Evidence map›Paper›PMID 41070215›Full record

ArticleInternational medical case reports journal2025

An Atypical Presentation of Basal Cell Carcinoma: A Giant Verrucous Ulcer on the Upper Arm.

Jianzhong Zhang, Ying Guo, Chao Lv, Zhifeng Li, Guoying Miao, Litao Wang

Abstract readCase Reports
In one paragraph

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

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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

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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

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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

6 authors.

Jianzhong Zhang *Department of Dermatology, Affiliated Hospital of Hebei University of Engineering, Handan, People's Republic of China.
Ying Guo *Department of Dermatology, Affiliated Hospital of Hebei University of Engineering, Handan, People's Republic of China.
Chao LvDepartment of Dermatology, Affiliated Hospital of Hebei University of Engineering, Handan, People's Republic of China.
Zhifeng LiDepartment of Dermatology, Affiliated Hospital of Hebei University of Engineering, Handan, People's Republic of China.
Guoying MiaoDepartment of Dermatology, Affiliated Hospital of Hebei University of Engineering, Handan, People's Republic of China.
Litao WangDepartment of Dermatology, Affiliated Hospital of Hebei University of Engineering, Handan, People's Republic of China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Giant basal cell carcinoma (GBCC) is a rare and clinically aggressive subtype of BCC. We report an unusual case of a 71-year-old male with a 30-year history of a slowly enlarging tumor on the extensor surface of his left upper arm. The lesion presented as a giant, irregular ulceration measuring 12×10 cm with coalescing verrucous borders. Histopathological examination confirmed the diagnosis, revealing characteristic nests of basaloid cells with peripheral palisading and stromal retraction artifact in the dermis. Immunohistochemical staining was positive for Ber-EP4, CK15, Ki-67, Bcl-2. The patient was diagnosed with GBCC with Ulcer. Staging workup with computed tomography (CT) of the left humerus and axillary lymph node ultrasonography showed no evidence of metastasis. The patient was successfully treated with slow Mohs micrographic surgery. Subsequent histopathological assessment of the excised specimen confirmed tumor-free margins. At 12-month follow-up, no local recurrence was observed. This case highlights the importance of recognizing GBCC in uncommon locations and demonstrates the efficacy of slow Mohs technique for achieving complete excision in large, complex tumors.

Indexed as

basal cell carcinomaBCCmetastasisslow Mohs micrographic surgerystandardized follow-up

Identifiers

PMID41070215
PMCPMC12506792

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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.