Abstract
Background
Few data exist on the occurrence of metastatic basal cell carcinoma (mBCC).
Objective
To identify all cases of mBCC in Denmark over a 14-year period.
Methods
We searched the Danish National Patient Registry covering all Danish hospitals, the Danish Cancer Registry, the National Pathology Registry and the Causes of Death Registry during the period 1997 to 2010 for potential cases of mBCC registered according to the International classification of diseases ICD-10 and the International Systemized Nomenclature of Medicine (SNOMED).
Results
We identified 126,627 patients with a history of primary basal cell carcinoma (BCC) in the registries during the 14-year study period. Using case identifications from the four registries, a total of 170 potential mBCC cases were identified. However, after a pathology review, only five cases could be confirmed, of which three were basosquamous carcinomas. The 14-year cumulative incidence proportion of mBCC was 0.0039% (95% CI 0.0016–0.0083) among individuals with a history of previousBCC(n = 126,627) and 0.0001% (95% CI 0.0000–0.0002) in the general population.
Conclusion
MBCCis a rare disease and only a small proportion of potential cases identified in automated clinical databases or registries can be confirmed by pathology and medical record review.
Similar content being viewed by others
References
Weedon D, Wall D. Metastatic basal cell carcinoma. Med J Aust 1975; 2: 177–9.
Buettner PG, Raasch BA. Incidence rates of skin cancer in Townsville, Australia. Int J Cancer 1998; 78: 587–93.
Chinem VP, Miot HA. Epidemiology of basal cell carcinoma. An Bras Dermatol 2011; 86: 292–305.
Roewert-Huber J, Lange-Asschenfeldt B, Stockfleth E, et al. Epidemiology and aetiology of basal cell carcinoma. Br J Dermatol 2007; 157: 47–51.
McCusker M, et al. Metastatic basal cell carcinoma: Prognosis dependent on anatomic site and spread of disease. Eur J Cancer 2014; 50.4: 774–83.
Robinson JK, Dahiya M. Basal cell carcinoma with pulmonary and lymph node metastasis causing death. Arch Dermatol 2003; 139: 643–8.
von Domarus H, Stevens PJ. Metastatic basal cell carcinoma. Report of five cases and review of 170 cases in the literature. J Am Acad Dermatol 1984; 10: 1043–60.
Lo JS, Snow SN, Reizner GT, et al. Metastatic basal cell carcinoma: report of twelve cases with a review of the literature. J Am Acad Dermatol 1991; 24: 715–9.
Cotran RS. Metastasizing basal cell carcinomas. Cancer 1961; 14: 1036–40.
Snow SN, Sahl W, Lo JS, et al. Metastatic basal cell carcinoma. Report of five cases. Cancer 1994; 73: 328–35.
Lattes R, Kessler RW. Metastasizing basal-cell epithelioma of the skin; report of two cases. Cancer 1951; 4: 866–78.
Gropper AB, Girouard SD, Hojman LP, et al. Metastatic basal cell carcinoma of the posterior neck: case report and review of the literature. J Cutan Pathol 2012; 39: 526–34.
Wadhera A, Fazio M, Bricca G, et al. Metastatic basal cell carcinoma: a case report and literature review. How accurate is our incidence data? Dermatol Online J 2006; 12: 7.
Ministry of Health and Prevention. Health care in Denmark. Copenhagen: Ministry of Health and Prevention; 2008. Available at: http://www.sum.dk/Aktuelt/Publikationer/UK_Healthcare_in_DK. aspx (accessed 09 June 2013).
Pedersen CB. The Danish Civil Registration System. Scand J Public Health 2011; 39: 22–5.
Pedersen CB, Gotzsche H, Moller JO, et al. The Danish Civil Registration System. A cohort of eight million persons. Dan Med Bull 2006; 53: 441–9.
Frank L, Epidemiology L. The epidemiologist’s dream: Denmark. Science 2003; 301: 163.
Frank L, Epidemiology L. When an entire country is a cohort. Science 2000; 287: 2398–9.
Lynge E, Sandegaard JL, Rebolj M. The Danish National Patient Register. Scand J Public Health 2011; 39: 30–3.
Gjerstorff ML. The Danish Cancer Registry. Scand J Public Health 2011; 39: 42–5.
Erichsen R, Lash TL, Hamilton-Dutoit SJ, et al. Existing data sources for clinical epidemiology: the Danish National Pathology Registry and Data Bank. Clin Epidemiol 2010; 2: 51–6.
Paver K, Poyzer K, Burry N, et al. Letter: The incidence of basal cell carcinoma and their metastases in Australia and New Zealand. Australas J Dermatol 1973; 14: 53.
Cade S. Malignant Disease and its Treatment by Radium, 2nd edn. Bristol: John Wright & Sons, 1948.
Ting PT, Kasper R, Arlette JP. Metastatic basal cell carcinoma: report of two cases and literature review. J Cutan Med Surg 2005; 9: 10–5.
Spates ST, Mellette ST Jr., Fitzpatrick J. Metastatic basal cell carcinoma. Dermatol Surg 2003; 29: 650–2.
Berlin JM, Warner MR, Bailin PL. Metastatic basal cell carcinoma presenting as unilateral axillary lymphadenopathy: report of a case and review of the literature. Dermatol Surg 2002; 28: 1082–4.
Malone JP, Fedok FG, Belchis DA, et al. Basal cell carcinoma metastatic to the parotid: report of a new case and review of the literature. Ear Nose Throat J 2000; 79, 511–5, 518-9.
Dreier J, et al. Basal cell carcinomas in a tertiary referral centre: a systematic analysis. British Journal of Dermatology 2014; 175. 5: 1066–72.
Danish Health and Medicines Authority. Danish Cancer Registry 2010. Copenhagen: Danish Health and Medicines Authority; 2011. Available at: http://www.sst.dk/Udgivelser/2011/Cancerregisteret 2010.aspx (accessed 09 June 2013).
Tarallo M, Cigna E, Frati R, et al. Metatypical basal cell carcinoma: a clinical review. J Exp Clin Cancer Res 2008; 27: 65.
LeBoit P.E., Burg G., Weedon D, et al: World Health Organization Classification of Tumours. Pathology and Genetics of Skin Tumours. Lyon: IARC Press, 2006.
NCCN. Clinical Practice Guidelines in Oncology. Basal Cell and Squamous Cell Skin Cancers version 2. 2012. Fort Washington, PA: National Comprehensive Cancer Network, 2012.
Author information
Authors and Affiliations
Corresponding author
About this article
Cite this article
Nguyen-Nielsen, M., Wang, L., Pedersen, L. et al. The incidence of metastatic basal cell carcinoma (mBCC) in Denmark, 1997–2010. Eur J Dermatol 25, 463–468 (2015). https://doi.org/10.1684/ejd.2015.2546
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1684/ejd.2015.2546