Upfront Radiotherapy with Concurrent and Adjuvant Vismodegib Is Effective and Well-Tolerated in a Patient with Advanced, Multifocal Basal Cell Carcinoma

Figure 1

Large ulcerative lesions of the right thorax, with subcutaneous fat layer exposed, upon presentation: anterior upper ((a), size 15 × 9 cm), anterior lower ((b), 6 × 7 cm), and lower neck seen both in anterior and posterior views ((c), 1 × 1 cm) and the back ((d), 15 × 12.5 cm). One additional lesion in the left back (3.5 × 2 cm) is not shown. There is evidence of invasion to the underlying muscle (a, d) and pronounced nodularity (a, c, d).