Multifocal Basal Cell Carcinoma Developing in a Facial Port Wine Stain Treated with Argon and Pulsed Dye Laser: A Possible Role for Previous Radiotherapy

Multifocal Basal Cell Carcinoma Developing in a Facial Port Wine Stain Treated with Argon and Pulsed Dye Laser: A Possible Role for Previous Radiotherapy
Issue online:
27 Jul 2004
To cite this article: Zaid F. Jasim MRCP, Wai K. Woo MRCP, Maureen Y. Walsh FRCPath, Julian M. Handley MD, FRCP (2004)
Multifocal Basal Cell Carcinoma Developing in a Facial Port Wine Stain Treated with Argon and Pulsed Dye Laser: A Possible Role for Previous Radiotherapy
Dermatologic Surgery 30 (8), 1155Ò1157.
doi:10.1111/j.1524-4725.2004.30345.x
Blackwell Synergy

Zaid F. Jasim, MRCP**Department of Dermatology, Ulster Hospital, Belfast, UK, Wai K. Woo, MRCP**Department of Dermatology, Ulster Hospital, Belfast, UK, Maureen Y. Walsh, FRCPath**Department of Dermatology, Ulster Hospital, Belfast, UK, and Julian M. Handley, MD, FRCP**Department of Dermatology, Ulster Hospital, Belfast, UK

Address correspondence and reprint requests to: Dr Z. F. Jasim, Department of Dermatology, Wing D, Belfast City Hospital, Belfast BT9 7AB, UK, or e-mail: zfjasim@hotmail.com.

ZAID F. JASIM, MRCP, WAI K. WOO, MRCP, MAUREEN Y. WALSH, FRCPATH, AND JULIAN M. HANDLEY, MD, FRCP HAVE INDICATED NO SIGNIFICANT INTEREST WITH COMMERCIAL SUPPORTERS.

Abstract
Background. Basal cell carcinoma occurring in port wine stain is extremely rare but has been reported after radiotherapy for port wine stain.

Objective. The objective was to present 55-year-old man with a facial port wine stain who had multiple treatment sessions with both the argon laser and the pulsed dye laser and subsequently developed a recurrent multifocal basal cell carcinoma and highlight the treatment carried out and its effects on the outcome.

Methods. We describe the history of the patient's port wine stain treatment, the development of skin cancer within it, and the different modalities of therapy carried out.

Results. The patient developed basal cell carcinoma in his port wine stain. The possibility of a causal link between laser treatment and this skin cancer was considered but it was discovered that he had had radiotherapy treatment of his birthmark at age 9. The basal cell carcinoma was successfully treated.

Conclusion. This case of a clinically indistinct multifocal basal cell carcinoma arising within facial port wine stain was most likely due to previous radiotherapy treatment as a child, rather than laser treatment. Careful treatment history should identify such patients who should be followed-up for development of skin cancer.

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