ArticleThe Laryngoscope2025
Patients With Giant Facial Basal Cell Carcinoma, Who Are They?-A Psychosocial Profile.
Article in The Laryngoscope, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
2 citing papers in PubMed.
- Super giant basal cell carcinoma in the setting of neglect: A case report.JAAD case reports · 2026Article
- Delayed Diagnosis of Perimandibular Abscess in a Woman With Social Isolation: A Case Report.Cureus · 2025Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveGiant basal cell carcinoma (GBCC) of the face is a rare, disfiguring entity with poorly understood psychological challenges and factors contributing to social isolation. This study evaluates the reasons for delays in care in this patient population.
methodsA retrospective review of patients with GBCC of the face (>5 cm) treated at a tertiary care academic center from January 2003 to May 2024 was conducted. The clinical course, time to presentation, insurance type, and geographic factors were analyzed to identify causes for delay. Telephone interviews assessed reasons for delays in care. The Hospital Anxiety and Depression Scale (HADS) was administered and compared with a control group.
resultsA total of 39 patients with GBCC were identified; 16 patients consented to interviews. The average lesion length was 64.5 mm. Patients presented on average 6 years (range: 0.5-18 years) after noticing the lesion, citing denial or financial concerns as reasons for delay. HADS results showed increased anxiety (p = 0.01) compared with controls. Additionally, 33.3% of patients reported habitual alcohol use, and 43.8% lived alone. Geographical analysis showed lower high school graduation rates (p < 0.001). No significant socioeconomic predictors for insurance type or treatment delays were found.
conclusionThis study reveals the substantial psychosocial challenges experienced by patients with GBCC of the face. Increased anxiety, social isolation, and lower education levels contribute to delays in care. This subpopulation would benefit from targeted social support and health literacy interventions as they may be crucial to their final treatment recommendations and outcomes. LEVEL OF EVIDENCE: 4 Laryngoscope, 135:2335-2341, 2025.
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