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Basal Cell Carcinoma With Spontaneous Regression: A Case Report And Immunohistochemical Study

Fujimura et al., 2012Basal cell carcinoma (BCC)

Fujimura, T., Kakizaki, A., Kambayashi, Y., & Aiba, S. (2012). Basal cell carcinoma with spontaneous regression: a case report and immunohistochemical study. Case reports in dermatology, 4(2), 125–132. https://doi.org/10.1159/000339621

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Abstract

Spontaneous regression of basal cell carcinoma (BCC) is rare, and characterized by various tumor-infiltrating lymphocytes (TILs) in the tumor. A previous report suggested that these infiltrated lymphocytes consist of type 1 helper T cells, but no detailed phenotypical analysis of other TILs has been demonstrated yet. In this report, we describe an 84-year-old Japanese patient with spontaneous regression of BCC. In the present case, we investigated the immunohistochemical profiles of TILs, not only focusing on the cytotoxic T cells, but the profiles of immunosuppressive cells, such as regulatory T cells and tumor-associated macrophages. Our present study sheds light on the immunological mechanisms of tumor rejection in human BCC.

Case Details

Disease Location

Right breast

Personal Characteristics

84 -year-old male, 10 year history of skin nodule.

Clinical Characteristics

First visit p/e: brown-colored, elastic-hard, well-demarcated nodule with prominent teleangiectasia and erythema on the right breast 10x8 mm

Remission Characteristics

Regression by histology

Treatment & Mechanisms

Proposed Remission Mechanisms

Infiltration of tumor lymphocytes studied by ihc pathology

Clinical Treatment

Excision of tumor nodule with 3mm margins