Case 3-2008 -- An 80-Year-Old Woman with Cutaneous Basal-Cell Carcinomas and Cysts of the Jaws

doi:10.1056/NEJMcpc0707893

Volume 358:393-401		January 24, 2008		Number 4

Case 3-2008 — An 80-Year-Old Woman with Cutaneous Basal-Cell Carcinomas and Cysts of the Jaws

Ervin H. Epstein, M.D., Jo-Anne O. Shepard, M.D., and Thomas J. Flotte, M.D.

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Presentation of Case

Dr. Gabriela Rolz-Cruz (Dermatology): An 80-year-old woman wasseen in the outpatient clinic of this hospital for managementof recurrent ulcerated skin lesions on the scalp.

When the patient was approximately 34 years old, 40 to 50 lesions,which were red and slightly elevated, developed on her back.The lesions were fulgurated at another hospital and resolved.Two years later, lesions on her back recurred and increasedin number during the next several years, and similar lesionsdeveloped on her scalp. At the age of 40 years, the patientwas admitted to this hospital. There were multiple lesions onthe . . . [Full Text of this Article]

Differential Diagnosis

Clinical Diagnosis

Dr. Ervin H. Epstein's Diagnosis

Pathological Discussion

Discussion of Management

Anatomical Diagnosis

Source Information

From the Children's Hospital of Oakland Research Institute, Oakland, CA (E.H.E.); and the Departments of Radiology (J.-A.O.S.) and Dermatopathology (T.J.F.), Massachusetts General Hospital, and the Departments of Radiology (J.-A.O.S.) and Pathology (T.J.F.), Harvard Medical School — both in Boston.