Lauterbach, B., Kakkassery, V., Debus, D., Heindl, L. M. and Schultz, E. S. (2019). Advanced periocular basal cell carcinoma-a therapeutic challenge. Ophthalmologe, 116 (3). S. 273 - 278. HEIDELBERG: SPRINGER HEIDELBERG. ISSN 1433-0423

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Abstract

BackgroundBasal cell carcinomas are the most common periocular malignant tumor. In advanced periocular basal cell carcinoma, vismodegib is anew treatment option which might potentially avoid surgical eye removal.Case reportWe treated a76-year-old patient unwilling to consent to surgery with vismodegib for advanced periocular basal cell carcinoma on the left forehead that had already undergone several previous treatments. After initial partial remission, the tumor regrew under ongoing therapy, so that radical surgical excision including orbital exenteration was performed. Unfortunately, the patient died thereafter due to septic multi-organ failure.ConclusionBasal cell carcinoma and its new treatment options are gaining importance for ophthalmology due to rising incidence and prevalence rates. Vismodegib is anew encouraging option. However, for advanced tumors, it must be resolved whether complete histological remission may be achieved to avoid surgical intervention, or whether the area of resection can be significantly reduced. Current multicenter studies investigate these aspects further (ClinicalTrails.gov identifier: NCT03035188).

Item Type: Journal Article
Creators:
CreatorsEmailORCIDORCID Put Code
Lauterbach, B.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Kakkassery, V.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Debus, D.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Heindl, L. M.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Schultz, E. S.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
URN: urn:nbn:de:hbz:38-155511
DOI: 10.1007/s00347-018-0734-9
Journal or Publication Title: Ophthalmologe
Volume: 116
Number: 3
Page Range: S. 273 - 278
Date: 2019
Publisher: SPRINGER HEIDELBERG
Place of Publication: HEIDELBERG
ISSN: 1433-0423
Language: German
Faculty: Unspecified
Divisions: Unspecified
Subjects: no entry
Uncontrolled Keywords:
KeywordsLanguage
VISMODEGIB THERAPY; NEOADJUVANT; EFFICACY; STEVIEMultiple languages
OphthalmologyMultiple languages
Refereed: Yes
URI: http://kups.ub.uni-koeln.de/id/eprint/15551

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