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- W2170776412 abstract "A 52-year-old man presented with a recurrent basal cell carcinoma (BCC) of the left nose, lip, and cheek. Eight years earlier, he had undergone biopsy of a lesion on the left side of his nose, and surgery was recommended. On the advice of a friend, he eschewed surgery in favour of topical treatment with Sanguinaria canadensis. The treatment led to an apparent resolution of the lesion. Over the succeeding years, the patient noted an increasing fullness of the left side of his nose. On presentation, he had a bulky exophytic/endophytic lesion of the left ala that was fixed to the maxilla. Two stages of extirpative surgery were performed. Tumour that was adherent to the pyriform rim was successfully removed by partial maxillectomy. The surgical defect was reconstructed with a septal mucosal flap, cheek advancement, and vertical paramedian forehead flap. The patient subsequently presented with the submandibular lymphadenopathy, and a modified radical neck lymphadenectomy was performed. The cervical lymph nodes showed metastatic basaloid carcinoma (Fig. 2), and the patient was treated with adjuvant radiation therapy. He developed multiple distant bony metastases and died, despite aggressive systemic chemotherapy. The patient also persisted in his treatment with herbal remedies until his death." @default.
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- W2170776412 date "2008-07-01" @default.
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- W2170776412 title "Death from metastatic basal cell carcinoma: herbal remedy or just unlucky?" @default.
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- W2170776412 doi "https://doi.org/10.1016/j.bjps.2007.10.090" @default.
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