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Case Reports in Otolaryngology
Volume 2013 (2013), Article ID 201024, 3 pages
http://dx.doi.org/10.1155/2013/201024
Case Report

Basal Cell Carcinoma Masked in Rhinophyma

Sensory Organs Department, Sapienza University of Rome, Viale dell'Università 31, 00161 Rome, Italy

Received 8 May 2013; Accepted 30 May 2013

Academic Editors: Y. Baba and S. Ulualp

Copyright © 2013 Daniele De Seta 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

Rhinophyma, the advanced stage of rosacea, is a lesion characterized by progressive hypertrophy and hyperplasia of sebaceous glandular tissue, connective tissue, and blood vessels. Rhinophyma can lead to a significant facial disfigurement and severe emotional distress, but it is not only an aesthetic problem, since rare cases of simultaneous presence of malignant tissue are described in the literature. The case of an 84-year-old farmer affected by basal cell carcinoma (BCC) and diagnosed in the context of rhinophyma is presented. The anatomical distortion produced by the chronic inflammation and fibrous scarring makes the BCC diagnosis difficult and uncertain. The histological examination of the entire mass and its margins is fundamental. A partial biopsy can lead to a false negative result, and the histological examination must be repeated intra- or postoperatively.