Evidence map›Paper›PMID 40656236›Full record

ArticleCureus2025

Aggressive Basal Cell Carcinoma With Rib Metastasis: An Uncommon Presentation of a Common Skin Cancer.

Junu Giri, Ammar Al Heyasat, Sandesh Neupane, Maida S Chaudhry, Indira Poojary

Abstract readCase Reports
In one paragraph

Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Junu GiriInternal Medicine, Crestwood Medical Center, Huntsville, USA.
Ammar Al HeyasatInternal Medicine, Crestwood Medical Center, Huntsville, USA.
Sandesh NeupaneInternal Medicine, Crestwood Medical Center, Huntsville, USA.
Maida S ChaudhryInternal Medicine, DHR Health Institute for Research and Development, Edinburg, USA.
Indira PoojaryInternal Medicine, Crestwood Medical Center, Huntsville, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Basal cell carcinoma (BCC) is the most common skin cancer, generally characterized by slow growth and minimal risk of metastasis. However, in rare cases, particularly those left untreated for extended periods, BCC can become deeply invasive and even metastatic. We report the case of a 72-year-old woman with a long-neglected ulcerating facial tumor that was ultimately diagnosed as BCC with extensive local invasion and biopsy-proven metastasis to the left anterior fifth rib. Imaging revealed destruction of the maxilla, orbit, and palate. The patient was managed with a multimodal approach, including hedgehog pathway inhibition with vismodegib, immune checkpoint blockade with cemiplimab, palliative radiation therapy, and ultimately extensive surgical resection. The coordinated therapeutic response led to clinical improvement and disease stabilization. This case underscores the potential aggressiveness of neglected BCC and reinforces the value of early detection and comprehensive, multidisciplinary management in advanced presentations.

Indexed as

basal cell carcinomacemiplimabhedgehog pathway inhibitormetastatic skin cancerrib metastasisvismodegib

Identifiers

PMID40656236
PMCPMC12254075

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.