstract

BCC is considered the most common neoplasia in the world, it can appear throughout the body including the scalp. Frontal fibrosing alopecia is a primary scarring alopecia, variant of lichen planopilaris. The association between the two pathologies has not been previously reported in the literature. In this case it is presented a brazilian female patient complaining of hair loss, with histopathological diagnosis of AFF and scalp BCC. The distinction of tumor margins for neoplastic excision is complex only by dermoscopy and physical examination, due to areas of common atrophy. So Mohs micrographic surgery was chosen for histopathological delimitation of margins.

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Author Biographies

  • Marina Riedi Guilherme, Autarquia Municipal de Saúde de Apucarana

    Serviço de Dermatologia da Autarquia Municipal de Saúde de Apucarana, Apucarana, PR, Brasil.

  • Bruna Cristina Mendes dos Santos, Autarquia Municipal de Saúde de Apucarana

    Serviço de Dermatologia da Autarquia Municipal de Saúde de Apucarana, Apucarana, PR, Brasil. 

  • Lúcia Emiko Imazu, Associação Filantrópica Humanitas

    Departamento de Dermatologia da Associação Filantrópica Humanitas, São Jerônimo da Serra, PR, Brasil.  

  • Marcelo de Souza Machado, Hospital de Câncer de Londrina

    Departamento de Dermatologia do Hospital de Câncer de Londrina, Londrina, PR, Brasil.  

References

Belda Junior B, Di Chiacchio N, Criado PR. Tratado de dermatologia. 3a ed. Rio de Janeiro: Atheneu; 2018.

Starace M, Brandi N, Alessandrini A, Bruni F, Piraccini BM. Frontal fibrosing alopecia: a case series of 65 patients seen in a single Italian centre. J Eur Acad Dermatol Venereol. 2019;33(2):433-8. doi: 10.1111/jdv.15372.

Cho M, Lee J, James CL, Marshman G, Huilgol SC. Scalp basal cell carcinoma: review of 2,202 cases. Dermatol Surg. 2016;42(7):834-41. doi: 10.1097/dss.0000000000000783

Castanheira A, Soares P, Boaventura P. Scalp basal cell carcinoma: a different entity? Dermatol Ther. 2019;32(2):1-6. doi: https://doi.org/10.1111/dth.12828

Mulinari-Brenner FA, Guilherme MR, Peretti MC, Werner B. Frontal fibrosing alopecia and lichen planus pigmentosus: Diagnosis and therapeutic challenge. An Bras Dermatol. 2017;92(5):79-81. doi: http://dx.doi.org/10.1590/abd1806-4841.20175833.

Iorizzo M, Tosti A. Frontal fibrosing alopecia: an update on pathogenesis, diagnosis, and treatment. Am J Clin Dermatol. 2019;20(3):379-90. doi: 10.1007/s40257-019-00424-y

Azulay RD, Azulay DR, Azulay-Abulafia L. Dermatologia. 6a ed. Rio de Janeiro: Guanabara-Koogan; 2013.

Abedini R, Kamyab Hesari K, Daneshpazhooh M, Ansari MS, Tohidinik HR, Ansari M. Validity of trichoscopy in the diagnosis of primary cicatricial alopecias. Int J Dermatol. 2016;55(10):1106-14. doi: 10.1111/ijd.13304

Wozniak-Rito A, Zalaudek I, Rudnicka L. Dermoscopy of basal cell carcinoma. Clin Exp Dermatol. 2018;43(3):241-47. doi: https://doi.org/10.1111/ced.13387

Leibovitch I, Huilgol SC, Richards S, Paver R, Selva D. Scalp tumors treated with mohs micrographic surgery: Clinical features and surgical outcome. Dermatol Surg. 2006;32(11):1369-74. doi: https://doi.org/10.1111/j.1524-4725.2006.32308.x

Rapini RP. Dermatopatologia prática. 2a ed. Rio de Janeiro: Elsevier; 2013.

Published

2022-05-26

Issue

Section

Relato de Caso/Case Report

How to Cite

Guilherme, M. R., Santos, B. C. M. dos ., Imazu, L. E. ., & Machado, M. de S. . (2022). Basal cell carcinoma of the scalp x Frontal fibrosing alopecia: diagnostic and therapeutic challenge. Revista De Medicina, 101(3), e-178016. https://doi.org/10.11606/issn.1679-9836.v101i3e-178016