A CASE OF SEVERAL RECURRENCES OF AN ADVANCED CENTRO-FACIAL SCLERODERMA BASAL CELL CARCINOMA: A CASE REPORT

Basal cellcarcinomais an epithelialtumordeveloped at the expense of tissue epiderma. Sclerodermasvarietyis rare and more agressive. We report a case of a scleroderma basal cellcarcinoma of the upper white lipinitially, evolving for 8 years of an 72 year-oldwoman, shewasoperatedlocally - for social reasons - on several occasions due to multiple recurrences and loco-regional extension of the tumorexplained by non-respect of surgicalmargins, shewasrefered to ourdepartment by her surgeon with an iterativeepistaxis, Computedtomographywasperformedshowing an image of tumoral residue of the nostril cartilage with partial bone invasion. After a multi-disciplinary consultation meeting, a widesurgery by the plastic and the ENT surgeons wasindicated in addition to a post Healing radiotherapy, and subsequent 3D reconstruction of the floor of the mouth and the nasal pyramid.