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GIORNALE ITALIANO DI DERMATOLOGIA E VENEREOLOGIA
A Journal on Dermatology and Sexually Transmitted Diseases
Official Journal of the Italian Society of Dermatology and Sexually Transmitted Diseases
Indexed/Abstracted in: EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 1,014
Giornale Italiano di Dermatologia e Venereologia 2000 August;135(4):509-12
Primary basal cell carcinoma of the legs. Report of two clinical cases
Betto P., Bertazzoni M., Gennari E.
Azienda Ospedaliera - Vicenza I Divisione di Dermatologia
Two cases of basal cell carcinoma of the legs with clinical appearance of vascular ulcers are reported. The former case concerns a woman born in 1906. For several years she had an ulcer in the malleolar inside of the right leg. At the moment of observation the lesion seemed to be an ulcer with hard edges, and its base partly fleshy with tissue like that of granulation with vitreous appearance and partly with greenish secretion. Echodoppler examination was negative; Biopsy showed a variant morpheiform basal cell carcinoma. The latter case concerns a woman born in 1917. She presented an ulcerated lesion of 2¥1 cm on the third middle inside area of the left leg. The lesion had occurred some months before and at the beginning it seemed to be healing. When the lesion recurred a biopsy was carried out showing a superficial basal cell carcinoma. It is necessary to underline that the basal cell carcinoma shows a clinical polymorfism such as an ulcerated lesion, and when it is localized in the inferior leg, it can be confused with a vascular ulcer.