Turkish Journal of Plastic Surgery (Jan 2020)
Basosquamous cell carcinoma bone metastasis on coracoid process
Abstract
Although basal cell carcinoma (BCC) is the most commonly encountered skin carcinoma, metastasis rarely develops. Fewer than 300 cases of metastasis due to BCC have been presented in the literature. The coracoid process is a small area, and metastases are rarely seen in this bone localization. The case here presented is a 56-year-old male with coracoid process metastasis as a distant metastasis of basosquamous cell carcinoma (BSC) located in the face. This locally aggressive lesion due to BSC had been treated surgically five times by the plastic surgeon and was consulted by our clinic with the positron emission tomography-computed tomography report in respect of coracoid process involvement. A clean surgical margin was obtained with excision of the coracoid process. The conjoint tendon was fixed again with an anchor suture to the base of the coracoid, from which the tumor had been cleaned. The constant shoulder score was determined as 100 points after surgery.
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