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.
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.