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Basal Cell Carcinoma Occurring in Scar Tissue Following Excision of a Parotid Gland Pleomorphic Adenoma
Authors:Douglas N Robins  MD  and Leonard A Shvartzman  MD
Institution:North Florida Dermatology Associates, PA, Jacksonville, FL 32207, USA. DNRMDI@AOL.com
Abstract:BACKGROUND: A 49-year-old patient presented with a basal cell carcinoma growing on scar tissue left following excision of a parotid gland pleomorphic adenoma. OBJECTIVE: The objective was to determine whether the basal cell carcinoma had resulted from tumor spillage at the time of the pleomorphic adenoma excision. METHODS: Substantial evidence is presented linking the two tumors. RESULTS: The basal cell carcinoma most likely occurred as the result of tumor spillage at the time of the parotid gland pleomorphic adenoma excision. CONCLUSIONS: Cutaneous connective tissue stroma plays a significant role in determining the differentiation of basal cell carcinomas.
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