Facial extensive recurrent basal cell carcinoma: Successful treatment with photodynamic therapy and imiquimod 5% cream

Abstract

Background Management of facial extensive recurrent basal cell carcinoma can be a challenge for dermatologists. Although the preferred technique is usually Mohs surgery, sometimes the patient's condition or predicted aggressive surgery make other options advisable. Methods We describe a case of a giant recurrent basal cell carcinoma in the face of an old woman successfully treated by combined therapy with MAL-photodynamic therapy and topical 5%. Results The patient remains well and with no sign of the tumor, with very good cosmetic result two years after treatment. Conclusions Management of extensive facial basal cell carcinoma with combined therapies, as photodynamic therapy followed by topical imiquimod, can be an option for selected cases such as ours. © 2012 The International Society of Dermatology.