Giant basal cell carcinoma affecting the lower abdominal, genital and bilateral inguinal regions

We describe a giant basal cell carcinoma, measuring 40 cm×20 cm, of the lower abdominal, genital and bilateral inguinal regions. The rectus abdominis muscle and the adductor magnus muscle were exposed centrally, and the penis and scrotum were completely destroyed. Reconstruction was performed with a fillet thigh flap, and an excellent result was obtained 1 year after surgery.