Case Reports in Oncology (Sep 2024)

Successful Treatment of Unresectable BRCA1 L63*-Mutated Basal Cell Carcinoma Invading the Parietal Bone with Cisplatin and Fluorouracil: A Case Report

  • Saaya Yoshida-Akai,
  • Taku Fujimura,
  • Ryo Amagai,
  • Yumi Kambayashi,
  • Akira Hashimoto,
  • Hitoshi Terui,
  • Kenta Oka,
  • Manami Watanabe-Takahashi,
  • Emi Yamazaki,
  • Kota Ohuchi,
  • Yoshihide Asano

DOI
https://doi.org/10.1159/000541160
Journal volume & issue
Vol. 17, no. 1
pp. 1050 – 1054

Abstract

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Introduction: Basal cell carcinoma (BCC) is a common skin cancer that rarely metastasizes but can deeply infiltrate local tissues. The small number of unresectable BCC cases makes it difficult to conduct clinical trials, resulting in delays in the development of effective drugs for BCC. Cancer gene panel testing has led to an increasing number of new treatment proposals for patients with solid tumors for whom no standard treatment is available. Case Presentation: We described a case of unresectable BRCA1 L63*-mutated BCC invading the parietal bone, which was successfully treated with cisplatin and fluorouracil. Conclusion: Our present case suggests that comprehensive mutation analysis by gene panel testing is important in advanced BCC because genes other than those involved in the hedgehog signaling pathway can be driver genes.

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