PMC5739148_01
Original biopsy. (Hematoxylin-eosin stain.)
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A 65-year-old woman was referred to our clinic in October 2012 for evaluation of a BCC on the left side of her upper back/shoulder (confirmed via biopsy; Fig 1).
Large, fungating, and ulcerated BCC in October 2012.
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At presentation, a 12- x 15-cm eroded plaque was visible on her left shoulder (Fig 2).
Before excision in July 2014.
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Interestingly, the lesion only slightly subsided in size despite the patient taking the drug for about 17 months, so the decision was made to have the residual tumor excised by the surgical oncology department (Fig 3).
Subsequent submission showed only granulation tissue. (Hematoxylin-eosin stain.) The complete specimen was submitted for microscopic pathologic examination.
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The entire specimen was submitted for microscopic examination in the dermatopathology laboratory and surprisingly showed only scar and granulation tissue, with no evidence of tumor (Fig 4).
Healing wound, 2 weeks postoperative.
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A follow-up photograph from 2 weeks after surgery is shown in Fig 5.