Giant Anterior Chest Wall Basal Cell Carcinoma:An Approach to Palliative Reconstruction

Anterior chest wall giant basal cell carcinoma (GBCC) is a rare skin malignancy that requires a multidisciplinary treatmentapproach. This case report demonstrates the challenges of anterior chest wall GBCC reconstruction for the purpose of palliativetherapy in a 72-year-old female. Surgical resection of the lesion included the manubrium and upper four ribs. The defect wasclosed with bilateral pectoral advancement flaps, FlexHD, and pedicled VRAM. The palliative nature of this case made hybridreconstruction more appropriate than rigid sternal reconstruction. In advanced metastatic cancers, the ultimate goals should be toavoid risk for infection and provide adequate coverage for the defect.