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Journal of Case Reports
Basal Cell Carcinoma Arisen on Rhinophyma: Report of Four Cases

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Giovanni Zabbia, Eliana Gulotta, Daniele Clemente, Pietro Napoli, Massimiliano Tripoli, Bartolo Corradino, Francesco Moschella
From the Plastic and Reconstructive Unit, Department of Surgical Oncologic and Sthomatologic Sciences, University of Palermo. Italy.
Corresponding Author:
Giovanni Zabbia
Email: zabbia.giovanni@libero.it
Received: 10 MAY 2013 Accepted: 15-JUL-2013 Published Online: 30-AUG-2013
DOI: http://dx.doi.org/10.17659/01.2013.0070
Abstract
Rhinophyma is characterized by progressive hyperplasia of nasal sebaceous glands, with fibrosis, follicular plugging and telangiectasias. The term “rhynophyma” derives from the Greek words rhino (meaning nose) and phyma (meaning growth). It is considered the final stage of acne rosacea. Though rare in occurrence, malignant tumors can grow over rhinophymatous skin, with basal cell carcinoma (BCC) being the most commonly reported tumor. Although a rare event, the development of BCC should always be sought in presence of rhinophyma, and also small changes of the skin lesion characteristic that it represent. We report four cases of BCC arising on rhinophyma observed between 1998 and 2012. We recommend the need for a histologic examination of the suspicious lesions or all surgically removed tissue in patients with rhinophyma.
Keywords : Rhinophyma, Basal Cell Carcinoma, Skin Neoplasms, Telangiectasis, Rosacea.
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