Long-standing basal cell carcinoma of the nasal wing in an elderly female

Authors

  • María José Ocejo Méndez Hospital General del Surgery, Mexico
  • Jimena Celeste Treviño Flores Hospital Universitario Dr José Eleuterio Gonzalez, Monterrey, Nuevo León, Mexico
  • Ulises Solis Bermudez Hospital Ángeles Morelia, Mexico
  • Carlos Ronaldo Martínez Mateo UNAM, Mexico
  • Carla Andrea Amaya Luna Unidad Médica de Alta Especialidad | Hospital de Especialidades No. 2 del Instituto Mexicano del Seguro Social, Mexico
  • Benjamín Jesús Moya Leal Issste Regional Monterrey, Mexico
  • Sylvana Cruz Navarro Hospital General de Zona no. 14 con unidad de quemados, Mexico
  • Imery Arlet Pérez Pérez Universidad de Sonora, Hermosillo, Mexico

DOI:

https://doi.org/10.18203/2349-2902.isj20252688

Keywords:

Basal cell carcinoma, Nasal lesion, Long-standing skin cancer, Mohs surgery, Facial reconstruction, Skin cancer management, Nasal tumor, Dermatologic oncology

Abstract

This case report describes a 75-year-old female with a long-standing basal cell carcinoma (BCC) of the left nasal wing, which had been present for approximately ten years. The lesion was characterized by a pigmented, irregular, plaque-like appearance with telangiectasias, and diagnosis was confirmed by biopsy. Surgical excision with reconstruction was planned to achieve complete tumor removal and restore nasal function. Managing BCC in the nasal area requires careful consideration to prevent potential complications such as tissue destruction, cartilage or bone invasion, and functional impairments, including nasal obstruction. The importance of early detection and the utilization of Mohs micrographic surgery as the preferred treatment option for high-risk or long-standing BCCs in cosmetically sensitive regions are emphasized. Long-term follow-up is crucial to detect recurrences and new skin malignancies, ensuring optimal outcomes.

 

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Published

2025-08-26

How to Cite

Méndez, M. J. O., Treviño Flores, J. C., Bermudez, U. S., Mateo, C. R. M., Luna, C. A. A., Leal, B. J. M., Navarro, S. C., & Pérez, I. A. P. (2025). Long-standing basal cell carcinoma of the nasal wing in an elderly female. International Surgery Journal, 12(9), 1524–1526. https://doi.org/10.18203/2349-2902.isj20252688

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Section

Case Reports