Characterization of Basosquamous Cell Carcinoma: A Distinct Type of Keratinizing Tumour

Authors

  • Giulio Gualdi
  • Simone Soglia Department of Dermatology, University of Brescia, Brescia, Italy
  • Marta Fusano
  • Paola Monari
  • Federica Giuliani
  • Annamaria Porreca
  • Marta Di Nicola
  • Piergiacomo Calzavara-Pinton
  • Paolo Amerio

DOI:

https://doi.org/10.2340/00015555-3710

Keywords:

basosquamous carcinoma, basal cell carcinoma, keratinizing tumour, squamous cell carcinoma, skin tumour

Abstract

Basosquamous carcinoma is a rare clinical entity, which comprises 1.7–2.7% of all skin carcinomas. It is described as a basal cell carcinoma with features of squamous differentiation. To date, studies of the epidemiology of basosquamous carcinoma have been few and small in size. We report here the most extensive series of basosquamous carcinomas published to date, highlighting the differences between basosquamous carcinoma and other keratinizing tumours. Patients undergoing surgical excision for keratinizing tumours were enrolled in this study. Age, sex and tumour characteristics were recorded. A total of 1,519 squamous cell carcinomas, 288 basosquamous carcinomas and 4,235 basal cell carcinomas were collected. Basosquamous features were compared with those of basal cell and squamous cell carcinomas. For basosquamous carcinomas, 70.5% were located on the head and neck, particularly on the nose, forehead and cheeks, and represented almost 10% of the keratinizing tumours on the ears. Significant differences were found between basosquamous carcinoma and basal cell or squamous cell carcinomas. Basosquamous carcinoma should be considered a distinct type of keratinizing tumour with different anatomical, sex and age distributions.

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References

Fantini F, Gualdi G, Cimitan A, Giannetti A. Metastatic basal cell carcinoma with squamous differentiation: report of a case with response of cutaneous metastases to electrochemotherapy. Arch Dermatol 2008; 144: 1186-1188.

DOI: https://doi.org/10.1001/archderm.144.9.1186

Borel DM. Cutaneous basosquamous carcinoma. Review of the literature and report of 35 cases. Arch Pathol Lab Med 1973; 95: 293-297.

Martin RC 2nd, Edwards MJ, Cawte TG, Sewell CL, McMasters KM. Basosquamous carcinoma: analysis of prognostic factors influencing recurrence. Cancer 2000; 88: 1365-1369.

DOI: https://doi.org/10.1002/(SICI)1097-0142(20000315)88:6<1365::AID-CNCR13>3.0.CO;2-Y

Shukla S, Khachemoune A. Reappraising basosquamous carcinoma: a summary of histologic features, diagnosis, and treatment. Arch Dermatol Res 2020; 312: 605-609.

DOI: https://doi.org/10.1007/s00403-020-02058-1

Urechescu HC, Balica NC, Sar?u CA, Anghelina F, Horhat ID, Baderca F, et al. Basal cell carcinoma and basosquamous carcinoma, two faces of the same condition? Rom J Morphol Embryol 2018; 59: 989-996.

Burston J, Clay RD. The problems of histologic diagnosis in basosquamous cell carcinoma of the skin. J Clin Pathol 1959; 12: 73-79.

DOI: https://doi.org/10.1136/jcp.12.1.73

Costantino D, Lowe L, Brown DL. Basosquamous carcinoma - an under-recognized, high-risk cutaneous neoplasm: case study and review of the literature. J Plast Reconstr Aesthet Surg 2006; 59: 424-428.

DOI: https://doi.org/10.1016/j.bjps.2005.06.007

Garcia C, Poletti E, Crowson AN. Basosquamous carcinoma. J Am Acad Dermatol 2009; 60: 137-143.

DOI: https://doi.org/10.1016/j.jaad.2008.09.036

Akay BN, Saral S, Heper AO, Erdem C, Rosendahl C. Basosquamous carcinoma: dermoscopic clues to diagnosis. J Dermatol 2017; 44: 127-134.

DOI: https://doi.org/10.1111/1346-8138.13563

Giacomel J, Lallas A, Argenziano G, Reggiani C, Piana S, Apalla Z et al. Dermoscopy of basosquamous carcinoma. Br J Dermatol 2013; 169: 358-364.

DOI: https://doi.org/10.1111/bjd.12394

Tan CZ, Rieger KE, Sarin KY. Basosquamous carcinoma: controversy, advances, and future directions. Dermatol Surg 2017; 43: 23-31.

DOI: https://doi.org/10.1097/DSS.0000000000000815

Schuller DE, Berg JW, Sherman G, Krause CJ. Cutaneous basosquamous carcinoma of the head and neck: a comparative analysis. Otolaryngol Head Neck Surg 1979; 87: 420-427.

DOI: https://doi.org/10.1177/019459987908700405

Bowman PH, Ratz JL, Knoepp TG, Barnes CJ, Finley EM. Basosquamous carcinoma. Dermatol Surg 2003; 29: 830-832.

DOI: https://doi.org/10.1097/00042728-200308000-00013

Leibovitch I, Huilgol SC, Selva D, Richards S, Paver R. Basosquamous carcinoma: treatment with Mohs micrographic surgery. Cancer 2005; 104: 170-175.

DOI: https://doi.org/10.1002/cncr.21143

Gualdi G, Monari P, Apalla Z, Lallas A. Surgical treatment of basal cell carcinoma and squamous cell carcinoma. G Ital Dermatol Venereol 2015; 150: 435-447.

Gualdi G, Venturini M, Zanca A, Calzavara-Pinton PG, Pellacani G. Pre-surgical basal cell carcinoma margin definition: the SMART approach. J Eur Acad Dermatol Venereol 2016; 30: 474-476.

DOI: https://doi.org/10.1111/jdv.12858

Gualdi G, Monari P, Crotti S, Damiani G, Facchetti F, Calzavara-Pinton P et al. Matter of margins. J Eur Acad Dermatol Venereol 2015; 29: 255-261.

DOI: https://doi.org/10.1111/jdv.12504

Peris K, Alaibac M, Argenziano G, Di Stefani A, Fargnoli MC, Frascione P et al. Cutaneous squamous cell carcinoma. Italian Guidelines by SIDeMaST adapted to and updating EADO/EDF/EORTC guidelines. G Ital Dermatol Venereol 2018; 153: 747-762.

DOI: https://doi.org/10.23736/S0392-0488.18.06093-5

Published

2021-01-04

How to Cite

Gualdi, G., Soglia, S., Fusano, M., Monari, P., Giuliani, F., Porreca, A. . ., … Amerio, P. (2021). Characterization of Basosquamous Cell Carcinoma: A Distinct Type of Keratinizing Tumour. Acta Dermato-Venereologica, 101(1), adv00353. https://doi.org/10.2340/00015555-3710