Neo-adjuvant Vismodegib followed by radiation in locally advanced basal cell carcinoma.


Journal

Current problems in cancer
ISSN: 1535-6345
Titre abrégé: Curr Probl Cancer
Pays: United States
ID NLM: 7702986

Informations de publication

Date de publication:
12 2021
Historique:
received: 09 12 2020
revised: 10 01 2021
accepted: 17 02 2021
pubmed: 26 4 2021
medline: 11 2 2022
entrez: 25 4 2021
Statut: ppublish

Résumé

Basal cell carcinomas occur in up to 39% of Caucasian men and 28% of women. Rarely it can present a management dilemma in patients with neglected locally advanced disease of large dimension or involvement of critical structures. The Hedgehog pathway is constitutively active in almost all basal cell carcinomas and patients with Naevoid Basal Cell Carcinoma Syndrome have germline mutations in the Patched tumor suppressor gene, a Hedgehog pathway component, on chromosome 9q. This case describes an elderly patient with an untreated sporadic Basal cell carcinoma whose dimensions precluded local management approaches. The Hedgehog pathway inhibitor Vismodegib had a dramatic response allowing definitive treatment to be pursued.

Identifiants

pubmed: 33894989
pii: S0147-0272(21)00043-X
doi: 10.1016/j.currproblcancer.2021.100736
pii:
doi:

Substances chimiques

Anilides 0
Hedgehog Proteins 0
HhAntag691 0
Pyridines 0

Types de publication

Case Reports Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

100736

Informations de copyright

Copyright © 2021. Published by Elsevier Inc.

Auteurs

Diya M Sabu (DM)

Department of Medical Oncology, St James Hospital, Dublin 8, Ireland. Electronic address: dr.diyams@gmail.com.

Jeska Kroes (J)

Department of Medical Oncology, St James Hospital, Dublin 8, Ireland.

Charles Gilham (C)

Department of Radiation Oncology, St James Hospital, Dublin 8, Ireland.

Ann Fleming (A)

Department of Radiography and Diagnostic Imaging, University College Dublin, Ireland.

Fergal C Kelleher (FC)

Department of Medical Oncology, St James Hospital, Dublin 8, Ireland; Trinity College Dublin, Ireland.

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Classifications MeSH