Recurrent basal cell carcinoma of the lower limb with tibial invasion.

BACKGROUND

Basal cell carcinoma (BCC) is the most common skin malignancy and is most prevalent on the head and neck region, although BCC can occur in other sites, including the lower limbs.

OBJECTIVE

We report the case of an 85-year-old female patient who experienced recurrent BCCs in the lower limb with tibial invasion.

METHODS

Treatment consisted of wide skin excision, tibial osteotomy, intraoperative cryotherapy, and coverage with an internal gastrocnemius muscle flap.

RESULTS

The computed tomographic scan showed local bone control of the BCC, with no recurrence, so we avoided limb amputation.

CONCLUSION

The reported case is uncommon because of the site, the extent of bone infiltration, and local treatment with cryotherapy.