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Case Reports in Oncological Medicine
Volume 2016 (2016), Article ID 5067817, 5 pages
http://dx.doi.org/10.1155/2016/5067817
Case Report

Giant Anterior Chest Wall Basal Cell Carcinoma: An Approach to Palliative Reconstruction

Department of Plastic Surgery, University of California, Irvine, CA, USA

Received 4 September 2016; Accepted 20 November 2016

Academic Editor: Jose I. Mayordomo

Copyright © 2016 Pauline Joy F. Santos et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Anterior chest wall giant basal cell carcinoma (GBCC) is a rare skin malignancy that requires a multidisciplinary treatment approach. This case report demonstrates the challenges of anterior chest wall GBCC reconstruction for the purpose of palliative therapy in a 72-year-old female. Surgical resection of the lesion included the manubrium and upper four ribs. The defect was closed with bilateral pectoral advancement flaps, FlexHD, and pedicled VRAM. The palliative nature of this case made hybrid reconstruction more appropriate than rigid sternal reconstruction. In advanced metastatic cancers, the ultimate goals should be to avoid risk for infection and provide adequate coverage for the defect.