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Spontaneous Regression Of Annular Basal Cell Carcinoma: A Case Report

Go, U., Miyata, K., Fujita, M., Ohide, T., & Mitsuishi, T. (2019). Spontaneous Regression of Annular Basal Cell Carcinoma: A Case Report. Case reports in dermatology, 11(2), 145–149. https://doi.org/10.1159/000500711

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Abstract

We herein present a case of annular basal cell carcinoma (BCC) with spontaneous regression on the right temporal region of a 56-year-old Japanese male. Histopathological examination revealed that the central section had no tumor cells. The sweat glands, follicles, and other cutaneous appendages were also absent. This pattern of spontaneous regression is quite uncommon, and understanding the histopathology may be important for future approaches to BCC.

Case Details

Disease Location

Skin

Personal Characteristics

56-year-old japanese male

Clinical Characteristics

Presented with an annular nodule on the right temporal region. Clinical examination revealed normal skin color in the central section of the lesion, surrounded by dark black nodules, and it had a centrifugal pattern of spread. The tumor size was 42 mm × 28 mm in diameter. Skin biopsy from the nodules was performed, and basal cell carcinoma (BCC) was diagnosed histopathologically. The nodule was excised. Histopathological analysis of the tissue excised from the central section revealed no tumor nests. The cutaneous appendages, such as sebaceous glands and hair follicles, were also not found

Remission Characteristics

The nodule was excised. Histopathological analysis of the tissue excised from the central section revealed no tumor nests. The cutaneous appendages, such as sebaceous glands and hair follicles, were also not found. Immunohistochemical staining, and CD8+ cells and CD68+ cells infiltrated the tumor nests.

Treatment & Mechanisms

Proposed Remission Mechanisms

CD8+ and CD68+ cells might play a role in the spontaneous regression of BCC

Clinical Treatment

Biopsy excision