Basal cell carcinoma of the nose requiring amputation arising after irradiation for childhood hemangioma.

A 49-year-old female, who had undergone irradiation at six years of age as a treatment for a cutaneous nasal hemangioma, developed later a devastating basal cell carcinoma requiring sub-amputation of the nose and subsequent reconstruction with a pre-expanded forehead flap. Basal cell carcinomas are now frequently reported as late sequelae of previous low-dose irradiations after 10-20 years, and patients should be aware of this possible evolution.