Clinical Cases

Eccrine Porocarcinoma, Bowen's Disease and Basal Cell Carcinomas in an Immunosuppressed Patient

Eccrine Porocarcinoma, Bowen's Disease and Basal Cell Carcinomas in an Immunosuppressed Patient

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History

A 63-year-old woman was referred to our hospital for excision of asymptomatic, multiple tumors on her face and back, which had been slowly growing for 4 years. Within 3 months, two of the tumors on her face increased in size, eroded and started to bleed. Several biopsies were taken by her dermatologist, and histological features were consistent with Bowen's disease.

Her previous medical history included hysterectomy (30 years earlier) and breast cancer (20 years earlier), treated by right mastectomy and one course of chemotherapy. Moreover, multiple myeloma with overproduction of IgG Lambda was diagnosed 10 years later. In the following years, she has been in partial remission, regularly receiving numerous courses of different chemotherapy. There was no history of ultraviolet overexposure. The patient was admitted for further examination and tumor excision.

 
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